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Published in: Cancer Causes & Control 9/2009

01-11-2009 | Original paper

Meat intake, meat mutagens and risk of lung cancer in Uruguayan men

Authors: Eduardo De Stefani, Paolo Boffetta, Hugo Deneo-Pellegrini, Alvaro L. Ronco, Dagfinn Aune, Gisele Acosta, Paul Brennan, María Mendilaharsu, Gilles Ferro

Published in: Cancer Causes & Control | Issue 9/2009

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Abstract

Objective

To determine the role of meat consumption and related mutagens in the etiology of lung cancer, we conducted a case–control study among Uruguayan males in the time period 1996–2004.

Methods

The study included 846 cases and 846 controls, frequency matched on age and residence. Both series were drawn from the four major public hospitals in Montevideo, Uruguay. Unconditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) of lung cancer by quartiles of meat intake and mutagens.

Results

The highest vs. the lowest quartile of intake of total meat (OR = 2.04, 95% CI 1.42–2.92), red meat (OR = 2.33, 95% CI 1.63–3.32), and processed meat (OR = 1.79, 95% CI 1.22–2.65) was associated with increased risk of lung cancer, while intake of total white meat, poultry and fish was not. Heterocyclic amines (IQ, MeIQx, PhIP), nitrosamines and benzo[a]pyrene were directly associated with the risk of lung cancer (OR for PhIP 2.16, 95% CI 1.48–3.15). Moreover, both red meat and meat mutagens displayed higher risks among former smokers compared with current smokers.

