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Published in: Cancer Causes & Control 7/2010

01-07-2010 | Original paper

Dietary patterns and risk of advanced prostate cancer: a principal component analysis in Uruguay

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

Published in: Cancer Causes & Control | Issue 7/2010

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Abstract

Objective

In order to explore the role of broader eating patterns in the etiology of prostate cancer, we conducted a principal components analysis among Uruguayan men.

Methods

The study included 345 newly diagnosed cases of advanced prostate cancer and 690 hospitalized controls. The factor analysis was performed using the control population.

Results

Factor analysis allowed the extraction of five patterns, labeled as prudent, traditional, substituter, drinker, and Western. Whereas the traditional and Western patterns were directly associated with risk of prostate cancer (OR for high quartile versus the low quartile of the Western diet was 2.35, 95% CI 1.44–3.85, p-value for trend < 0.0001), the prudent, drinker, and substituter patterns were not associated with risk of the disease. After adjustment of each pattern for the foods with high loadings, these three patterns did not modify substantially their original ORs.

Conclusion

The Western and traditional patterns could partially explain the high incidence of advanced prostate cancer in Uruguay, a main producer of beef in the World.
Literature
1.
go back to reference Parkin DM, Whelan SL, Ferlay J, Teppo L, Thomas DB et al (eds) (2002) Cancer incidence in five continents. Volume VIII. IARC scientific publications Nº 155. Lyon, IARC, France Parkin DM, Whelan SL, Ferlay J, Teppo L, Thomas DB et al (eds) (2002) Cancer incidence in five continents. Volume VIII. IARC scientific publications Nº 155. Lyon, IARC, France
2.
go back to reference Hickey K, Do K-A, Green A (2001) Smoking and prostate cancer. Epidemiol Rev 23:115–125PubMed Hickey K, Do K-A, Green A (2001) Smoking and prostate cancer. Epidemiol Rev 23:115–125PubMed
3.
go back to reference Jain MG, Hislop GT, Howe GR, Burch JD, Ghadirian P (1998) Alcohol and other beverage use and prostate cancer risk among Canadian men. Int J Cancer 78:707–711CrossRefPubMed Jain MG, Hislop GT, Howe GR, Burch JD, Ghadirian P (1998) Alcohol and other beverage use and prostate cancer risk among Canadian men. Int J Cancer 78:707–711CrossRefPubMed
4.
go back to reference Parent ME, Siemiatycki J (2001) Occupation and prostate cancer. Epidemiol Rev 23:138–143PubMed Parent ME, Siemiatycki J (2001) Occupation and prostate cancer. Epidemiol Rev 23:138–143PubMed
5.
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. AIRC, Washington World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AIRC, Washington
6.
go back to reference Chan JM, Giovannucci EL (2001) Dairy products, calcium, and vitamin D and risk of prostate cancer. Epidemiol Rev 23:87–92PubMed Chan JM, Giovannucci EL (2001) Dairy products, calcium, and vitamin D and risk of prostate cancer. Epidemiol Rev 23:87–92PubMed
7.
go back to reference Giovannucci E (1998) Dietary influences of 1, 25[OH]2 vitamin D in relation to prostate cancer: a hypothesis. Cancer Causes Control 9:567–582CrossRefPubMed Giovannucci E (1998) Dietary influences of 1, 25[OH]2 vitamin D in relation to prostate cancer: a hypothesis. Cancer Causes Control 9:567–582CrossRefPubMed
8.
go back to reference Gann PH, Hennekens CH, Sacks FM, Grodstein F, Giovannucci EL, Stampfer MJ (1994) Prospective study of plasma fatty acids and risk of prostate cancer. J Natl Cancer Inst 86:281–286CrossRefPubMed Gann PH, Hennekens CH, Sacks FM, Grodstein F, Giovannucci EL, Stampfer MJ (1994) Prospective study of plasma fatty acids and risk of prostate cancer. J Natl Cancer Inst 86:281–286CrossRefPubMed
9.
go back to reference Kolonel LN, Nomura AMY, Cooney RV (1999) Dietary fat and prostate cancer: current status. J Natl Cancer Inst 91:414–428CrossRefPubMed Kolonel LN, Nomura AMY, Cooney RV (1999) Dietary fat and prostate cancer: current status. J Natl Cancer Inst 91:414–428CrossRefPubMed
10.
