Skip to main content
Top
Published in: Cancer Causes & Control 5/2011

01-05-2011 | Original paper

Dietary habits and gastric cancer risk in north-west Iran

Authors: Mohammadreza Pakseresht, David Forman, Reza Malekzadeh, Abbas Yazdanbod, Robert M. West, Darren C. Greenwood, Jean E. Crabtree, Janet E. Cade

Published in: Cancer Causes & Control | Issue 5/2011

Login to get access

Abstract

Objectives

North-west Iran is a high-risk area for gastric cancer (GC). Dietary practices may increase risk of GC. For the first time, the diet–GC association in this area was assessed using a validated food frequency questionnaire.

Methods

Cases and controls were recruited in a population-based study. In addition to collecting dietary data using a food frequency questionnaire, Helicobacter pylori antibody level was measured. Multiple logistic regression models were used to estimate odds ratios for associations between dietary factors and GC among 286 cases and 304 controls.

Results

A positive association was estimated for total fat intake (OR = 1.33/20 g, 95% CI: 1.12–1.57) and risk of GC. Inverse associations were observed for vitamin C, iron, and zinc intake and risk of GC and its subgroups (cardia, non-cardia). Fruits and vegetables consumption and refrigerator use showed inverse associations (OR = 0.72/100 g, 95% CI: 0.65–0.80 and OR = 0.75/10 years, 95% CI: 0.60–0.95, respectively). Positive association was observed among those who preferred fried food (OR = 2.21, 95% CI: 1.45–3.37) or consumed highly salted/roasted seeds (OR = 1.97, 95% CI: 1.13–3.43).

