Mediterranean Dietary Pattern is Associated with Low Risk of Aggressive Prostate Cancer: MCC-Spain Study

被引:33
作者
Castello, Adela [1 ,2 ]
Boldo, Elena [1 ,2 ]
Amiano, Pilar [2 ,3 ]
Castano-Vinyals, Gemma [4 ,5 ,7 ]
Aragones, Nuria [1 ,2 ]
Gomez-Acebo, Ines [10 ]
Peiro, Rosana [2 ,11 ]
Juan Jimenez-Moleon, Jose [2 ,12 ,13 ]
Alguacil, Juan [14 ]
Tardon, Adonina [2 ,15 ]
Cecchini, Lluis [6 ]
Lope, Virginia [1 ,2 ]
Dierssen-Sotos, Trinidad [10 ]
Mengual, Lourdes [8 ,9 ]
Kogevinas, Manolis [4 ,5 ,7 ]
Pollan, Marina [1 ,2 ]
Perez-Gomez, Beatriz [1 ,2 ]
机构
[1] Natl Ctr Epidemiol, Canc Epidemiol Unit, Madrid, Spain
[2] Inst Salud Carlos III, Consortium Biomed Res Epidemiol & Publ Hlth, Madrid, Spain
[3] BioDonostia Res Hlth Inst, Publ Hlth Div Gipuzkoa, San Sebastian, Spain
[4] Ctr Res Environm Epidemiol, ISGlobal, Barcelona, Spain
[5] Med Res Inst, Barcelona, Spain
[6] Hosp del Mar, Urol Dept, Barcelona, Spain
[7] Univ Pompeu Fabra, Barcelona, Spain
[8] Univ Barcelona, Lab & Dept Urol, Hosp Clin, Inst Invest Biomed August Pi & Sunyer, Barcelona, Spain
[9] Ctr Recerca Biomed CELLEX, Barcelona, Spain
[10] Univ Cantabria IDIVAL, Santander, Spain
[11] Comunitat Valenciana FISABIO Salud Publ, Fdn Fomento Invest Sanitaria & Biomed, Valencia, Spain
[12] Univ Granada, Sch Med, Inst Invest Biosanitaria Granada, Granada, Spain
[13] Univ Granada, Sch Med, Dept Prevent Med & Publ Hlth, Granada, Spain
[14] Univ Huelva, Ctr Invest Salud & Medio Ambiente, Huelva, Spain
[15] Univ Oviedo, Fac Med, Inst Univ Oncol, Oviedo, Spain
关键词
prostatic neoplasms; prevention & control; diet; Mediterranean; principal component analysis; risk; CONSUMPTION; WESTERN; BREAST;
D O I
10.1016/j.juro.2017.08.087
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We explored the association of the previously described Western, prudent and Mediterranean dietary patterns with prostate cancer risk by tumor aggressiveness and extension. Materials and Methods: MCC-Spain (Multicase-Control Study on Common Tumors in Spain) is a population based, multicase-control study that was done in 7 Spanish provinces between September 2008 and December 2013. It collected anthropometric, epidemiological and dietary information on 754 histologically confirmed incident cases of prostate cancer and 1,277 controls 38 to 85 years old. Three previously identified dietary patterns, including Western, prudent and Mediterranean, were reconstructed using MCC-Spain data. The association of each pattern with prostate cancer risk was assessed by logistic regression models with random, province specific intercepts. Risk according to tumor aggressiveness (Gleason score 6 vs greater than 6) and extension (cT1-cT2a vs cT2b-cT4) was evaluated by multinomial regression models. Results: High adherence to a Mediterranean dietary pattern rich not only in fruits and vegetables but also in fish, legumes and olive oil was specifically associated with a lower risk of Gleason score greater than 6 prostate cancer (quartile 3 vs 1 relative RR 0.66, 95% CI 0.46-0.96 and quartile 4 vs 1 relative RR 0.68, 95% CI 0.46-1.01, p-trend = 0.023) or with higher clinical stage (cT2b-T4 quartile 4 vs 1 relative RR 0.49, 95% CI 0.25-0.96, p-trend = 0.024). This association was not observed with the prudent pattern, which combines vegetables and fruits with low fat dairy products, whole grains and juices. The Western pattern did not show any association with prostate cancer risk. Conclusions: Nutritional recommendations for prostate cancer prevention should consider whole dietary patterns instead of individual foods. We found important differences between the Mediterranean dietary pattern, which was associated with a lower risk of aggressive prostate cancer, and Western and prudent dietary patterns, which had no relationship with prostate cancer risk.
引用
收藏
页码:430 / 437
页数:8
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[31]   Body size and dietary risk factors for aggressive prostate cancer: a case-control study [J].
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