go back to reference Randall E, Marshall JR, Brasure J, Graham S (1992) Dietary patterns and colon cancer in western New York. Nutr Cancer 18:265–276CrossRefPubMed Randall E, Marshall JR, Brasure J, Graham S (1992) Dietary patterns and colon cancer in western New York. Nutr Cancer 18:265–276CrossRefPubMed
11.
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
12.
go back to reference Tseng M, Breslow RA, DeVellis RF, Ziegler RG (2004) Dietary patterns and prostate cancer risk in the national health and nutrition examination survey epidemiological follow-up study cohort. Cancer Epidemiol Biomarkers Prev 13:71–77CrossRefPubMed Tseng M, Breslow RA, DeVellis RF, Ziegler RG (2004) Dietary patterns and prostate cancer risk in the national health and nutrition examination survey epidemiological follow-up study cohort. Cancer Epidemiol Biomarkers Prev 13:71–77CrossRefPubMed
13.
go back to reference Walker M, Aronson KJ, King W (2005) Dietary patterns and risk of prostate cancer in Ontario, Canada. Int J Cancer 116:592–598CrossRefPubMed Walker M, Aronson KJ, King W (2005) Dietary patterns and risk of prostate cancer in Ontario, Canada. Int J Cancer 116:592–598CrossRefPubMed
14.
go back to reference Wu K, Hu FB, Willett WC, Giovannucci E (2006) Dietary patterns and risk of prostate cancer in U.S. men. Cancer Epidemiol Biomarkers Prev 15:167–171CrossRefPubMed Wu K, Hu FB, Willett WC, Giovannucci E (2006) Dietary patterns and risk of prostate cancer in U.S. men. Cancer Epidemiol Biomarkers Prev 15:167–171CrossRefPubMed
15.
go back to reference Ambrosini GL, Fritschi L, Hubert de Clerk N, Mackerras D, Leavy J (2008) Dietary patterns identified using factor analysis and prostate cancer risk: a case-control study in Western Australia. Ann Epidemiol 18:364–370CrossRefPubMed Ambrosini GL, Fritschi L, Hubert de Clerk N, Mackerras D, Leavy J (2008) Dietary patterns identified using factor analysis and prostate cancer risk: a case-control study in Western Australia. Ann Epidemiol 18:364–370CrossRefPubMed
16.
go back to reference De Stefani E, Deneo-Pellegrini H, Boffetta P, Ronco AL, Aune D, Acosta G, Mendilaharsu M, Brennan P, Ferro G (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, Ronco AL, Aune D, Acosta G, Mendilaharsu M, Brennan P, Ferro G (2009) Dietary patterns and risk of cancer: a factor analysis in Uruguay. Int J Cancer 124:1391–1397CrossRefPubMed
17.
go back to reference Muller DC, Severi G, Baglietto L, Krishnan K, English D, Hopper JL, Giles GG (2009) Dietary patterns and prostate cancer risk. Cancer Epidemiol Biomarkers Prev 18:3126–3129CrossRefPubMed Muller DC, Severi G, Baglietto L, Krishnan K, English D, Hopper JL, Giles GG (2009) Dietary patterns and prostate cancer risk. Cancer Epidemiol Biomarkers Prev 18:3126–3129CrossRefPubMed
18.
go back to reference Wittekind C, Green FL, Hutter RVP, Klimpfinger R, Sobin LH (2005) TNM Atlas. 5th Edn, UICC. Springer, BerlinCrossRef Wittekind C, Green FL, Hutter RVP, Klimpfinger R, Sobin LH (2005) TNM Atlas. 5th Edn, UICC. Springer, BerlinCrossRef
19.
go back to reference Gleason D (1966) Classification of prostate carcinoma. Cancer Chemother Rep 50:125–128PubMed Gleason D (1966) Classification of prostate carcinoma. Cancer Chemother Rep 50:125–128PubMed
20.
go back to reference Harman HH (1976) Modern factor analysis, 3rd edn. Revised. The University of Chicago Press Ltd., London Harman HH (1976) Modern factor analysis, 3rd edn. Revised. The University of Chicago Press Ltd., London
21.
go back to reference Kim J-O, Mueller CW (1978) Factor analysis. Statistical methods and practical issues. Age University Paper No 14, California Kim J-O, Mueller CW (1978) Factor analysis. Statistical methods and practical issues. Age University Paper No 14, California
22.
go back to reference Kline P (2002) An easy guide to factor analysis. Routledge, New York Kline P (2002) An easy guide to factor analysis. Routledge, New York
23.
go back to reference Horst P (1965) Factor analysis of data matrices. Holt, Rinehart, and Winston, New York Horst P (1965) Factor analysis of data matrices. Holt, Rinehart, and Winston, New York
24.