Conclusion

GC in north-west Iran is associated with dietary practices: foods, nutrients and food preparation habits.
Literature
1.
go back to reference Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108PubMedCrossRef Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108PubMedCrossRef
2.
go back to reference Parkin DM, Pisani P, Ferlay J (1993) Estimates of the worldwide incidence of eighteen major cancers in 1985. Int J Cancer 54:594–606PubMedCrossRef Parkin DM, Pisani P, Ferlay J (1993) Estimates of the worldwide incidence of eighteen major cancers in 1985. Int J Cancer 54:594–606PubMedCrossRef
3.
go back to reference World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity and the prevention of cancer: a global perspective. AICR, Washington World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity and the prevention of cancer: a global perspective. AICR, Washington
4.
go back to reference Babaei M, Jaafarzadeh H, Sadjadi AR et al (2009) Cancer incidence and mortality in Ardabil: report of an ongoing population-based cancer registry in Iran, 2004–2006. Iranian J Publ Health 38:35–45 Babaei M, Jaafarzadeh H, Sadjadi AR et al (2009) Cancer incidence and mortality in Ardabil: report of an ongoing population-based cancer registry in Iran, 2004–2006. Iranian J Publ Health 38:35–45
5.
go back to reference Malekzadeh R, Merat S, Derakhshan MH et al (2003) Low Helicobacter pylori eradication rates with 4- and 7-day regimens in an Iranian population. J Gastroenterol Hepatol 18:13–17PubMedCrossRef Malekzadeh R, Merat S, Derakhshan MH et al (2003) Low Helicobacter pylori eradication rates with 4- and 7-day regimens in an Iranian population. J Gastroenterol Hepatol 18:13–17PubMedCrossRef
6.
go back to reference Nouraie M, Pourshams A, Kamangar F et al (2004) Ecologic study of serum selenium and upper gastrointestinal cancers in Iran. World J Gastroenterol 10:2544–2546 Nouraie M, Pourshams A, Kamangar F et al (2004) Ecologic study of serum selenium and upper gastrointestinal cancers in Iran. World J Gastroenterol 10:2544–2546
7.
go back to reference Pourfarzi F, Whelan A, Kaldor J, Malekzadeh R (2009) The role of diet and other environmental factors in the causation of gastric cancer in Iran—a population based study. Int J Cancer 125:1953–1960PubMedCrossRef Pourfarzi F, Whelan A, Kaldor J, Malekzadeh R (2009) The role of diet and other environmental factors in the causation of gastric cancer in Iran—a population based study. Int J Cancer 125:1953–1960PubMedCrossRef
8.
go back to reference Hamilton SR, Aaltonen LA (2000) WHO classification of tumors, pathology and genetics of tumors of the digestive system: tumours of the oesophagogastric junction. IARC Press, Lyon Hamilton SR, Aaltonen LA (2000) WHO classification of tumors, pathology and genetics of tumors of the digestive system: tumours of the oesophagogastric junction. IARC Press, Lyon
9.
go back to reference Laurén P (1965) The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma: an attempt at a histo-clinical classification. Acta Pathol Microbiol Scand 64:31–49PubMed Laurén P (1965) The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma: an attempt at a histo-clinical classification. Acta Pathol Microbiol Scand 64:31–49PubMed
10.
go back to reference Pakseresht M (2008) The impact of food and nutrition on the risk of gastric cancer in northwest Iran. University of Leeds, Leeds Pakseresht M (2008) The impact of food and nutrition on the risk of gastric cancer in northwest Iran. University of Leeds, Leeds
11.
go back to reference Malekshah AF, Kimiagar M, Saadatian-Elahi M et al (2006) Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements: pilot phase of Golestan cohort study of esophageal cancer. Eur J Clin Nutr 60:971–977PubMedCrossRef Malekshah AF, Kimiagar M, Saadatian-Elahi M et al (2006) Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements: pilot phase of Golestan cohort study of esophageal cancer. Eur J Clin Nutr 60:971–977PubMedCrossRef
12.
