Dietary Iron, Zinc, and Calcium and the Risk of Lung Cancer

Background: Iron, zinc, and calcium are all involved in the metabolism of reactive oxygen species and may compete with each other for similar binding sites. Dietary intakes of these micronutrients have been associated with altered risks of colorectal, breast, and prostate cancers. Methods: In this M...

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Veröffentlicht in:Epidemiology (Cambridge, Mass.) Mass.), 2005-11, Vol.16 (6), p.772-779
Hauptverfasser: Zhou, Wei, Park, Sohee, Liu, Geoffrey, Miller, David P., Wang, Lisa I., Pothier, Lucille, Wain, John C., Lynch, Thomas J., Giovannucci, Edward, Christiani, David C.
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container_end_page 779
container_issue 6
container_start_page 772
container_title Epidemiology (Cambridge, Mass.)
container_volume 16
creator Zhou, Wei
Park, Sohee
Liu, Geoffrey
Miller, David P.
Wang, Lisa I.
Pothier, Lucille
Wain, John C.
Lynch, Thomas J.
Giovannucci, Edward
Christiani, David C.
description Background: Iron, zinc, and calcium are all involved in the metabolism of reactive oxygen species and may compete with each other for similar binding sites. Dietary intakes of these micronutrients have been associated with altered risks of colorectal, breast, and prostate cancers. Methods: In this Massachusetts hospital-based case-control study of 923 patients with lung cancer and 1125 healthy controls, we studied the associations between dietary iron, zinc, and calcium intake and the risk of lung cancer. Dietary intake was assessed at the time of recruitment (1992 to 2000) with the use of a 126-item semiquantitative food-frequency questionnaire. We analyzed the data using multiple logistic regression models adjusting for smoking history and other potential risk factors. Results: The adjusted odds ratios of dietary iron, zinc, and calcium from food sources were 1.45 (95% confidence interval = 1.03-2.06), 0.71 (0.50-0.99), and 1.64 (1.17-2.29), respectively, for the highest quintile versus the lowest quintile of each micronutrient. Stronger associations between micronutrients and lung cancer risk were found when iron, zinc, and calcium were included together in the same model. The associations between dietary micronutrients intake and lung cancer risk were stronger among current smokers than among former smokers. When we examined intake from supplements as well as diet, associations were similar to those for diet alone. Conclusions: Dietary iron, zinc, and calcium may play an important role in the development of lung cancer, especially among current smokers. These results need to be confirmed in large prospective studies.
doi_str_mv 10.1097/01.ede.0000181311.11585.59
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Dietary intakes of these micronutrients have been associated with altered risks of colorectal, breast, and prostate cancers. Methods: In this Massachusetts hospital-based case-control study of 923 patients with lung cancer and 1125 healthy controls, we studied the associations between dietary iron, zinc, and calcium intake and the risk of lung cancer. Dietary intake was assessed at the time of recruitment (1992 to 2000) with the use of a 126-item semiquantitative food-frequency questionnaire. We analyzed the data using multiple logistic regression models adjusting for smoking history and other potential risk factors. Results: The adjusted odds ratios of dietary iron, zinc, and calcium from food sources were 1.45 (95% confidence interval = 1.03-2.06), 0.71 (0.50-0.99), and 1.64 (1.17-2.29), respectively, for the highest quintile versus the lowest quintile of each micronutrient. Stronger associations between micronutrients and lung cancer risk were found when iron, zinc, and calcium were included together in the same model. The associations between dietary micronutrients intake and lung cancer risk were stronger among current smokers than among former smokers. When we examined intake from supplements as well as diet, associations were similar to those for diet alone. Conclusions: Dietary iron, zinc, and calcium may play an important role in the development of lung cancer, especially among current smokers. 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Dietary intakes of these micronutrients have been associated with altered risks of colorectal, breast, and prostate cancers. Methods: In this Massachusetts hospital-based case-control study of 923 patients with lung cancer and 1125 healthy controls, we studied the associations between dietary iron, zinc, and calcium intake and the risk of lung cancer. Dietary intake was assessed at the time of recruitment (1992 to 2000) with the use of a 126-item semiquantitative food-frequency questionnaire. We analyzed the data using multiple logistic regression models adjusting for smoking history and other potential risk factors. Results: The adjusted odds ratios of dietary iron, zinc, and calcium from food sources were 1.45 (95% confidence interval = 1.03-2.06), 0.71 (0.50-0.99), and 1.64 (1.17-2.29), respectively, for the highest quintile versus the lowest quintile of each micronutrient. Stronger associations between micronutrients and lung cancer risk were found when iron, zinc, and calcium were included together in the same model. The associations between dietary micronutrients intake and lung cancer risk were stronger among current smokers than among former smokers. When we examined intake from supplements as well as diet, associations were similar to those for diet alone. Conclusions: Dietary iron, zinc, and calcium may play an important role in the development of lung cancer, especially among current smokers. 