go back to reference Thomson GH (1951) The factorial analysis of human ability. University of London Press, London Thomson GH (1951) The factorial analysis of human ability. University of London Press, London
25.
go back to reference Balder HF, Goldbohm RA, van den Bradt PA (2005) Dietary patterns associated with male lung cancer risk in the Netherlands Cohort Study. Cancer Epidemiol Biomarkers Prev 14:483–490CrossRefPubMed Balder HF, Goldbohm RA, van den Bradt PA (2005) Dietary patterns associated with male lung cancer risk in the Netherlands Cohort Study. Cancer Epidemiol Biomarkers Prev 14:483–490CrossRefPubMed
26.
go back to reference Breslow NE, Day NE (1980) Statistical methods in cancer research. Volume 1-The analysis of case-control analysis. IARC scientific publication No 32. IARC, Lyon Breslow NE, Day NE (1980) Statistical methods in cancer research. Volume 1-The analysis of case-control analysis. IARC scientific publication No 32. IARC, Lyon
27.
go back to reference TA STA (2005) Stata reference guide. Release 9. Stata Press, College Station TA STA (2005) Stata reference guide. Release 9. Stata Press, College Station
28.
go back to reference Howell MA (1974) Factor analysis of international cancer mortality data and per capita food consumption. Br J Cancer 29:328–336PubMed Howell MA (1974) Factor analysis of international cancer mortality data and per capita food consumption. Br J Cancer 29:328–336PubMed
29.
go back to reference Freeman MR, Solomon KR (2003) Cholesterol and prostate cancer. J Cell Biochem 91:54–69CrossRef Freeman MR, Solomon KR (2003) Cholesterol and prostate cancer. J Cell Biochem 91:54–69CrossRef
30.
go back to reference Dillard PR, Lin MF, Khan SF (2008) Androgen-independent prostate cancer cells acquire the complete steroidogenic potential of synthesizing testosterone from cholesterol. Mol Cell Endocrinol 295:115–120CrossRefPubMed Dillard PR, Lin MF, Khan SF (2008) Androgen-independent prostate cancer cells acquire the complete steroidogenic potential of synthesizing testosterone from cholesterol. Mol Cell Endocrinol 295:115–120CrossRefPubMed
31.
go back to reference Platz EA, Clinton SK, Giovannucci E (2008) Association between plasma cholesterol and prostate cancer in the PSA era. Int J Cancer 123:1693–1698CrossRefPubMed Platz EA, Clinton SK, Giovannucci E (2008) Association between plasma cholesterol and prostate cancer in the PSA era. Int J Cancer 123:1693–1698CrossRefPubMed
32.
go back to reference Platz EA, Till C, Goodman PJ, Parnes HL, Figg WD, Albanes D, Neuhouser ML, Klein EA, Thompson IA Jr, Kristal AR (2009) Men with low serum cholesterol have a lower risk of high-grade prostate cancer in the placebo arm of the Prostate Cancer Prevention Trial. Cancer Epidemiol Biomarkers Prev 18:2807–2813CrossRefPubMed Platz EA, Till C, Goodman PJ, Parnes HL, Figg WD, Albanes D, Neuhouser ML, Klein EA, Thompson IA Jr, Kristal AR (2009) Men with low serum cholesterol have a lower risk of high-grade prostate cancer in the placebo arm of the Prostate Cancer Prevention Trial. Cancer Epidemiol Biomarkers Prev 18:2807–2813CrossRefPubMed
33.
go back to reference Ha B (2010) Prostate cancer linked to cholesterol levels. The Johns Hospital Science & Tech Ha B (2010) Prostate cancer linked to cholesterol levels. The Johns Hospital Science & Tech
34.
go back to reference La Vecchia C, Negri E, D’Avanzo B, Franceschi S, Boyle P (1991) Dairy products and the risk of prostatic cancer. Oncology 48:406–410CrossRefPubMed La Vecchia C, Negri E, D’Avanzo B, Franceschi S, Boyle P (1991) Dairy products and the risk of prostatic cancer. Oncology 48:406–410CrossRefPubMed
35.
go back to reference Ross RK, Shimizu H, Paganini-Hill A, Honda G, Henderson BE (1987) Case-control studies of prostate cancer in blacks and whites in Southern California. J Natl Cancer Inst 78:869–874PubMed Ross RK, Shimizu H, Paganini-Hill A, Honda G, Henderson BE (1987) Case-control studies of prostate cancer in blacks and whites in Southern California. J Natl Cancer Inst 78:869–874PubMed
36.
go back to reference Chan JM, Giovannucci E, Andersson S-O, Yuen J, Adami H-O, Wolk A (1998) Dairy products, calcium, phosphorous, vitamin D, and risk of prostate cancer (Sweden). Cancer Causes Control 9:559–566CrossRefPubMed Chan JM, Giovannucci E, Andersson S-O, Yuen J, Adami H-O, Wolk A (1998) Dairy products, calcium, phosphorous, vitamin D, and risk of prostate cancer (Sweden). Cancer Causes Control 9:559–566CrossRefPubMed