go back to reference Food Standards Agency (2002) McCance and Widdowson’s the composition of foods, 6th edn. Royal Society of Chemistry, Cambridge Food Standards Agency (2002) McCance and Widdowson’s the composition of foods, 6th edn. Royal Society of Chemistry, Cambridge
13.
go back to reference Buiatti E, Palli D, Decarli A et al (1990) A case-control study of gastric cancer and diet in Italy: II. Association with nutrients. Int J Cancer 45:896–901PubMedCrossRef Buiatti E, Palli D, Decarli A et al (1990) A case-control study of gastric cancer and diet in Italy: II. Association with nutrients. Int J Cancer 45:896–901PubMedCrossRef
14.
go back to reference Hansson LE, Nyren O, Bergstrom R et al (1994) Nutrients and gastric cancer risk. A population-based case-control study in Sweden. Int J Cancer 57:638–644PubMedCrossRef Hansson LE, Nyren O, Bergstrom R et al (1994) Nutrients and gastric cancer risk. A population-based case-control study in Sweden. Int J Cancer 57:638–644PubMedCrossRef
15.
go back to reference Cave WT (1994) Dietary fat effects on animal models of breast cancer. Adv Exp Med Biol 364:47–58PubMed Cave WT (1994) Dietary fat effects on animal models of breast cancer. Adv Exp Med Biol 364:47–58PubMed
17.
go back to reference National Nutrition Institute (2004) Comprehensive national survey of food and nutrition status in Iran, 1999–2002. Tehran National Nutrition Institute (2004) Comprehensive national survey of food and nutrition status in Iran, 1999–2002. Tehran
18.
go back to reference Cornee J, Pobel D, Riboli E, Guyader M, Hemon B (1995) A case-control study of gastric cancer and nutritional factors in Marseille, France. Eur J Epidemiol 11:55–65PubMedCrossRef Cornee J, Pobel D, Riboli E, Guyader M, Hemon B (1995) A case-control study of gastric cancer and nutritional factors in Marseille, France. Eur J Epidemiol 11:55–65PubMedCrossRef
19.
go back to reference Harrison LE, Zhang ZF, Karpeh MS, Sun M, Kurtz RC (1997) The role of dietary factors in the intestinal and diffuse histologic subtypes of gastric adenocarcinoma: a case-control study in the US. Cancer 80:1021–1028PubMedCrossRef Harrison LE, Zhang ZF, Karpeh MS, Sun M, Kurtz RC (1997) The role of dietary factors in the intestinal and diffuse histologic subtypes of gastric adenocarcinoma: a case-control study in the US. Cancer 80:1021–1028PubMedCrossRef
20.
go back to reference Ji BT, Chow WH, Yang G et al (1998) Dietary habits and stomach cancer in Shanghai, China. Int J Cancer 76:659–664PubMedCrossRef Ji BT, Chow WH, Yang G et al (1998) Dietary habits and stomach cancer in Shanghai, China. Int J Cancer 76:659–664PubMedCrossRef
21.
go back to reference Lopez-Carrillo L, Lopez-Cervantes M, Ward MH, Bravo-Alvarado J, Ramirez-Espitia A (1999) Nutrient intake and gastric cancer in Mexico. Int J Cancer 83:601–605PubMedCrossRef Lopez-Carrillo L, Lopez-Cervantes M, Ward MH, Bravo-Alvarado J, Ramirez-Espitia A (1999) Nutrient intake and gastric cancer in Mexico. Int J Cancer 83:601–605PubMedCrossRef
22.
go back to reference Suh S, Koo B, Choi Y, Lee H (2003) The nutritional intakes of the stomach cancer patients in the Daegu and Gyeongbuk areas, Korea. Korean J Commun Nutr 8:202–219 Suh S, Koo B, Choi Y, Lee H (2003) The nutritional intakes of the stomach cancer patients in the Daegu and Gyeongbuk areas, Korea. Korean J Commun Nutr 8:202–219
23.
go back to reference Emerit J, Beaumont C, Trivin F (2001) Iron metabolism, free radicals, and oxidative injury. Biomed Pharmacother 55:333–339PubMedCrossRef Emerit J, Beaumont C, Trivin F (2001) Iron metabolism, free radicals, and oxidative injury. Biomed Pharmacother 55:333–339PubMedCrossRef
24.
go back to reference Mayne ST, Risch HA, Dubrow R et al (2001) Nutrient intake and risk of subtypes of esophageal and gastric cancer. Cancer Epidemiol Biomarkers Prev 10:1055–1062PubMed Mayne ST, Risch HA, Dubrow R et al (2001) Nutrient intake and risk of subtypes of esophageal and gastric cancer. Cancer Epidemiol Biomarkers Prev 10:1055–1062PubMed
