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Published in: Cancer Causes & Control 1/2018

01-01-2018 | Brief report

Meat consumption and pancreatic cancer risk among men and women in the Cancer Prevention Study-II Nutrition Cohort

Authors: Marjorie L. McCullough, Eric J. Jacobs, Roma Shah, Peter T. Campbell, Ying Wang, Terryl J. Hartman, Susan M. Gapstur

Published in: Cancer Causes & Control | Issue 1/2018

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Abstract

Purpose

Prospective cohort studies suggest that red and processed meat consumption is associated with increased risk of pancreatic cancer among men, but not women. However, evidence is limited, and less evidence exists for other types of meat.

Methods

Cox proportional hazards regression was used to estimate multivariable-adjusted hazard ratios (HR) for the association of meat consumption, by type, with pancreatic cancer risk among 138,266 men and women in the Cancer Prevention Study-II Nutrition Cohort. Diet was assessed at baseline in 1992, and 10 years earlier, at enrollment into the parent CPS-II mortality cohort. 1,156 pancreatic cancers were verified through 2013.

Results

Red meat, processed meat, and fish intake at baseline were not associated with pancreatic cancer risk. However, for long-term red and processed meat consumption (highest quartiles in 1982 and 1992, vs. lowest quartiles), risk appeared different in men [hazard ratio (HR) 1.32, 95% confidence interval (CI) 0.90, 1.95] and women (HR 0.72, 95% CI 0.47, 1.10, p heterogeneity by sex = 0.05). Poultry consumption in 1992 was associated with increased pancreatic cancer risk (HR 1.27, 95% CI 1.04, 1.55, p trend = 0.01, top vs. bottom quintile).