Conclusions

This study suggests that red and processed meat and meat mutagens may play a role in the etiology of lung cancer.
Literature
1.
go back to reference Parkin DM, Whelan SL, Ferlay J, Teppo L, Thomas DB (eds) (2002) Cancer incidence in five continents, vol VIII. IARC Scientific Publications No. 155, IARC, Lyon, France Parkin DM, Whelan SL, Ferlay J, Teppo L, Thomas DB (eds) (2002) Cancer incidence in five continents, vol VIII. IARC Scientific Publications No. 155, IARC, Lyon, France
2.
go back to reference Carámbula JA, Ronco A, Niedworok NT (1995) Programa nacional de prevención del cáncer de pulmón: investigación sociolaboral del tabaquismo en el Uruguay urbano. Dirección General de Salud, Ministerio de Salud Pública, Montevideo, Uruguay (in spanish) Carámbula JA, Ronco A, Niedworok NT (1995) Programa nacional de prevención del cáncer de pulmón: investigación sociolaboral del tabaquismo en el Uruguay urbano. Dirección General de Salud, Ministerio de Salud Pública, Montevideo, Uruguay (in spanish)
3.
go back to reference De Stefani E, Kogevinas M, Boffetta P, Ronco A, Mendilaharsu M (1996) Occupation and the risk of lung cancer in Uruguay. Scand J Work Environ Health 22:346–352PubMed De Stefani E, Kogevinas M, Boffetta P, Ronco A, Mendilaharsu M (1996) Occupation and the risk of lung cancer in Uruguay. Scand J Work Environ Health 22:346–352PubMed
4.
go back to reference De Stefani E, Deneo-Pellegrini H, Mendilaharsu M, Carzoglio JC, Ronco A (1997) Dietary fat and lung cancer: a case-control study in Uruguay. Cancer Causes Control 8:913–921CrossRefPubMed De Stefani E, Deneo-Pellegrini H, Mendilaharsu M, Carzoglio JC, Ronco A (1997) Dietary fat and lung cancer: a case-control study in Uruguay. Cancer Causes Control 8:913–921CrossRefPubMed
5.
go back to reference Ziegler RG, Mayne ST, Swanson CA (1996) Nutrition and lung cancer. Cancer Causes Control 7:157–177CrossRefPubMed Ziegler RG, Mayne ST, Swanson CA (1996) Nutrition and lung cancer. Cancer Causes Control 7:157–177CrossRefPubMed
6.
go back to reference De Stefani E, Fontham ET, Chen V et al (1997) Fatty foods and the risk of lung cancer: a case-control study from Uruguay. Int J Cancer 71:760–766CrossRefPubMed De Stefani E, Fontham ET, Chen V et al (1997) Fatty foods and the risk of lung cancer: a case-control study from Uruguay. Int J Cancer 71:760–766CrossRefPubMed
7.
go back to reference Alavanja MC, Brown CC, Swanson C, Brownson RC (1993) Saturated fat intake and lung cancer risk among nonsmoking women in Missouri. J Natl Cancer Inst 85:1906–1916CrossRefPubMed Alavanja MC, Brown CC, Swanson C, Brownson RC (1993) Saturated fat intake and lung cancer risk among nonsmoking women in Missouri. J Natl Cancer Inst 85:1906–1916CrossRefPubMed
8.
go back to reference Goodman MT, Hankin JH, Wilkens LR, Kolonel LN (1992) High-fat foods and the risk of lung cancer. Epidemiology 3:288–299CrossRefPubMed Goodman MT, Hankin JH, Wilkens LR, Kolonel LN (1992) High-fat foods and the risk of lung cancer. Epidemiology 3:288–299CrossRefPubMed
9.
go back to reference Goodman MT, Kolonel LN, Yoshizawa CN, Hankin JH (1988) The effect of dietary cholesterol and fat on the risk of lung cancer in Hawaii. Am J Epidemiol 128:1241–1255PubMed Goodman MT, Kolonel LN, Yoshizawa CN, Hankin JH (1988) The effect of dietary cholesterol and fat on the risk of lung cancer in Hawaii. Am J Epidemiol 128:1241–1255PubMed
10.
go back to reference Deneo-Pellegrini H, De Stefani E, Ronco A, Mendilaharsu M, Carzoglio JC (1996) Meat consumption and risk of lung cancer; a case-control study from Uruguay. Lung Cancer 14:195–205CrossRefPubMed Deneo-Pellegrini H, De Stefani E, Ronco A, Mendilaharsu M, Carzoglio JC (1996) Meat consumption and risk of lung cancer; a case-control study from Uruguay. Lung Cancer 14:195–205CrossRefPubMed
11.
go back to reference De Stefani E, Brennan P, Boffetta P et al (2002) Diet and adenocarcinoma of the lung: a case-control study in Uruguay. Lung Cancer 35:43–51CrossRefPubMed De Stefani E, Brennan P, Boffetta P et al (2002) Diet and adenocarcinoma of the lung: a case-control study in Uruguay. Lung Cancer 35:43–51CrossRefPubMed
12.
go back to reference Sinha R, Kulldorff M, Curtin J, Brown CC, Alavanja MC, Swanson CA (1998) Fried, well-done red meat and risk of lung cancer in women (United States). Cancer Causes Control 9:621–630CrossRefPubMed Sinha R, Kulldorff M, Curtin J, Brown CC, Alavanja MC, Swanson CA (1998) Fried, well-done red meat and risk of lung cancer in women (United States). Cancer Causes Control 9:621–630CrossRefPubMed