25.
go back to reference Chen H, Tucker KL, Graubard BI et al (2002) Nutrient intakes and adenocarcinoma of the esophagus and distal stomach. Nutr Cancer 42:33–40PubMedCrossRef Chen H, Tucker KL, Graubard BI et al (2002) Nutrient intakes and adenocarcinoma of the esophagus and distal stomach. Nutr Cancer 42:33–40PubMedCrossRef
26.
go back to reference Hong L, Han Y, Shi R et al (2005) ZNRD1 gene suppresses cell proliferation through cell cycle arrest in G1 phase. Cancer Biol Ther 4:60–64PubMedCrossRef Hong L, Han Y, Shi R et al (2005) ZNRD1 gene suppresses cell proliferation through cell cycle arrest in G1 phase. Cancer Biol Ther 4:60–64PubMedCrossRef
27.
go back to reference Lee DH, Anderson KE, Folsom AR, Jacobs DR Jr (2005) Heme iron, zinc and upper digestive tract cancer: the Iowa Women’s Health Study. Int J Cancer 117:643–647PubMedCrossRef Lee DH, Anderson KE, Folsom AR, Jacobs DR Jr (2005) Heme iron, zinc and upper digestive tract cancer: the Iowa Women’s Health Study. Int J Cancer 117:643–647PubMedCrossRef
28.
go back to reference Jacob RA (1996) Introduction: three eras of vitamin C discovery. In: Harris JR (ed) Subcellular biochemistry, vol 25, Ascorbic acid: biochemistry and biomedical cell biology. Plenum Press, New York Jacob RA (1996) Introduction: three eras of vitamin C discovery. In: Harris JR (ed) Subcellular biochemistry, vol 25, Ascorbic acid: biochemistry and biomedical cell biology. Plenum Press, New York
29.
go back to reference Ekstrom AM, Serafini M, Nyren O, Hansson LE, Ye W, Wolk A (2000) Dietary antioxidant intake and the risk of cardia cancer and noncardia cancer of the intestinal and diffuse types: a population-based case-control study in Sweden. Int J Cancer 87:133–140PubMedCrossRef Ekstrom AM, Serafini M, Nyren O, Hansson LE, Ye W, Wolk A (2000) Dietary antioxidant intake and the risk of cardia cancer and noncardia cancer of the intestinal and diffuse types: a population-based case-control study in Sweden. Int J Cancer 87:133–140PubMedCrossRef
30.
go back to reference Heber D, Blackburn GL, Go VLW, Milner J (2006) Nutritional oncology, 2nd edn. Academic press, London Heber D, Blackburn GL, Go VLW, Milner J (2006) Nutritional oncology, 2nd edn. Academic press, London
31.
go back to reference Dorant E, van den Brandt PA, Goldbohm RA, Sturmans F (1996) Consumption of onions and a reduced risk of stomach carcinoma. Gastroenterology 110:12–20PubMedCrossRef Dorant E, van den Brandt PA, Goldbohm RA, Sturmans F (1996) Consumption of onions and a reduced risk of stomach carcinoma. Gastroenterology 110:12–20PubMedCrossRef
32.
go back to reference Guyonnet D, Belloir C, Suschetet M, Siess MH, Le Bon AM (2000) Liver subcellular fractions from rats treated by organosulfur compounds from Allium modulate mutagene activation. Mutat Res 466:17–26PubMed Guyonnet D, Belloir C, Suschetet M, Siess MH, Le Bon AM (2000) Liver subcellular fractions from rats treated by organosulfur compounds from Allium modulate mutagene activation. Mutat Res 466:17–26PubMed
33.
go back to reference World Cancer Research Fund/American Institute for Cancer Research (1997) Food, nutrition and the prevention of cancer: a global perspective. American Institute for Cancer Research, Washington World Cancer Research Fund/American Institute for Cancer Research (1997) Food, nutrition and the prevention of cancer: a global perspective. American Institute for Cancer Research, Washington
34.
go back to reference Sivam GP, Lampe JW, Ulness B, Swanzy SR, Potter JD (1997) Helicobacter pylori–in vitro susceptibility to garlic (Allium sativum) extract. Nutr Cancer 27:118–121PubMedCrossRef Sivam GP, Lampe JW, Ulness B, Swanzy SR, Potter JD (1997) Helicobacter pylori–in vitro susceptibility to garlic (Allium sativum) extract. Nutr Cancer 27:118–121PubMedCrossRef
35.
go back to reference Kato I, Tominaga S, Ito Y (1990) A comparative case-control analysis of stomach cancer and atrophic gastritis. Cancer Res 50:6559–6564PubMed Kato I, Tominaga S, Ito Y (1990) A comparative case-control analysis of stomach cancer and atrophic gastritis. Cancer Res 50:6559–6564PubMed