Conclusions

The associations of meat consumption with pancreatic cancer risk remain unclear and further research, particularly of long-term intake, is warranted.
Literature
1.
go back to reference American Cancer Society (2017) Cancer facts & figures, 2017. American Cancer Society, Atlanta American Cancer Society (2017) Cancer facts & figures, 2017. American Cancer Society, Atlanta
2.
3.
go back to reference WCRF/AICR (2012) Continuous update project report: diet, nutrition, physical activity, and pancreatic cancer 2012. WCRF/AICR, Washington DC WCRF/AICR (2012) Continuous update project report: diet, nutrition, physical activity, and pancreatic cancer 2012. WCRF/AICR, Washington DC
4.
go back to reference Bouvard V, Loomis D, Guyton KZ et al (2015) Carcinogenicity of consumption of red and processed meat. Lancet 16(16):1599–1600CrossRefPubMed Bouvard V, Loomis D, Guyton KZ et al (2015) Carcinogenicity of consumption of red and processed meat. Lancet 16(16):1599–1600CrossRefPubMed
5.
go back to reference Zhao Z, Yin Z, Pu Z, Zhao Q (2016) Association between consumption of red and processed meat and pancreatic cancer risk-a systematic review and meta-analysis. Clin Gastroenterol Hepatol 15(4):486–493CrossRefPubMed Zhao Z, Yin Z, Pu Z, Zhao Q (2016) Association between consumption of red and processed meat and pancreatic cancer risk-a systematic review and meta-analysis. Clin Gastroenterol Hepatol 15(4):486–493CrossRefPubMed
6.
go back to reference Zheng W, McLaughlin JK, Gridley G et al (1993) A cohort study of smoking, alcohol consumption, and dietary factors for pancreatic cancer (United States). Cancer Causes Control 4:477–482CrossRefPubMed Zheng W, McLaughlin JK, Gridley G et al (1993) A cohort study of smoking, alcohol consumption, and dietary factors for pancreatic cancer (United States). Cancer Causes Control 4:477–482CrossRefPubMed
7.
go back to reference Stolzenberg-Solomon RZ, Pietinen P, Taylor PR, Virtamo J, Albanes D (2002) Prospective study of diet and pancreatic cancer in male smokers. Am J Epidemiol 155:783–792CrossRefPubMed Stolzenberg-Solomon RZ, Pietinen P, Taylor PR, Virtamo J, Albanes D (2002) Prospective study of diet and pancreatic cancer in male smokers. Am J Epidemiol 155:783–792CrossRefPubMed
8.
go back to reference Larsson SC, Hakanson N, Permert J, Wolk A (2006) Meat, fish, poultry and egg consumption in relation to risk of pancreatic cancer: a prospective study. Int J Cancer 118:2866–2870CrossRefPubMed Larsson SC, Hakanson N, Permert J, Wolk A (2006) Meat, fish, poultry and egg consumption in relation to risk of pancreatic cancer: a prospective study. Int J Cancer 118:2866–2870CrossRefPubMed
9.
go back to reference Lin Y, Kikuchi S, Tamakoshi A et al (2006) Dietary habits and pancreatic cancer risk in a cohort of middle-aged and elderly Japanese. Nutr Cancer 56:40–49CrossRefPubMed Lin Y, Kikuchi S, Tamakoshi A et al (2006) Dietary habits and pancreatic cancer risk in a cohort of middle-aged and elderly Japanese. Nutr Cancer 56:40–49CrossRefPubMed
10.
go back to reference Stolzenberg-Solomon RZ, Cross AJ, Silverman DT et al (2007) Meat and meat-mutagen intake and pancreatic cancer risk in the NIH-AARP cohort. Cancer Epidemiol Biomark Prev 16:2664–2675CrossRef Stolzenberg-Solomon RZ, Cross AJ, Silverman DT et al (2007) Meat and meat-mutagen intake and pancreatic cancer risk in the NIH-AARP cohort. Cancer Epidemiol Biomark Prev 16:2664–2675CrossRef
11.
go back to reference Rohrmann S, Linseisen J, Nothlings U et al (2013) Meat and fish consumption and risk of pancreatic cancer: results from the European Prospective Investigation into Cancer and Nutrition. Int J Cancer 132:617–624CrossRefPubMed Rohrmann S, Linseisen J, Nothlings U et al (2013) Meat and fish consumption and risk of pancreatic cancer: results from the European Prospective Investigation into Cancer and Nutrition. Int J Cancer 132:617–624CrossRefPubMed
12.
go back to reference Ghorbani Z, Pourshams A, Fazeltabar Malekshah A, Sharafkhah M, Poustchi H, Hekmatdoost A (2016) Major dietary protein sources in relation to pancreatic cancer: a large prospective study. Arch Iran Med 19:248–256PubMed Ghorbani Z, Pourshams A, Fazeltabar Malekshah A, Sharafkhah M, Poustchi H, Hekmatdoost A (2016) Major dietary protein sources in relation to pancreatic cancer: a large prospective study. Arch Iran Med 19:248–256PubMed
13.
go back to reference Taunk P, Hecht E, Stolzenberg-Solomon R (2016) Are meat and heme iron intake associated with pancreatic cancer? Results from the NIH-AARP diet and health cohort. Int J Cancer 138:2172–2189CrossRefPubMedPubMedCentral Taunk P, Hecht E, Stolzenberg-Solomon R (2016) Are meat and heme iron intake associated with pancreatic cancer? Results from the NIH-AARP diet and health cohort. Int J Cancer 138:2172–2189CrossRefPubMedPubMedCentral
14.
go back to reference Calle EE, Rodriguez C, Jacobs EJ et al (2002) The American Cancer Society Cancer Prevention Study II Nutrition Cohort—rationale, study design, and baseline characteristics. Cancer 94:2490–2501CrossRefPubMed Calle EE, Rodriguez C, Jacobs EJ et al (2002) The American Cancer Society Cancer Prevention Study II Nutrition Cohort—rationale, study design, and baseline characteristics. Cancer 94:2490–2501CrossRefPubMed
15.
go back to reference Flagg EW, Coates RJ, Calle EE, Potischman N, Thun MJ (2000) Validation of the American Cancer Society Cancer Prevention Study II Nutrition Survey Cohort Food Frequency Questionnaire. Epidemiology 11:462–468CrossRefPubMed Flagg EW, Coates RJ, Calle EE, Potischman N, Thun MJ (2000) Validation of the American Cancer Society Cancer Prevention Study II Nutrition Survey Cohort Food Frequency Questionnaire. Epidemiology 11:462–468CrossRefPubMed
