Total and added sugar intakes, sugar types, and cancer risk: results from the prospective NutriNet-Sante cohort

被引:72
|
作者
Debras, Charlotte [1 ]
Chazelas, Eloi [1 ]
Srour, Bernard [1 ]
Kesse-Guyot, Emmanuelle [1 ]
Julia, Chantal [1 ,2 ]
Zelek, Laurent [1 ,3 ]
Agaesse, Cedric [1 ]
Druesne-Pecollo, Nathalie [1 ]
Galan, Pilar [1 ]
Hercberg, Serge [1 ,2 ]
Latino-Martel, Paule [1 ]
Deschasaux, Melanie [1 ]
Touvier, Mathilde [1 ]
机构
[1] Sorbonne Paris Nord Univ, Univ Paris CRESS, Nutr Epidemiol Res Team EREN, CNAM,Epidemiol & Stat Res Ctr,INSERM U1153,INRAe, Bobigny, France
[2] Avicenne Hosp, AP HP, Publ Hlth Dept, Bobigny, France
[3] Avicenne Hosp, AP HP, Oncol Dept, Bobigny, France
来源
AMERICAN JOURNAL OF CLINICAL NUTRITION | 2020年 / 112卷 / 05期
关键词
sugars; added sugars; sucrose; cancer risk; breast cancer; prospective cohort; DIETARY GLYCEMIC LOAD; C-REACTIVE PROTEIN; PANCREATIC-CANCER; COLORECTAL-CANCER; BREAST-CANCER; BEVERAGE CONSUMPTION; SOFT DRINK; SWEETENED BEVERAGES; CARBOHYDRATE INTAKE; ENDOMETRIAL CANCER;
D O I
10.1093/ajcn/nqaa246
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Excessive sugar intake is now recognized as a key risk factor for obesity, type 2 diabetes, and cardiovascular diseases. In contrast, evidence on the sugar-cancer link is less consistent. Experimental data suggest that sugars could play a role in cancer etiology through obesity but also through inflammatory and oxidative mechanisms and insulin resistance, even in the absence of weight gain. Objective: The objective was to study the associations between total and added sugar intake and cancer risk (overall, breast, and prostate), taking into account sugar types and sources. Methods: In total. 101,279 participants aged >18 y (median age, 40.8 y) from the French NutriNet-Sante prospective cohort study (2009-2019) were included (median follow-up time, 5.9 y). Sugar intake was assessed using repeated and validated 24-h dietary records, designed to register participants' usual consumption for >3500 food and beverage items. Associations between sugar intake and cancer risk were assessed by Cox proportional hazard models adjusted for known risk factors (sociodemographic, anthropometric, lifestyle. medical history. and nutritional factors). Results: Total sugar intake was associated with higher overall cancer risk (n = 2503 cases; HR for quartile 4 compared with quartile 1: 1.17; 95% CI: 1.00, 1.37; P-trend = 0.02). Breast cancer risks were increased (n = 783 cases; HRQ4vs.Q1 = 1.51; 95% CI: 1.14, 2.(X); P-trend = 0.0007). Results remained significant when weight gain during follow-up was adjusted for. In addition, significant associations with cancer risk were also observed for added sugars, free sugars, sucrose, sugars from milk-based desserts, dairy products, and sugary drinks (P-trend <= 0.01). Conclusions: These results suggest that sugars may represent a modifiable risk factor for cancer prevention (breast in particular), contributing to the current debate on the implementation of sugar taxation, marketing regulation, and other sugar-related policies.
引用
收藏
页码:1267 / 1279
页数:13
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