尿液pH值和新英格兰北部膀癌的风险
Alexander H Fischer1,2, Jason Y Y Wong1, Dalsu Baris1
1Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, Maryland.
概括
酸性尿液pH与更高的膀癌风险有关,特别是在吸烟者中. 这一发现复制了先前的研究,并表明生活方式改变在降低癌症风险方面可能发挥作用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 环境健康 环境健康
- 在瘤学瘤学.
背景情况:
- 酸性尿液的pH值加速了芳香胺在膀中的转化为突变性DNA添加物的过程.
- 之前的研究表明,在西班牙,酸性尿液与膀癌风险增加之间存在联系.
- 这项研究旨在在不同的人群中复制这些发现.
研究的目的:
- 在新英格兰北部调查尿液pH值与膀癌风险之间的关联.
- 为了验证之前关于酸性尿液与膀癌之间的联系的发现.
- 探索吸烟身份在这个协会中的作用.
主要方法:
- 一项以人口为基础的病例控制研究,涉及616例尿癌病例和897例对照.
- 尿液的pH值使用测量棒在4天内和实验室pH值仪测量.
- 用无条件逻辑回归进行分析,对共变量进行调整,并按吸烟状况分层.
主要成果:
- 持续酸性尿液 (pH ≤6.0) 与27%的膀癌风险增加有关 (OR = 1.27).
- 这种关联在常吸烟者中显著.
- 实验室测量证实了尿酸和膀癌风险之间的剂量反应关系,无论是总体还是常吸烟者.
结论:
- 酸性尿液pH与膀癌的风险增加有关.
- 这些发现支持实验数据,将酸性尿液与致癌性芳胺的代谢联系起来.
- 影响尿液pH值的生活方式因素可能在膀癌的发展中起作用.
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