37.
go back to reference Skinner HG, Schwartz GG (2008) Serum calcium and incident and fatal prostate cancer in the National Health and Nutrition Examination Survey. Cancer Epidemiol Biomarkers Prev 17:2302–2305CrossRefPubMed Skinner HG, Schwartz GG (2008) Serum calcium and incident and fatal prostate cancer in the National Health and Nutrition Examination Survey. Cancer Epidemiol Biomarkers Prev 17:2302–2305CrossRefPubMed
38.
go back to reference Tseng M, Breslow RA, Graubard BI, Ziegler RG (2005) Dairy, calcium, and vitamin D intakes and prostate cancer risk in the national health and nutrition examination epidemiologic follow-up study cohort. Am J Clin Nutr 81:1147–1154PubMed Tseng M, Breslow RA, Graubard BI, Ziegler RG (2005) Dairy, calcium, and vitamin D intakes and prostate cancer risk in the national health and nutrition examination epidemiologic follow-up study cohort. Am J Clin Nutr 81:1147–1154PubMed
39.
go back to reference Huncharek M, Muscat J, Kupelnick B (2008) Dairy products, dietary calcium and vitamin D intake as risk factors for prostate cancer: a meta-analysis of 26,769 cases from 45 observational studies. Nutr Cancer 60:421–441CrossRefPubMed Huncharek M, Muscat J, Kupelnick B (2008) Dairy products, dietary calcium and vitamin D intake as risk factors for prostate cancer: a meta-analysis of 26,769 cases from 45 observational studies. Nutr Cancer 60:421–441CrossRefPubMed
40.
go back to reference Rodríguez C, McCullough ML, Mondul AM, Jacobs EJ et al (2003) Calcium, dairy products and risk of prostate cancer in a prospective cohort of United States Men. Cancer Epidemiol Biomarkers Prev 12:597–603PubMed Rodríguez C, McCullough ML, Mondul AM, Jacobs EJ et al (2003) Calcium, dairy products and risk of prostate cancer in a prospective cohort of United States Men. Cancer Epidemiol Biomarkers Prev 12:597–603PubMed
41.
go back to reference Michaud DS, Augustsson K, Rimm EB, Stampfer MJ, Willett WC et al (2001) A prospective study on intake of animal products and risk of prostate cancer. Cancer Causes Control 12:557–567CrossRefPubMed Michaud DS, Augustsson K, Rimm EB, Stampfer MJ, Willett WC et al (2001) A prospective study on intake of animal products and risk of prostate cancer. Cancer Causes Control 12:557–567CrossRefPubMed
42.
go back to reference Slattery ML (2008) Editorial. Defining dietary consumption: is the sum greater than its parts? Am J Clin Nutr 88:14–15PubMed Slattery ML (2008) Editorial. Defining dietary consumption: is the sum greater than its parts? Am J Clin Nutr 88:14–15PubMed
43.
go back to reference Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13:3–9CrossRefPubMed Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13:3–9CrossRefPubMed
44.
go back to reference Jacobs DR Jr, Steffen LM (2003) Nutrient, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr 8 suppl:508S–513S Jacobs DR Jr, Steffen LM (2003) Nutrient, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr 8 suppl:508S–513S
45.
go back to reference Balder HF, Virtanen M, Brants HA, Krogh V, Dixon LB, Tan F, Mannisto S, Bellocco R, Pietinen P, Wolk A, Berrino F, van der Brandt PA, Hartman AM, Goldbohm RA (2003) Common and country-specific dietary patterns in four European cohort studies. J Nutr 133:4246–4251PubMed Balder HF, Virtanen M, Brants HA, Krogh V, Dixon LB, Tan F, Mannisto S, Bellocco R, Pietinen P, Wolk A, Berrino F, van der Brandt PA, Hartman AM, Goldbohm RA (2003) Common and country-specific dietary patterns in four European cohort studies. J Nutr 133:4246–4251PubMed
Metadata
Title
Dietary patterns and risk of advanced prostate cancer: a principal component analysis in Uruguay
Authors
Eduardo De Stefani
Alvaro L. Ronco
Hugo Deneo-Pellegrini
Paolo Boffetta
Dagfinn Aune
Gisele Acosta
Paul Brennan
Gilles Ferro
María Mendilaharsu
Publication date
01-07-2010
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 7/2010
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-010-9527-4

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