4.7 Article

Dietary antioxidants and risk of Barrett's esophagus and adenocarcinoma of the esophagus in an Australian population

期刊

INTERNATIONAL JOURNAL OF CANCER
卷 133, 期 1, 页码 214-224

出版社

WILEY-BLACKWELL
DOI: 10.1002/ijc.28016

关键词

dietary antioxidants; antioxidant index score; nondysplastic Barrett's esophagus; dysplastic Barrett's esophagus; esophageal adenocarcinoma

类别

资金

  1. United States National Cancer Institute [CA 001833-03]
  2. National Health and Medical Research Council (NHMRC) of Australia [199600]
  3. NHMRC

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While dietary antioxidants are emerging as potentially modifiable risk factors for esophageal adenocarcinoma (EAC), studies on dietary antioxidants and its precursor Barrett's esophagus (BE) are limited. The present study extends previous work on BE by investigating risks of nondysplastic BE, dysplastic BE and EAC associated with intake of antioxidants such as vitamin C, vitamin E, -carotene, and selenium. Age and sex matched control subjects (n=577 for BE; n=1,507 for EAC) were sampled from an Australian population register. Information on demography, and well established EAC risk factors were obtained using self-administered questionnaires. Intake of antioxidants for patients newly diagnosed with nondysplastic BE (n=266), dysplastic BE (n=101), or EAC (n=299), aged 1879 years, were obtained using a food frequency questionnaire. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using multivariable adjusted logistic regression models. High intake of -carotene from food and supplement sources combined was inversely associated with risk of dysplastic BE (OR Q4 vs. Q1=0.45; 95%CI: 0.201.00). High intake of vitamin E from food sources (OR Q4 vs. Q1=0.43; 95%CI: 0.280.67), from food and supplements combined (OR Q4 vs. Q1=0.64; 95%CI: 0.430.96), and a high antioxidant index score were inversely associated with risk of EAC. We found no significant trends between intake of carotene, vitamin C, vitamin E, and selenium and risk of nondysplastic or dysplastic BE. However, our data suggest that a high intake of -carotene may be associated with decreased risk of dysplastic BE.

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