13.
go back to reference Alavanja MC, Brownson RC, Benichou J (1996) Estimating the effect of dietary fat on the risk of lung cancer in nonsmoking women. Lung Cancer 14(Suppl 1):S63–S74PubMed Alavanja MC, Brownson RC, Benichou J (1996) Estimating the effect of dietary fat on the risk of lung cancer in nonsmoking women. Lung Cancer 14(Suppl 1):S63–S74PubMed
14.
go back to reference Breslow RA, Graubard BI, Sinha R, Subar AF (2000) Diet and lung cancer mortality: a 1987 national health interview survey cohort study. Cancer Causes Control 11:419–431CrossRefPubMed Breslow RA, Graubard BI, Sinha R, Subar AF (2000) Diet and lung cancer mortality: a 1987 national health interview survey cohort study. Cancer Causes Control 11:419–431CrossRefPubMed
15.
go back to reference Alavanja MC, Field RW, Sinha R et al (2001) Lung cancer risk and red meat consumption among Iowa women. Lung Cancer 34:37–46CrossRefPubMed Alavanja MC, Field RW, Sinha R et al (2001) Lung cancer risk and red meat consumption among Iowa women. Lung Cancer 34:37–46CrossRefPubMed
16.
go back to reference Sinha R, Kulldorff M, Swanson CA, Curtin J, Brownson RC, Alavanja MC (2000) Dietary heterocyclic amines and the risk of lung cancer among Missouri women. Cancer Res 60:3753–3756PubMed Sinha R, Kulldorff M, Swanson CA, Curtin J, Brownson RC, Alavanja MC (2000) Dietary heterocyclic amines and the risk of lung cancer among Missouri women. Cancer Res 60:3753–3756PubMed
17.
go back to reference Matos E, Brandani A (2002) Review on meat consumption and cancer in South America. Mutat Res 506–507:243–249PubMed Matos E, Brandani A (2002) Review on meat consumption and cancer in South America. Mutat Res 506–507:243–249PubMed
18.
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 DC World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity and the prevention of cancer: a global perspective. AICR, Washington DC
19.
go back to reference Hu J, La Vecchia C, Desmeules M, Negri E, Mery L, Group CC (2008) Meat and fish consumption and cancer in Canada. Nutr Cancer 60:313–324CrossRefPubMed Hu J, La Vecchia C, Desmeules M, Negri E, Mery L, Group CC (2008) Meat and fish consumption and cancer in Canada. Nutr Cancer 60:313–324CrossRefPubMed
20.
go back to reference Lam TK, Cross AJ, Consonni D et al (2009) Intakes of red meat, processed meat, and meat mutagens increase lung cancer risk. Cancer Res 69:932–939CrossRefPubMed Lam TK, Cross AJ, Consonni D et al (2009) Intakes of red meat, processed meat, and meat mutagens increase lung cancer risk. Cancer Res 69:932–939CrossRefPubMed
21.
go back to reference Aune D, Ronco A, Boffetta P et al (2009) Meat consumption and cancer risk: a multisite case-control study in Uruguay. Cancer Ther 7:174–187 Aune D, Ronco A, Boffetta P et al (2009) Meat consumption and cancer risk: a multisite case-control study in Uruguay. Cancer Ther 7:174–187
22.
go back to reference Cross AJ, Leitzmann MF, Gail MH, Hollenbeck AR, Schatzkin A, Sinha R (2007) A prospective study of red and processed meat intake in relation to cancer risk. PLoS Med 4:e325CrossRefPubMed Cross AJ, Leitzmann MF, Gail MH, Hollenbeck AR, Schatzkin A, Sinha R (2007) A prospective study of red and processed meat intake in relation to cancer risk. PLoS Med 4:e325CrossRefPubMed
23.
go back to reference De Stefani E, Deneo-Pellegrini H, Boffetta P et al (2009) Dietary patterns and risk of cancer: a factor analysis in Uruguay. Int J Cancer 124:1391–1397CrossRefPubMed De Stefani E, Deneo-Pellegrini H, Boffetta P et al (2009) Dietary patterns and risk of cancer: a factor analysis in Uruguay. Int J Cancer 124:1391–1397CrossRefPubMed
24.
go back to reference Ronco AL, De Stefani E, Boffetta P, Deneo-Pellegrini H, Acosta G, Mendilaharsu M (2006) Food patterns and risk of breast cancer: a factor analysis study in Uruguay. Int J Cancer 119:1672–1678CrossRefPubMed Ronco AL, De Stefani E, Boffetta P, Deneo-Pellegrini H, Acosta G, Mendilaharsu M (2006) Food patterns and risk of breast cancer: a factor analysis study in Uruguay. Int J Cancer 119:1672–1678CrossRefPubMed
25.
go back to reference Jakszyn P, Agudo A, Ibañez R et al (2004) Development of a food database of nitrosamines, heterocyclic amines, and polycyclic aromatic hydrocarbons. J Nutr 134:2011–2014PubMed Jakszyn P, Agudo A, Ibañez R et al (2004) Development of a food database of nitrosamines, heterocyclic amines, and polycyclic aromatic hydrocarbons. J Nutr 134:2011–2014PubMed
26.