36.
go back to reference Botterweck AA, van den Brandt PA, Goldbohm RA (1998) A prospective cohort study on vegetable and fruit consumption and stomach cancer risk in the Netherlands. Am J Epidemiol 148:842–853PubMed Botterweck AA, van den Brandt PA, Goldbohm RA (1998) A prospective cohort study on vegetable and fruit consumption and stomach cancer risk in the Netherlands. Am J Epidemiol 148:842–853PubMed
37.
go back to reference Ngoan LT, Mizoue T, Fujino Y, Tokui N, Yoshimura T (2002) Dietary factors and stomach cancer mortality. Br J Cancer 87:37–42PubMedCrossRef Ngoan LT, Mizoue T, Fujino Y, Tokui N, Yoshimura T (2002) Dietary factors and stomach cancer mortality. Br J Cancer 87:37–42PubMedCrossRef
38.
go back to reference Takenaka S, Sera N, Tokiwa H, Hirohata I, Hirohata T (1989) Identification of mutagens in Japanese pickles. Mutat Res 223:35–40PubMedCrossRef Takenaka S, Sera N, Tokiwa H, Hirohata I, Hirohata T (1989) Identification of mutagens in Japanese pickles. Mutat Res 223:35–40PubMedCrossRef
39.
go back to reference Sorbye H, Kvinnsland S, Svanes K (1994) Effect of salt-induced mucosal damage and healing on penetration of N-methyl-N′-nitro-N-nitrosoguanidine to proliferative cells in the gastric mucosa of rats. Carcinogenesis 15:673–679PubMedCrossRef Sorbye H, Kvinnsland S, Svanes K (1994) Effect of salt-induced mucosal damage and healing on penetration of N-methyl-N′-nitro-N-nitrosoguanidine to proliferative cells in the gastric mucosa of rats. Carcinogenesis 15:673–679PubMedCrossRef
40.
go back to reference International Agency for Research on Cancer (1994) IARC monographs on the evaluation of the carcinogenic risks to humans, Vol 60. Some industrial chemicals. International Agency for Research on Cancer, Lyon International Agency for Research on Cancer (1994) IARC monographs on the evaluation of the carcinogenic risks to humans, Vol 60. Some industrial chemicals. International Agency for Research on Cancer, Lyon
41.
go back to reference Jagerstad M, Skog K (2005) Genotoxicity of heat-processed foods. Mutat Res 574:156–172PubMed Jagerstad M, Skog K (2005) Genotoxicity of heat-processed foods. Mutat Res 574:156–172PubMed
42.
go back to reference van den Brandt PA, Botterweck AA, Goldbohm RA (2003) Salt intake, cured meat consumption, refrigerator use and stomach cancer incidence: a prospective cohort study (Netherlands). Cancer Causes Control 14:427–438PubMedCrossRef van den Brandt PA, Botterweck AA, Goldbohm RA (2003) Salt intake, cured meat consumption, refrigerator use and stomach cancer incidence: a prospective cohort study (Netherlands). Cancer Causes Control 14:427–438PubMedCrossRef
43.
go back to reference Crabtree JE, Wyatt JI, Sobala GM, Miller G, Tompkins DS, Primrose JN, Morgan AG (1993) Systemic and mucosal humoral responses to Helicobacter pylori in gastric cancer. Gut 34:1339–1343PubMedCrossRef Crabtree JE, Wyatt JI, Sobala GM, Miller G, Tompkins DS, Primrose JN, Morgan AG (1993) Systemic and mucosal humoral responses to Helicobacter pylori in gastric cancer. Gut 34:1339–1343PubMedCrossRef
44.
go back to reference Massarrat S, Saberi-Firoozi M, Soleimani A, Himmelmann GW, Hitzges M, Keshavarz H (1995) Peptic ulcer disease, irritable bowel syndrome and constipation in two populations in Iran. Eur J Gastroenterol Hepatol 7:427–433PubMed Massarrat S, Saberi-Firoozi M, Soleimani A, Himmelmann GW, Hitzges M, Keshavarz H (1995) Peptic ulcer disease, irritable bowel syndrome and constipation in two populations in Iran. Eur J Gastroenterol Hepatol 7:427–433PubMed
45.
go back to reference Kamali-Sarvestani E, Bazargani A, Masoudian M, Lankarani K, Taghavi AR, Saberifiroozi M (2006) Association of H. pylori cagA and vacA genotypes and IL-8 gene polymorphisms with clinical outcome of infection in Iranian patients with gastrointestinal diseases. World J Gastroenterol 12:5205–5210PubMed Kamali-Sarvestani E, Bazargani A, Masoudian M, Lankarani K, Taghavi AR, Saberifiroozi M (2006) Association of H. pylori cagA and vacA genotypes and IL-8 gene polymorphisms with clinical outcome of infection in Iranian patients with gastrointestinal diseases. World J Gastroenterol 12:5205–5210PubMed