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Hygiene-occupational medicine</subject><subject>Risk Factors</subject><subject>Smoking - adverse effects</subject><subject>Smoking - epidemiology</subject><subject>Smoking cessation</subject><subject>Statistical median</subject><subject>Surveys and Questionnaires</subject><subject>Tumors of the respiratory system and mediastinum</subject><subject>Zinc</subject><subject>Zinc - administration &amp; dosage</subject><issn>1044-3983</issn><issn>1531-5487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1r3DAQhkVIaNK0PyHFBNpT7Gr0Zak9lc0nLARKe-lFaKVx14nXTiWb0H9fbbxkj9VFI-l5Z9BDyDnQCqipP1OoMGBF8wINHKACkFpW0hyQE5AcSil0fZhrKkTJjebH5G1KDxmvOcg35BgUYwxUfUK-XrY4uvi3uItDf1H8ant_Ubg-FAvX-XbavNTjGovvbXoshqZYTv3v_Nh7jO_IUeO6hO93-yn5eX31Y3FbLu9v7hbflqUXpqalkWYFTihgwXgJ9co4VAYCd4EzrzhqJj0wSjX12HDGHDIMKxNcTYVhgZ-ST3Pfpzj8mTCNdtMmj13nehymZJVWOv9Y_hdkIDjVTGXwywz6OKQUsbFPsd1kDRao3Tq2FGx2bPeO7YtjK00Of9hNmVYbDPvoTmoGPu4Al7zrmphttWnP1dJIJWjmxMw9D92IMT120zNGu0bXjet5tBK6zGYkQD6V25tt7GyOPaRxiK9tGRVagWD8H9lvmzU</recordid><startdate>200511</startdate><enddate>200511</enddate><creator>Zhou, Wei</creator><creator>Park, Sohee</creator><creator>Liu, Geoffrey</creator><creator>Miller, David P.</creator><creator>Wang, Lisa I.</creator><creator>Pothier, Lucille</creator><creator>Wain, John C.</creator><creator>Lynch, Thomas J.</creator><creator>Giovannucci, Edward</creator><creator>Christiani, David C.</creator><general>Lippincott Williams &amp; Wilkins</general><general>Lippincott Williams &amp; Wilkins, Inc</general><scope>IQODW</scope><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>7QP</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200511</creationdate><title>Dietary Iron, Zinc, and Calcium and the Risk of Lung Cancer</title><author>Zhou, Wei ; Park, Sohee ; Liu, Geoffrey ; Miller, David P. ; Wang, Lisa I. ; Pothier, Lucille ; Wain, John C. ; Lynch, Thomas J. ; Giovannucci, Edward ; Christiani, David C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4970-959b1a4612d9c517b9ae691d3ad32c63e825c120080cef322ae2edb9da70492d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Calcium</topic><topic>Calcium, Dietary - administration &amp; dosage</topic><topic>Case-Control Studies</topic><topic>Cigarette smoking</topic><topic>Dietary iron</topic><topic>Female</topic><topic>Humans</topic><topic>Iron, Dietary - administration &amp; dosage</topic><topic>Logistic Models</topic><topic>Lung neoplasms</topic><topic>Lung Neoplasms - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Micronutrients</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Modeling</topic><topic>Pneumology</topic><topic>Prostate cancer</topic><topic>Public health. 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Dietary intakes of these micronutrients have been associated with altered risks of colorectal, breast, and prostate cancers. Methods: In this Massachusetts hospital-based case-control study of 923 patients with lung cancer and 1125 healthy controls, we studied the associations between dietary iron, zinc, and calcium intake and the risk of lung cancer. Dietary intake was assessed at the time of recruitment (1992 to 2000) with the use of a 126-item semiquantitative food-frequency questionnaire. We analyzed the data using multiple logistic regression models adjusting for smoking history and other potential risk factors. Results: The adjusted odds ratios of dietary iron, zinc, and calcium from food sources were 1.45 (95% confidence interval = 1.03-2.06), 0.71 (0.50-0.99), and 1.64 (1.17-2.29), respectively, for the highest quintile versus the lowest quintile of each micronutrient. Stronger associations between micronutrients and lung cancer risk were found when iron, zinc, and calcium were included together in the same model. The associations between dietary micronutrients intake and lung cancer risk were stronger among current smokers than among former smokers. When we examined intake from supplements as well as diet, associations were similar to those for diet alone. Conclusions: Dietary iron, zinc, and calcium may play an important role in the development of lung cancer, especially among current smokers. These results need to be confirmed in large prospective studies.</abstract><cop>Philadelphia, PA</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>16222167</pmid><doi>10.1097/01.ede.0000181311.11585.59</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Calcium
Calcium, Dietary - administration & dosage
Case-Control Studies
Cigarette smoking
Dietary iron
Female
Humans
Iron, Dietary - administration & dosage
Logistic Models
Lung neoplasms
Lung Neoplasms - epidemiology
Male
Medical sciences
Micronutrients
Middle Aged
Miscellaneous
Modeling
Pneumology
Prostate cancer
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Smoking - adverse effects
Smoking - epidemiology
Smoking cessation
Statistical median
Surveys and Questionnaires
Tumors of the respiratory system and mediastinum
Zinc
Zinc - administration & dosage
title Dietary Iron, Zinc, and Calcium and the Risk of Lung Cancer
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