Lifetime alcohol intake, drinking patterns over time and risk of stomach cancer : A pooled analysis of data from two prospective cohort studies

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Lifetime alcohol intake, drinking patterns over time and risk of stomach cancer : A pooled analysis of data from two prospective cohort studies

Jayasekara, Harindra (författare): La Trobe University,University of Melbourne,Cancer Council Victoria

MacInnis, Robert J. (författare): Cancer Council Victoria,University of Melbourne

Lujan-Barroso, Leila (författare): L'Hospitalet de Llobregat, Barcelona,Bellvitge University Hospital-IDIBELL,University of Barcelona

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Mayen-Chacon, Ana Lucia (författare): International Agency for Research on Cancer, World Health Organization

Cross, Amanda J. (författare): Imperial College London

Wallner, Bengt, 1962- (författare): Umeå universitet,Kirurgi,Norrland University Hospital

Palli, Domenico (författare): Institute for Cancer Research, Prevention and Clinical Network (ISPRO)

Ricceri, Fulvio (författare): University of Turin,Azienda Sanitaria Locale Torino 3

Pala, Valeria (författare): Istituto Nazionale dei Tumori

Panico, Salvatore (författare): University of Naples Federico II

Tumino, Rosario (författare): Provincial Health Authority (ASP) Ragusa

Kühn, Tilman (författare): German Cancer Research Centre

Kaaks, Rudolf (författare): German Cancer Research Centre

Tsilidis, Kostas (författare): Imperial College London

Sánchez, Maria Jose (författare): University of Granada,CIBER Epidemiology and Public Health (CIBERESP),Andalusian School Of Public Health (EASP)

Amiano, Pilar (författare): CIBER Epidemiology and Public Health (CIBERESP),Biodonostia Health Research Institute

Ardanaz, Eva (författare): Navarre Public Health Institute (ISPN),Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)

Chirlaque López, María Dolores (författare): CIBER Epidemiology and Public Health (CIBERESP),University of Murcia

Merino, Susana (författare): Public Health Directorate

Rothwell, Joseph A. (författare): University of Paris-Saclay,Versailles Saint-Quentin-en-Yvelines University,L'Hospitalet de Llobregat, Barcelona,Bellvitge University Hospital-IDIBELL

Boutron-Ruault, Marie Christine (författare): Institut Gustave Roussy,University of Paris-Saclay,Versailles Saint-Quentin-en-Yvelines University

Severi, Gianluca (författare): Institut Gustave Roussy,University of Florence,University of Paris-Saclay

Sternby, Hanna (författare): Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups

Sonestedt, Emily (författare): Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups

Bueno-de-Mesquita, Bas (författare): National Institute for Public Health and the Environment (RIVM)

Boeing, Heiner (författare): University of Potsdam

Travis, Ruth (författare): University of Oxford

Sandanger, Torkjel M. (författare): UiT The Arctic University of Norway, Tromsø

Trichopoulou, Antonia (författare): Hellenic Health Foundation, Athens

Karakatsani, Anna (författare): Hellenic Health Foundation, Athens,National and Kapodistrian University of Athens,Attikon University Hospital

Peppa, Eleni (författare): Hellenic Health Foundation, Athens

Tjønneland, Anne (författare): Danish Cancer Society,University of Copenhagen

Yang, Yi (författare): Cancer Council Victoria,University of Melbourne

Hodge, Allison M. (författare): Cancer Council Victoria,University of Melbourne

Mitchell, Hazel (författare): University of New South Wales

Haydon, Andrew (författare): Alfred Hospital

Room, Robin (författare): Stockholms universitet,Stockholm University,La Trobe University, Australia,Centrum för socialvetenskaplig alkohol- och drogforskning (SoRAD),University of Melbourne,Cancer Council Victoria

Hopper, John L. (författare): University of Melbourne

Weiderpass, Elisabete (författare): International Agency for Research on Cancer, World Health Organization

Gunter, Marc J. (författare): International Agency for Research on Cancer, World Health Organization