go back to reference Willett W, Stampfer MJ (1986) Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 124:17–27PubMed Willett W, Stampfer MJ (1986) Total energy intake: implications for epidemiologic analyses. Am J Epidemiol 124:17–27PubMed
27.
go back to reference Breslow NE, Day NE (1980) Statistical methods in cancer research. The analysis of case-control studies. IARC Sci Publ 1:5–338 Breslow NE, Day NE (1980) Statistical methods in cancer research. The analysis of case-control studies. IARC Sci Publ 1:5–338
28.
go back to reference Rothman KJ, Greenland S (1998) Modern epidemiology. Lippincott Williams & Wilkins, Philadelphia Rothman KJ, Greenland S (1998) Modern epidemiology. Lippincott Williams & Wilkins, Philadelphia
29.
go back to reference Lemeshow S, Hosmer DW Jr (1982) A review of goodness of fit statistics for use in the development of logistic regression models. Am J Epidemiol 115:92–106PubMed Lemeshow S, Hosmer DW Jr (1982) A review of goodness of fit statistics for use in the development of logistic regression models. Am J Epidemiol 115:92–106PubMed
30.
go back to reference STATA (2005) Stata reference guide. Release 9. Stata Press. College Station, Texas STATA (2005) Stata reference guide. Release 9. Stata Press. College Station, Texas
31.
go back to reference Wu-Williams AH, Dai XD, Blot W et al (1990) Lung cancer among women in north-east China. Br J Cancer 62:982–987PubMed Wu-Williams AH, Dai XD, Blot W et al (1990) Lung cancer among women in north-east China. Br J Cancer 62:982–987PubMed
32.
go back to reference Suzuki I, Hamada GS, Zamboni MM, Cordeiro PB, Watanabe S, Tsugane S (1994) Risk factors for lung cancer in Rio de Janeiro, Brazil: a case-control study. Lung Cancer 11:179–190CrossRefPubMed Suzuki I, Hamada GS, Zamboni MM, Cordeiro PB, Watanabe S, Tsugane S (1994) Risk factors for lung cancer in Rio de Janeiro, Brazil: a case-control study. Lung Cancer 11:179–190CrossRefPubMed
33.
go back to reference Rachtan J, Sokolowski A (1997) Risk factors for lung cancer among women in Poland. Lung Cancer 18:137–145CrossRefPubMed Rachtan J, Sokolowski A (1997) Risk factors for lung cancer among women in Poland. Lung Cancer 18:137–145CrossRefPubMed
34.
go back to reference Pisa FE, Barbone F (2002) Diet and the risk of cancers of the lung, oral cavity and pharynx, and larynx: a population-based case-control study in north-east Italy. IARC Sci Publ 156:141–143PubMed Pisa FE, Barbone F (2002) Diet and the risk of cancers of the lung, oral cavity and pharynx, and larynx: a population-based case-control study in north-east Italy. IARC Sci Publ 156:141–143PubMed
35.
go back to reference Hu J, Johnson KC, Mao Y et al (1997) A case-control study of diet and lung cancer in northeast China. Int J Cancer 71:924–931CrossRefPubMed Hu J, Johnson KC, Mao Y et al (1997) A case-control study of diet and lung cancer in northeast China. Int J Cancer 71:924–931CrossRefPubMed
36.
go back to reference Brennan P, Fortes C, Butler J et al (2000) A multicenter case-control study of diet and lung cancer among non-smokers. Cancer Causes Control 11:49–58CrossRefPubMed Brennan P, Fortes C, Butler J et al (2000) A multicenter case-control study of diet and lung cancer among non-smokers. Cancer Causes Control 11:49–58CrossRefPubMed
37.
go back to reference Pierce RJ, Kune GA, Kune S et al (1989) Dietary and alcohol intake, smoking pattern, occupational risk, and family history in lung cancer patients: results of a case-control study in males. Nutr Cancer 12:237–248CrossRefPubMed Pierce RJ, Kune GA, Kune S et al (1989) Dietary and alcohol intake, smoking pattern, occupational risk, and family history in lung cancer patients: results of a case-control study in males. Nutr Cancer 12:237–248CrossRefPubMed
38.
go back to reference Fraser GE, Beeson WL, Phillips RL (1991) Diet and lung cancer in California seventh-day adventists. Am J Epidemiol 133:683–693PubMed Fraser GE, Beeson WL, Phillips RL (1991) Diet and lung cancer in California seventh-day adventists. Am J Epidemiol 133:683–693PubMed
39.
40.
go back to reference Knekt P, Seppanen R, Jarvinen R et al (1991) Dietary cholesterol, fatty acids, and the risk of lung cancer among men. Nutr Cancer 16:267–275CrossRefPubMed Knekt P, Seppanen R, Jarvinen R et al (1991) Dietary cholesterol, fatty acids, and the risk of lung cancer among men. Nutr Cancer 16:267–275CrossRefPubMed
41.
go back to reference Chow WH, Schuman LM, McLaughlin JK et al (1992) A cohort study of tobacco use, diet, occupation, and lung cancer mortality. Cancer Causes Control 3:247–254CrossRefPubMed Chow WH, Schuman LM, McLaughlin JK et al (1992) A cohort study of tobacco use, diet, occupation, and lung cancer mortality. Cancer Causes Control 3:247–254CrossRefPubMed