46.
go back to reference Talebkhan Y, Mohammadi M, Mohagheghi MA et al (2008) cagA gene and protein status among Iranian Helicobacter pylori strains. Dig Dis Sci 53:925–932PubMedCrossRef Talebkhan Y, Mohammadi M, Mohagheghi MA et al (2008) cagA gene and protein status among Iranian Helicobacter pylori strains. Dig Dis Sci 53:925–932PubMedCrossRef
47.
go back to reference Helicobacter and Cancer Collaborative Group (2001) Gastric cancer and Helicobacter pylori: a combined analysis of 12 case control studies nested within prospective cohorts. Gut 49:347–353CrossRef Helicobacter and Cancer Collaborative Group (2001) Gastric cancer and Helicobacter pylori: a combined analysis of 12 case control studies nested within prospective cohorts. Gut 49:347–353CrossRef
48.
49.
go back to reference Aromaa A, Kosunen TU, Knekt P et al (1996) Circulating anti-Helicobacter pylori immunoglobulin A antibodies and low serum pepsinogen I level are associated with increased risk of gastric cancer. Am J Epidemiol 144:142–149PubMed Aromaa A, Kosunen TU, Knekt P et al (1996) Circulating anti-Helicobacter pylori immunoglobulin A antibodies and low serum pepsinogen I level are associated with increased risk of gastric cancer. Am J Epidemiol 144:142–149PubMed
50.
go back to reference Kamangar F, Qiao YL, Blaser MJ et al (2007) Helicobacter pylori and oesophageal and gastric cancers in a prospective study in China. Br J Cancer 96:172–176PubMedCrossRef Kamangar F, Qiao YL, Blaser MJ et al (2007) Helicobacter pylori and oesophageal and gastric cancers in a prospective study in China. Br J Cancer 96:172–176PubMedCrossRef
51.
go back to reference Siman JH, Forsgren A, Berglund G, Floren CH (2001) Helicobacter pylori infection is associated with a decreased risk of developing oesophageal neoplasms. Helicobacter 6:310–316CrossRef Siman JH, Forsgren A, Berglund G, Floren CH (2001) Helicobacter pylori infection is associated with a decreased risk of developing oesophageal neoplasms. Helicobacter 6:310–316CrossRef
52.
go back to reference Wu DC, Wu IC, Lee JM et al (2005) Helicobacter pylori infection: a protective factor for esophageal squamous cell carcinoma in a Taiwanese population. Am J Gastroenterol 100:588–593PubMedCrossRef Wu DC, Wu IC, Lee JM et al (2005) Helicobacter pylori infection: a protective factor for esophageal squamous cell carcinoma in a Taiwanese population. Am J Gastroenterol 100:588–593PubMedCrossRef
53.
go back to reference Dosemeci M, Wacholder S, Lubin JH (1990) Does non-differential misclassification of exposure always bias a true effect toward the null value? Am J Epidemiol 132:746–748PubMed Dosemeci M, Wacholder S, Lubin JH (1990) Does non-differential misclassification of exposure always bias a true effect toward the null value? Am J Epidemiol 132:746–748PubMed
54.
go back to reference Godwin SL, Chambers IV E, Cleveland L (2004) Accuracy of reporting dietary intake using various portion-size aids in-person and via telephone. J Am Diet Assoc 104:585–594PubMedCrossRef Godwin SL, Chambers IV E, Cleveland L (2004) Accuracy of reporting dietary intake using various portion-size aids in-person and via telephone. J Am Diet Assoc 104:585–594PubMedCrossRef
Metadata
Title
Dietary habits and gastric cancer risk in north-west Iran
Authors
Mohammadreza Pakseresht
David Forman
Reza Malekzadeh
Abbas Yazdanbod
Robert M. West
Darren C. Greenwood
Jean E. Crabtree
Janet E. Cade
Publication date
01-05-2011
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 5/2011
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-011-9744-5

Other articles of this Issue 5/2011

Cancer Causes & Control 5/2011 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine