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Dietary glycemic index, glycemic load, and lung cancer risk: A case-control study in Los Angeles County.


ABSTRACT:

Background

Although there is some evidence of positive associations between both the glycemic index (GI) and glycemic load (GL) with cancer risk, the relationships with lung cancer risk remain largely unexplored. We evaluated the associations between GI and GL with lung cancer.

Methods

The analyses were performed using data from a population-based case-control study recruited between 1999 and 2004 in Los Angeles County. Dietary factors were collected from 593 incident lung cancer cases and 1026 controls using a modified food frequency questionnaire. GI and GL were estimated using a food composition table. Adjusted odds ratios (ORs) and 95 % confidence intervals (CI) were estimated using unconditional logistic regression adjusting for potential confounders.

Results

Dietary GI was positively associated with lung cancer (OR for upper vs. lower tertile = 1.62; 95 % CI: 1.17, 2.25). For histologic subtypes, positive associations were observed between GI and adenocarcinoma (OR for upper vs. lower tertile = 1.82; 95 % CI: 1.22, 2.70) and small cell carcinoma (OR for upper vs. lower tertile = 2.68; 95 % CI: 1.25, 5.74). No clear association between GL and lung cancer was observed.

Conclusion

These findings suggest that high dietary GI was associated with increased lung cancer risk, and the positive associations were observed for both lung adenocarcinoma and small cell lung carcinoma. Replication in an independent dataset is merited for a broader interpretation of our results.

SUBMITTER: Chang CP 

PROVIDER: S-EPMC7734880 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Dietary glycemic index, glycemic load, and lung cancer risk: A case-control study in Los Angeles County.

Chang Chun-Pin CP   Meyers Travis J TJ   Fu Alan A   Zhang Ming-Yan MY   Tashkin Donald P DP   Rao Jian-Yu JY   Cozen Wendy W   Mack Thomas M TM   Hashibe Mia M   Morgenstern Hal H   Zhang Zuo-Feng ZF  

Cancer epidemiology 20201008


<h4>Background</h4>Although there is some evidence of positive associations between both the glycemic index (GI) and glycemic load (GL) with cancer risk, the relationships with lung cancer risk remain largely unexplored. We evaluated the associations between GI and GL with lung cancer.<h4>Methods</h4>The analyses were performed using data from a population-based case-control study recruited between 1999 and 2004 in Los Angeles County. Dietary factors were collected from 593 incident lung cancer  ...[more]

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