42.
go back to reference Takezaki T, Inoue M, Kataoka H et al (2003) Diet and lung cancer risk from a 14-year population-based prospective study in Japan: with special reference to fish consumption. Nutr Cancer 45:160–167CrossRefPubMed Takezaki T, Inoue M, Kataoka H et al (2003) Diet and lung cancer risk from a 14-year population-based prospective study in Japan: with special reference to fish consumption. Nutr Cancer 45:160–167CrossRefPubMed
43.
go back to reference Fortes C, Forastiere F, Farchi S et al (2003) The protective effect of the Mediterranean diet on lung cancer. Nutr Cancer 46:30–37CrossRefPubMed Fortes C, Forastiere F, Farchi S et al (2003) The protective effect of the Mediterranean diet on lung cancer. Nutr Cancer 46:30–37CrossRefPubMed
44.
go back to reference Marchand JL, Luce D, Goldberg P, Bugel I, Salomon C, Goldberg M (2002) Dietary factors and the risk of lung cancer in New Caledonia (South Pacific). Nutr Cancer 42:18–24CrossRefPubMed Marchand JL, Luce D, Goldberg P, Bugel I, Salomon C, Goldberg M (2002) Dietary factors and the risk of lung cancer in New Caledonia (South Pacific). Nutr Cancer 42:18–24CrossRefPubMed
45.
go back to reference Kubik A, Zatloukal P, Tomasek L, Pauk N, Petruzelka L, Plesko I (2004) Lung cancer risk among nonsmoking women in relation to diet and physical activity. Neoplasma 51:136–143PubMed Kubik A, Zatloukal P, Tomasek L, Pauk N, Petruzelka L, Plesko I (2004) Lung cancer risk among nonsmoking women in relation to diet and physical activity. Neoplasma 51:136–143PubMed
46.
go back to reference Khan MM, Goto R, Kobayashi K et al (2004) Dietary habits and cancer mortality among middle aged and older Japanese living in Hokkaido, Japan by cancer site and sex. Asian Pac J Cancer Prev 5:58–65PubMed Khan MM, Goto R, Kobayashi K et al (2004) Dietary habits and cancer mortality among middle aged and older Japanese living in Hokkaido, Japan by cancer site and sex. Asian Pac J Cancer Prev 5:58–65PubMed
47.
go back to reference IARC monographs on the evaluation of carcinogenic risks to humans (2004) Tobacco smoke and involuntary smoking, vol 83. IARC Press, Lyon, France, pp 80–88 IARC monographs on the evaluation of carcinogenic risks to humans (2004) Tobacco smoke and involuntary smoking, vol 83. IARC Press, Lyon, France, pp 80–88
48.
go back to reference Smith-Warner SA, Ritz J, Hunter DJ et al (2002) Dietary fat and risk of lung cancer in a pooled analysis of prospective studies. Cancer Epidemiol Biomarkers Prev 11:987–992PubMed Smith-Warner SA, Ritz J, Hunter DJ et al (2002) Dietary fat and risk of lung cancer in a pooled analysis of prospective studies. Cancer Epidemiol Biomarkers Prev 11:987–992PubMed
49.
go back to reference Singer GM, Chuan J, Roman J, Min-Hsin L, Lijinsky W (1986) Nitrosamines and nitrosamine precursors in foods from Linxian, China, a high incidence area for esophageal cancer. Carcinogenesis 7:733–736CrossRefPubMed Singer GM, Chuan J, Roman J, Min-Hsin L, Lijinsky W (1986) Nitrosamines and nitrosamine precursors in foods from Linxian, China, a high incidence area for esophageal cancer. Carcinogenesis 7:733–736CrossRefPubMed
50.
go back to reference Cross AJ, Sinha R (2004) Meat-related mutagens/carcinogens in the etiology of colorectal cancer. Environ Mol Mutagen 44:44–55CrossRefPubMed Cross AJ, Sinha R (2004) Meat-related mutagens/carcinogens in the etiology of colorectal cancer. Environ Mol Mutagen 44:44–55CrossRefPubMed
51.
go back to reference Sinha R (2002) An epidemiologic approach to studying heterocyclic amines. Mutat Res 506–507:197–204PubMed Sinha R (2002) An epidemiologic approach to studying heterocyclic amines. Mutat Res 506–507:197–204PubMed
52.
go back to reference Boshuizen HC, Bueno-de-Mesquita HB, Altenburg HP et al (2002) Adjustment for smoking in lung cancer analyses in the EPIC cohort. IARC Sci Publ 156:59–61PubMed Boshuizen HC, Bueno-de-Mesquita HB, Altenburg HP et al (2002) Adjustment for smoking in lung cancer analyses in the EPIC cohort. IARC Sci Publ 156:59–61PubMed
Metadata
Title
Meat intake, meat mutagens and risk of lung cancer in Uruguayan men
Authors
Eduardo De Stefani
Paolo Boffetta
Hugo Deneo-Pellegrini
Alvaro L. Ronco
Dagfinn Aune
Gisele Acosta
Paul Brennan
María Mendilaharsu
Gilles Ferro
Publication date
01-11-2009
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 9/2009
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-009-9411-2

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