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West Ashley Library
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Fish, n-3 PUFA consumption, and pancreatic cancer risk in Japanese: a large, population-based, prospective cohort study.
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- Author(s): Akihisa Hidaka; Taichi Shimazu; Norie Sawada; Taiki Yamaji; Motoki Iwasaki; Shizuka Sasazuki; Manami Inoue; Shoichiro Tsugane
- Source:
American Journal of Clinical Nutrition; Dec2015, Vol. 102 Issue 6, p1490-1497, 8p, 3 Charts- Subject Terms:
SMOKING; PANCREATIC tumors; DIET therapy for cancer patients; CONFIDENCE intervals; ALCOHOL drinking; EPIDEMIOLOGICAL research; FISHES; INGESTION; LONGITUDINAL method; NOSOLOGY; OMEGA-3 fatty acids; PROBABILITY theory; QUESTIONNAIRES; RESEARCH evaluation; RESEARCH funding; STATISTICAL hypothesis testing; DOCOSAHEXAENOIC acid; EICOSAPENTAENOIC acid; BODY mass index; PROPORTIONAL hazards models; PHYSICAL activity; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; TUMOR risk factors - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Most previous prospective studies in Western countries found no association between consumption of fish and n-3 (v-3) polyunsaturated fatty acids (PUFAs), such as eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA), and docosahexaenoic acid (DHA), for which the main source is fish, and pancreatic cancer risk. However, prospective evidence is still lacking among populations who have a relatively higher fish consumption. Objective: We investigated the association between fish and n-3 PUFA consumption and pancreatic cancer risk in a population-based, prospective study in Japanese men and women. Design: The Japan Public Health Center-based Prospective Study (JPHC study) has enrolled 140,420 subjects. We analyzed data on 82,024 eligible participants aged 45-74 y without a history of cancer who responded to a validated food-frequency questionnaire that included 138 items in 1995 for cohort I and in 1998 for cohort II. Participants were followed through 2010. HRs and corresponding 95% CIs for the highest compared with lowest quartile were calculated by using multivariable-adjusted Cox proportional hazards regression models. Results: During 1,068,774 person-years of follow-up, 449 newly diagnosed pancreatic cancers were identified. After the exclusion of pancreatic cancer cases in the first 3 y of follow-up, we found an inverse association of marine n-3 PUFA (EPA+DPA+DHA) and DHA consumption with pancreatic cancer risk: compared with the lowest quartile, multivariate-adjusted HRs in the highest quartile were 0.70 (95% CI: 0.51, 0.95; P-trend = 0.07) and 0.69 (0.51, 0.94; P-trend = 0.03), respectively. Associations for total fish, n-3 PUFA, EPA, and DPA consumption were similar but were not significant. Conclusion: High n-3 PUFA, especially marine n-3 PUFAs, and DHA consumption was associated with a lower risk of pancreatic cancer in a population with a large variation in fish consumption, although the data apply to only a portion of the JPHC study subjects. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Clinical Nutrition is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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