がんの発生率と死亡リスク: 主に低所得層と黒人集団の研究における食事の質スコアとの関連
Sobia T Siddiqui1, Heather M Munro2, Danxia Yu1
1Department of Medicine, Division of Epidemiology, Vanderbilt Epidemiology Center, Vanderbilt University, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
The American journal of clinical nutrition
|August 30, 2025
まとめ
DASH,EDIP,EDIHのような 食事の質の指標は 南部の多様性のある集団で 癌のリスクとの関連が弱いことを示しました 多様な集団における栄養と癌の予防についてはさらなる研究が必要である.
科学分野:
- 栄養学的流行病学
- 癌の研究
- 公衆衛生
背景:
- 食事の質は 癌の発生率と死亡率に影響を与える 重要な要素です
- 黒人および低社会経済的地位 (SES) の集団における食事の質の指標と癌のリスクに関する研究は限られている.
研究 の 目的:
- 高血圧を止めるための食事アプローチ (DASH),経験的な食事炎症パターン (EDIP),および経験的な食事インデックス (EDIH) のスコアと癌発生率/死亡率との関連を調べる.
- 南部地域コホート研究 (SCCS) 内の総,大腸,前立腺,乳がんに焦点を当てます.
主な方法:
- SCCSの参加者84,507人のデータを利用し,黒人および低SESを持つ人々に焦点を当てました.
- 食品頻度アンケートからDASH,EDIP,EDIHのスコアを計算した.
- 関連性を分析するためにコックスの比例リスクモデルを使用し,混同因子を調整した.
主要な成果:
- 食事の質のスコアは一般的に癌の発生率と死亡率との関連がゼロまたは控えめでした.
- DASHスコアが高くなったと 白人の参加者の大腸がんと前立腺がんの死亡率が低下した.
- ダイエットスコアと炎症や代謝不調のバイオマーカーとの間に強い相関は見つかりませんでした.
結論:
- 低所得者集団であるSCCSでは,食事指数は癌のリスクと弱い関係があるようです.
- 多様な社会経済的・人種的グループに合わせた栄養と癌予防戦略に関するさらなる研究が不可欠であることを強調する.
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