16.
go back to reference Kleinbaum DG, Kupper LL, Muller KE (1988) Applied regression analysis and other multivariable methods. Duxbury Press, Belmont Kleinbaum DG, Kupper LL, Muller KE (1988) Applied regression analysis and other multivariable methods. Duxbury Press, Belmont
17.
go back to reference Larsson SC, Wolk A (2012) Red and processed meat consumption and risk of pancreatic cancer: meta-analysis of prospective studies. Br J Cancer 106:603–607CrossRefPubMedPubMedCentral Larsson SC, Wolk A (2012) Red and processed meat consumption and risk of pancreatic cancer: meta-analysis of prospective studies. Br J Cancer 106:603–607CrossRefPubMedPubMedCentral
18.
go back to reference Jiao L, Stolzenberg-Solomon R, Zimmerman TP et al (2015) Dietary consumption of advanced glycation end products and pancreatic cancer in the prospective NIH-AARP Diet and Health Study. Am J Clin Nutr 101:126–134CrossRefPubMed Jiao L, Stolzenberg-Solomon R, Zimmerman TP et al (2015) Dietary consumption of advanced glycation end products and pancreatic cancer in the prospective NIH-AARP Diet and Health Study. Am J Clin Nutr 101:126–134CrossRefPubMed
19.
go back to reference Aschebrook-Kilfoy B, Cross AJ, Stolzenberg-Solomon RZ et al (2011) Pancreatic cancer and exposure to dietary nitrate and nitrite in the NIH-AARP Diet and Health Study. Am J Epidemiol 174:305–315CrossRefPubMedPubMedCentral Aschebrook-Kilfoy B, Cross AJ, Stolzenberg-Solomon RZ et al (2011) Pancreatic cancer and exposure to dietary nitrate and nitrite in the NIH-AARP Diet and Health Study. Am J Epidemiol 174:305–315CrossRefPubMedPubMedCentral
20.
go back to reference Matters GL, Cooper TK, McGovern CO et al (2014) Cholecystokinin mediates progression and metastasis of pancreatic cancer associated with dietary fat. Dig Dis Sci 59:1180–1191CrossRefPubMedPubMedCentral Matters GL, Cooper TK, McGovern CO et al (2014) Cholecystokinin mediates progression and metastasis of pancreatic cancer associated with dietary fat. Dig Dis Sci 59:1180–1191CrossRefPubMedPubMedCentral
21.
22.
go back to reference Anderson KE, Mongin SJ, Sinha R et al (2012) Pancreatic cancer risk: associations with meat-derived carcinogen intake in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) cohort. Mol Carcinog 51: 128–137CrossRefPubMedPubMedCentral Anderson KE, Mongin SJ, Sinha R et al (2012) Pancreatic cancer risk: associations with meat-derived carcinogen intake in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) cohort. Mol Carcinog 51: 128–137CrossRefPubMedPubMedCentral
23.
go back to reference Friedman GD, van den Eeden SK (1993) Risk factors for pancreatic cancer: an exploratory study. Int J Epidemiol 22:30–37CrossRefPubMed Friedman GD, van den Eeden SK (1993) Risk factors for pancreatic cancer: an exploratory study. Int J Epidemiol 22:30–37CrossRefPubMed
24.
go back to reference Nothlings U, Wilkens LR, Murphy SP, Hankin JH, Henderson BE, Kolonel LN (2005) Meat and fat intake as risk factors for pancreatic cancer: the multiethnic cohort study. J Natl Cancer Inst 97:1458–1465CrossRefPubMed Nothlings U, Wilkens LR, Murphy SP, Hankin JH, Henderson BE, Kolonel LN (2005) Meat and fat intake as risk factors for pancreatic cancer: the multiethnic cohort study. J Natl Cancer Inst 97:1458–1465CrossRefPubMed
25.
go back to reference Food US and Drug Administration (2015) Arsenic-based animal drugs and poultry. U.S. Department of Health and Human Services, New York Food US and Drug Administration (2015) Arsenic-based animal drugs and poultry. U.S. Department of Health and Human Services, New York
26.
go back to reference Nigra AE, Nachman KE, Love DC, Grau-Perez M, Navas-Acien A (2017) Poultry consumption and arsenic exposure in the U.S. Population. Environ Health Perspect 125:370–377PubMed Nigra AE, Nachman KE, Love DC, Grau-Perez M, Navas-Acien A (2017) Poultry consumption and arsenic exposure in the U.S. Population. Environ Health Perspect 125:370–377PubMed
27.
go back to reference Liu-Mares W, Mackinnon JA, Sherman R et al (2013) Pancreatic cancer clusters and arsenic-contaminated drinking water wells in Florida. BMC Cancer 13:111CrossRefPubMedPubMedCentral Liu-Mares W, Mackinnon JA, Sherman R et al (2013) Pancreatic cancer clusters and arsenic-contaminated drinking water wells in Florida. BMC Cancer 13:111CrossRefPubMedPubMedCentral
28.
go back to reference Nachman KE, Ginsberg GL, Miller MD, Murray CJ, Nigra AE, Pendergrast CB. (2017) Mitigating dietary arsenic exposure: Current status in the United States and recommendations for an improved path forward. Sci Total Environ 581–582:221–236CrossRefPubMedPubMedCentral Nachman KE, Ginsberg GL, Miller MD, Murray CJ, Nigra AE, Pendergrast CB. (2017) Mitigating dietary arsenic exposure: Current status in the United States and recommendations for an improved path forward. Sci Total Environ 581–582:221–236CrossRefPubMedPubMedCentral
29.
go back to reference IARC (2012) Arsenic, metals, fibres, and dusts. IARC, Lyon IARC (2012) Arsenic, metals, fibres, and dusts. IARC, Lyon
30.
Metadata
Title
Meat consumption and pancreatic cancer risk among men and women in the Cancer Prevention Study-II Nutrition Cohort
Authors
Marjorie L. McCullough
Eric J. Jacobs
Roma Shah
Peter T. Campbell
Ying Wang
Terryl J. Hartman
Susan M. Gapstur
Publication date
01-01-2018
Publisher
Springer International Publishing
Published in
Cancer Causes & Control / Issue 1/2018
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-017-0984-x

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