Glycemic index, glycemic load and endometrial cancer risk: results from the Australian National Endometrial Cancer study and an updated systematic review and meta-analysis
Purpose The relationship between habitual consumption of foods with a high glycemic index (GI) and/or a diet with a high glycemic load (GL) and risk of endometrial cancer is uncertain, and relatively few studies have investigated these associations. The objectives of this study were to examine the a...
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| Veröffentlicht in: | European journal of nutrition 2013-03, Vol.52 (2), p.705-715 |
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| creator | Nagle, Christina M. Olsen, Catherine M. Ibiebele, Torukiri I. Spurdle, Amanda B. Webb, Penelope M. |
| description | Purpose
The relationship between habitual consumption of foods with a high glycemic index (GI) and/or a diet with a high glycemic load (GL) and risk of endometrial cancer is uncertain, and relatively few studies have investigated these associations. The objectives of this study were to examine the association between GI/GL and risk of endometrial cancer using data from an Australian population-based case–control study and systematically review all the available evidence to quantify the magnitude of the association using meta-analysis.
Methods
The case–control study included 1,290 women aged 18–79 years with newly diagnosed, histologically confirmed endometrial cancer and 1,436 population controls. Controls were selected to match the expected Australian state of residence and age distribution (in 5-year bands) of cases. For the systematic review, relevant studies were identified by searching PubMed and Embase databases through to July 2011. Random-effects models were used to calculate the summary risk estimates, overall and dose–response.
Results
In our case–control study, we observed a modest positive association between high dietary GI (OR 1.43, 95 % CI 1.11–1.83) and risk of endometrial cancer, but no association with high dietary GL (OR 1.15, 95 % CI 0.90–1.48). For the meta-analysis, we collated information from six cohort and two case–control studies, involving a total of 5,569 cases. The pooled OR for the highest versus the lowest intake category of GI was 1.15 (0.95–1.40); however, there was significant heterogeneity (
p
0.004) by study design (RR 1.00 [95 % CI 0.87–1.14] for cohort studies and 1.56 [95 % CI 1.21–2.02] for case–control studies). There was no association in the dose–response meta-analysis of GI (RR per 5 unit/day increment of GI 1.00, 95 % CI 0.97–1.03). GL was positively associated with endometrial cancer. The pooled RR for the highest versus the lowest GL intake was 1.21 (95 % CI 1.09–1.33) and 1.06 (95 % CI 1.01–1.11) per 50 unit/day increment of GL in the dose–response meta-analysis.
Conclusion
The pooled results from observational studies, including our case–control results, provide evidence of a modest positive association between high GL, but not GI, and endometrial cancer risk. |
| doi_str_mv | 10.1007/s00394-012-0376-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1288309102</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2892195311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-dd9dc0f5ed25579c7999d655307020a943ccd20a1cdeedf850f638519e20feca3</originalsourceid><addsrcrecordid>eNp1kc1u1TAQRi1ERcuFB2CDLLFhQWBsx3HCrroqBalqN7COjD0pLvm5eJxCnomXrHvTVhUSK4_lcz5b_hh7JeC9ADAfCEA1ZQFCFqBMVZgn7EiUqioqKfTThxnMIXtOdAUAUlXiGTuUsiprCeKI_T3tF4dDcDyMHv-845f3-36yntvRcxz9NGCKwfbc2dFh5DHQz488Is19It7FaeDpB_LjmVK0fbAjP7cpTGM2Th7Z29WmNPtlH53BeedtQs9poYRDtlzOvQ74ew9k0xY25ywU6AU76GxP-PJu3bBvn06-bj8XZxenX7bHZ4VTRqbC-8Y76DR6qbVpnGmaxldaKzAgwTalcs7nQTiP6LtaQ1epWosGJXTorNqwt2vuLk6_ZqTUDoEc9r0dcZqpFbKuFTQi_-aGvfkHvZrmmN-7p0xd6bKsMyVWysWJKGLX7mIYbFxaAe1tk-3aZJubbG-bbE12Xt8lz98H9A_GfXUZkCtA-Wi8xPjo6v-m3gB5Tqv3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1287865448</pqid></control><display><type>article</type><title>Glycemic index, glycemic load and endometrial cancer risk: results from the Australian National Endometrial Cancer study and an updated systematic review and meta-analysis</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Nagle, Christina M. ; Olsen, Catherine M. ; Ibiebele, Torukiri I. ; Spurdle, Amanda B. ; Webb, Penelope M.</creator><creatorcontrib>Nagle, Christina M. ; Olsen, Catherine M. ; Ibiebele, Torukiri I. ; Spurdle, Amanda B. ; Webb, Penelope M. ; Astralian Ovarian Cancer Study Group ; Astralian National Endometrial Cancer Study Group ; The Australian Ovarian Cancer Study Group ; The Australian National Endometrial Cancer Study Group</creatorcontrib><description>Purpose
The relationship between habitual consumption of foods with a high glycemic index (GI) and/or a diet with a high glycemic load (GL) and risk of endometrial cancer is uncertain, and relatively few studies have investigated these associations. The objectives of this study were to examine the association between GI/GL and risk of endometrial cancer using data from an Australian population-based case–control study and systematically review all the available evidence to quantify the magnitude of the association using meta-analysis.