Riboli, Elio (författare): Imperial College London

Giles, Graham G. (författare): Cancer Council Victoria,University of Melbourne,Monash University

Milne, Roger L. (författare): Monash University,Cancer Council Victoria,University of Melbourne

Agudo, Antonio (författare): L'Hospitalet de Llobregat, Barcelona,Bellvitge University Hospital-IDIBELL

English, Dallas R. (författare): University of Melbourne,Cancer Council Victoria

Ferrari, Pietro (författare): International Agency for Research on Cancer, World Health Organization

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2021-02-22
2021
Engelska.
Ingår i: International Journal of Cancer. - : Wiley. - 0020-7136 .- 1097-0215. ; 148:11, s. 2759-2773

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Alcohol consumption is causally linked to several cancers but the evidence for stomach cancer is inconclusive. In our study, the association between long-term alcohol intake and risk of stomach cancer and its subtypes was evaluated. We performed a pooled analysis of data collected at baseline from 491 714 participants in the European Prospective Investigation into Cancer and Nutrition and the Melbourne Collaborative Cohort Study. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated for incident stomach cancer in relation to lifetime alcohol intake and group-based life course intake trajectories, adjusted for potential confounders including Helicobacter pylori infection. In all, 1225 incident stomach cancers (78% noncardia) were diagnosed over 7 094 637 person-years; 984 in 382 957 study participants with lifetime alcohol intake data (5 455 507 person-years). Although lifetime alcohol intake was not associated with overall stomach cancer risk, we observed a weak positive association with noncardia cancer (HR = 1.03, 95% CI: 1.00-1.06 per 10 g/d increment), with a HR of 1.50 (95% CI: 1.08-2.09) for ≥60 g/d compared to 0.1 to 4.9 g/d. A weak inverse association with cardia cancer (HR = 0.93, 95% CI: 0.87-1.00) was also observed. HRs of 1.48 (95% CI: 1.10-1.99) for noncardia and 0.51 (95% CI: 0.26-1.03) for cardia cancer were observed for a life course trajectory characterized by heavy decreasing intake compared to light stable intake (Phomogeneity =.02). These associations did not differ appreciably by smoking or H pylori infection status. Limiting alcohol use during lifetime, particularly avoiding heavy use during early adulthood, might help prevent noncardia stomach cancer. Heterogeneous associations observed for cardia and noncardia cancers may indicate etiologic differences.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

cardia cancer
EPIC
lifetime alcohol intake
MCCS
noncardia cancer
stomach cancer
EPIC

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Av författaren/redakt...: Jayasekara, Hari ...; MacInnis, Robert ...; Lujan-Barroso, L ...; Mayen-Chacon, An ...; Cross, Amanda J.; Wallner, Bengt, ...; visa fler...; Palli, Domenico; Ricceri, Fulvio; Pala, Valeria; Panico, Salvator ...; Tumino, Rosario; Kühn, Tilman; Kaaks, Rudolf; Tsilidis, Kostas; Sánchez, Maria J ...; Amiano, Pilar; Ardanaz, Eva; Chirlaque López, ...; Merino, Susana; Rothwell, Joseph ...; Boutron-Ruault, ...; Severi, Gianluca; Sternby, Hanna; Sonestedt, Emily; Bueno-de-Mesquit ...; Boeing, Heiner; Travis, Ruth; Sandanger, Torkj ...; Trichopoulou, An ...; Karakatsani, Ann ...; Peppa, Eleni; Tjønneland, Anne; Yang, Yi; Hodge, Allison M ...; Mitchell, Hazel; Haydon, Andrew; Room, Robin; Hopper, John L.; Weiderpass, Elis ...; Gunter, Marc J.; Riboli, Elio; Giles, Graham G.; Milne, Roger L.; Agudo, Antonio; English, Dallas ...; Ferrari, Pietro; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Cancer och onkol ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: International Jo ...

Av lärosätet: Lunds universitet; Umeå universitet; Stockholms universitet

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