Methods
The case–control study included 1,290 women aged 18–79 years with newly diagnosed, histologically confirmed endometrial cancer and 1,436 population controls. Controls were selected to match the expected Australian state of residence and age distribution (in 5-year bands) of cases. For the systematic review, relevant studies were identified by searching PubMed and Embase databases through to July 2011. Random-effects models were used to calculate the summary risk estimates, overall and dose–response.
Results
In our case–control study, we observed a modest positive association between high dietary GI (OR 1.43, 95 % CI 1.11–1.83) and risk of endometrial cancer, but no association with high dietary GL (OR 1.15, 95 % CI 0.90–1.48). For the meta-analysis, we collated information from six cohort and two case–control studies, involving a total of 5,569 cases. The pooled OR for the highest versus the lowest intake category of GI was 1.15 (0.95–1.40); however, there was significant heterogeneity (
p
0.004) by study design (RR 1.00 [95 % CI 0.87–1.14] for cohort studies and 1.56 [95 % CI 1.21–2.02] for case–control studies). There was no association in the dose–response meta-analysis of GI (RR per 5 unit/day increment of GI 1.00, 95 % CI 0.97–1.03). GL was positively associated with endometrial cancer. The pooled RR for the highest versus the lowest GL intake was 1.21 (95 % CI 1.09–1.33) and 1.06 (95 % CI 1.01–1.11) per 50 unit/day increment of GL in the dose–response meta-analysis.
Conclusion
The pooled results from observational studies, including our case–control results, provide evidence of a modest positive association between high GL, but not GI, and endometrial cancer risk.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-012-0376-7</identifier><identifier>PMID: 22648201</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Australia - epidemiology ; Blood Glucose - analysis ; Case-Control Studies ; Chemistry ; Chemistry and Materials Science ; Databases, Factual ; Diet ; Dietary Carbohydrates - administration & dosage ; Endometrial Neoplasms - epidemiology ; Female ; Glycemic Index ; Humans ; Middle Aged ; Nutrition ; Original Contribution ; Risk Factors ; Young Adult</subject><ispartof>European journal of nutrition, 2013-03, Vol.52 (2), p.705-715</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-dd9dc0f5ed25579c7999d655307020a943ccd20a1cdeedf850f638519e20feca3</citedby><cites>FETCH-LOGICAL-c372t-dd9dc0f5ed25579c7999d655307020a943ccd20a1cdeedf850f638519e20feca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-012-0376-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-012-0376-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22648201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagle, Christina M.</creatorcontrib><creatorcontrib>Olsen, Catherine M.</creatorcontrib><creatorcontrib>Ibiebele, Torukiri I.</creatorcontrib><creatorcontrib>Spurdle, Amanda B.</creatorcontrib><creatorcontrib>Webb, Penelope M.</creatorcontrib><creatorcontrib>Astralian Ovarian Cancer Study Group</creatorcontrib><creatorcontrib>Astralian National Endometrial Cancer Study Group</creatorcontrib><creatorcontrib>The Australian Ovarian Cancer Study Group</creatorcontrib><creatorcontrib>The Australian National Endometrial Cancer Study Group</creatorcontrib><title>Glycemic index, glycemic load and endometrial cancer risk: results from the Australian National Endometrial Cancer study and an updated systematic review and meta-analysis</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>Purpose
The relationship between habitual consumption of foods with a high glycemic index (GI) and/or a diet with a high glycemic load (GL) and risk of endometrial cancer is uncertain, and relatively few studies have investigated these associations. The objectives of this study were to examine the association between GI/GL and risk of endometrial cancer using data from an Australian population-based case–control study and systematically review all the available evidence to quantify the magnitude of the association using meta-analysis.
Methods
The case–control study included 1,290 women aged 18–79 years with newly diagnosed, histologically confirmed endometrial cancer and 1,436 population controls. Controls were selected to match the expected Australian state of residence and age distribution (in 5-year bands) of cases. For the systematic review, relevant studies were identified by searching PubMed and Embase databases through to July 2011. Random-effects models were used to calculate the summary risk estimates, overall and dose–response.
Results
In our case–control study, we observed a modest positive association between high dietary GI (OR 1.43, 95 % CI 1.11–1.83) and risk of endometrial cancer, but no association with high dietary GL (OR 1.15, 95 % CI 0.90–1.48). For the meta-analysis, we collated information from six cohort and two case–control studies, involving a total of 5,569 cases. The pooled OR for the highest versus the lowest intake category of GI was 1.15 (0.95–1.40); however, there was significant heterogeneity (
p
0.004) by study design (RR 1.00 [95 % CI 0.87–1.14] for cohort studies and 1.56 [95 % CI 1.21–2.02] for case–control studies). There was no association in the dose–response meta-analysis of GI (RR per 5 unit/day increment of GI 1.00, 95 % CI 0.97–1.03). GL was positively associated with endometrial cancer. The pooled RR for the highest versus the lowest GL intake was 1.21 (95 % CI 1.09–1.33) and 1.06 (95 % CI 1.01–1.11) per 50 unit/day increment of GL in the dose–response meta-analysis.
Conclusion
The pooled results from observational studies, including our case–control results, provide evidence of a modest positive association between high GL, but not GI, and endometrial cancer risk.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Australia - epidemiology</subject><subject>Blood Glucose - analysis</subject><subject>Case-Control Studies</subject><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Databases, Factual</subject><subject>Diet</subject><subject>Dietary Carbohydrates - administration & dosage</subject><subject>Endometrial Neoplasms - epidemiology</subject><subject>Female</subject><subject>Glycemic Index</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Original Contribution</subject><subject>Risk Factors</subject><subject>Young Adult</subject><issn>1436-6207</issn><issn>1436-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kc1u1TAQRi1ERcuFB2CDLLFhQWBsx3HCrroqBalqN7COjD0pLvm5eJxCnomXrHvTVhUSK4_lcz5b_hh7JeC9ADAfCEA1ZQFCFqBMVZgn7EiUqioqKfTThxnMIXtOdAUAUlXiGTuUsiprCeKI_T3tF4dDcDyMHv-845f3-36yntvRcxz9NGCKwfbc2dFh5DHQz488Is19It7FaeDpB_LjmVK0fbAjP7cpTGM2Th7Z29WmNPtlH53BeedtQs9poYRDtlzOvQ74ew9k0xY25ywU6AU76GxP-PJu3bBvn06-bj8XZxenX7bHZ4VTRqbC-8Y76DR6qbVpnGmaxldaKzAgwTalcs7nQTiP6LtaQ1epWosGJXTorNqwt2vuLk6_ZqTUDoEc9r0dcZqpFbKuFTQi_-aGvfkHvZrmmN-7p0xd6bKsMyVWysWJKGLX7mIYbFxaAe1tk-3aZJubbG-bbE12Xt8lz98H9A_GfXUZkCtA-Wi8xPjo6v-m3gB5Tqv3</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Nagle, Christina M.</creator><creator>Olsen, Catherine M.</creator><creator>Ibiebele, Torukiri I.</creator><creator>Spurdle, Amanda B.</creator><creator>Webb, Penelope M.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Glycemic index, glycemic load and endometrial cancer risk: results from the Australian National Endometrial Cancer study and an updated systematic review and meta-analysis</title><author>Nagle, Christina M. ; Olsen, Catherine M. ; Ibiebele, Torukiri I. ; Spurdle, Amanda B. ; Webb, Penelope M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-dd9dc0f5ed25579c7999d655307020a943ccd20a1cdeedf850f638519e20feca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Australia - epidemiology</topic><topic>Blood Glucose - analysis</topic><topic>Case-Control Studies</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Databases, Factual</topic><topic>Diet</topic><topic>Dietary Carbohydrates - administration & dosage</topic><topic>Endometrial Neoplasms - epidemiology</topic><topic>Female</topic><topic>Glycemic Index</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Original Contribution</topic><topic>Risk Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagle, Christina M.</creatorcontrib><creatorcontrib>Olsen, Catherine M.</creatorcontrib><creatorcontrib>Ibiebele, Torukiri I.</creatorcontrib><creatorcontrib>Spurdle, Amanda B.</creatorcontrib><creatorcontrib>Webb, Penelope M.</creatorcontrib><creatorcontrib>Astralian Ovarian Cancer Study Group</creatorcontrib><creatorcontrib>Astralian National Endometrial Cancer Study Group</creatorcontrib><creatorcontrib>The Australian Ovarian Cancer Study Group</creatorcontrib><creatorcontrib>The Australian National Endometrial Cancer Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagle, Christina M.</au><au>Olsen, Catherine M.</au><au>Ibiebele, Torukiri I.</au><au>Spurdle, Amanda B.</au><au>Webb, Penelope M.</au><aucorp>Astralian Ovarian Cancer Study Group</aucorp><aucorp>Astralian National Endometrial Cancer Study Group</aucorp><aucorp>The Australian Ovarian Cancer Study Group</aucorp><aucorp>The Australian National Endometrial Cancer Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Glycemic index, glycemic load and endometrial cancer risk: results from the Australian National Endometrial Cancer study and an updated systematic review and meta-analysis</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>52</volume><issue>2</issue><spage>705</spage><epage>715</epage><pages>705-715</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><abstract>Purpose
The relationship between habitual consumption of foods with a high glycemic index (GI) and/or a diet with a high glycemic load (GL) and risk of endometrial cancer is uncertain, and relatively few studies have investigated these associations. The objectives of this study were to examine the association between GI/GL and risk of endometrial cancer using data from an Australian population-based case–control study and systematically review all the available evidence to quantify the magnitude of the association using meta-analysis.
Methods
The case–control study included 1,290 women aged 18–79 years with newly diagnosed, histologically confirmed endometrial cancer and 1,436 population controls. Controls were selected to match the expected Australian state of residence and age distribution (in 5-year bands) of cases. For the systematic review, relevant studies were identified by searching PubMed and Embase databases through to July 2011. Random-effects models were used to calculate the summary risk estimates, overall and dose–response.
Results
In our case–control study, we observed a modest positive association between high dietary GI (OR 1.43, 95 % CI 1.11–1.83) and risk of endometrial cancer, but no association with high dietary GL (OR 1.15, 95 % CI 0.90–1.48). For the meta-analysis, we collated information from six cohort and two case–control studies, involving a total of 5,569 cases. The pooled OR for the highest versus the lowest intake category of GI was 1.15 (0.95–1.40); however, there was significant heterogeneity (
p
0.004) by study design (RR 1.00 [95 % CI 0.87–1.14] for cohort studies and 1.56 [95 % CI 1.21–2.02] for case–control studies). There was no association in the dose–response meta-analysis of GI (RR per 5 unit/day increment of GI 1.00, 95 % CI 0.97–1.03). GL was positively associated with endometrial cancer. The pooled RR for the highest versus the lowest GL intake was 1.21 (95 % CI 1.09–1.33) and 1.06 (95 % CI 1.01–1.11) per 50 unit/day increment of GL in the dose–response meta-analysis.
Conclusion
The pooled results from observational studies, including our case–control results, provide evidence of a modest positive association between high GL, but not GI, and endometrial cancer risk.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22648201</pmid><doi>10.1007/s00394-012-0376-7</doi><tpages>11</tpages></addata></record> |
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| identifier | ISSN: 1436-6207 |
| ispartof | European journal of nutrition, 2013-03, Vol.52 (2), p.705-715 |
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| subjects | Adolescent Adult Aged Australia - epidemiology Blood Glucose - analysis Case-Control Studies Chemistry Chemistry and Materials Science Databases, Factual Diet Dietary Carbohydrates - administration & dosage Endometrial Neoplasms - epidemiology Female Glycemic Index Humans Middle Aged Nutrition Original Contribution Risk Factors Young Adult |
| title | Glycemic index, glycemic load and endometrial cancer risk: results from the Australian National Endometrial Cancer study and an updated systematic review and meta-analysis |
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