Meat, fish, and esophageal cancer risk: a systematic review and dose-response meta-analysis

Salehi, Maryam; Moradi‐Lakeh, Maziar; Salehi, Mohhamad Hossein; Nojomi, Marzieh; Kolahdooz, Fariba

doi:10.1111/nure.12028

Cited by 99 publications

(73 citation statements)

References 69 publications

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“…In developing and less developed countries, the death rate from cancer will be higher due to weak economic conditions, greater tobacco use, poor diet, greater alcohol consumption, higher incidence of other cancers and, most importantly, lack of adequate access to diagnostic and treatment facilities (Liu et al, 2014;Mao et al, 2011;Rezaianzadeh et al, 2016;Rezaianzadeh et al, 2017). Conversely, incidence of some cancers, such as EC, was reduced in developed countries due to better treatment methods, better lifestyle screening, lower risk of infectious diseases, and better access to health care services (Lin et al, 2013;Mai et al, 2014;Salehi et al, 2013;Spechler, 2013). Moreover, in countries with better economic and social conditions, and particularly access to earlier diagnosis of diseases, the survival rate of patients will presumably be greater.…”

Section: Discussionmentioning

confidence: 99%

“…EC is one of the cancers that are strongly associated with social and economic status (Dar et al, 2013;Wang et al, 2015). Studies have shown that tobacco, weak nutrition and alcohol are most associated with EC, especially the SCC type (Lin et al, 2013;Liu et al, 2014;Salehi et al, 2013). Furthermore, low income populations have a higher chance of mortality from EC because they have less access to prevention and treatment services (Wang et al, 2013;Wei et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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The incidence and mortality of esophageal cancer and its relationship with development in the world

Hassanipour

Mohammadian-Hafshejani

Ghoncheh

et al. 2017

Biomed. Res. Ther.

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Introduction: Understanding the epidemiology of Esophageal Cancer (EC) seems to be essential in order to plan and control it. The aim of this study was to investigate the incidence and mortality rate of EC and its relationship with the worldwide Human Development Index (HDI) of 2012. Materials and Methods: This study was an ecological study which assessed the correlation of age-standardized incidence rate (ASIR) and agestandardized mortality rate (ASMR) of EC with HDI and its components. ASIR and ASMR data for EC were extracted from the global cancer project for the year 2012. Statistical analyses were performed by SPSS 16. Results: From EC were recorded worldwide in 2012, there was a total of 455,784 incidents of EC (70.86% males and 29.14% females; ratio of males to females was 2.43:1) and 400,169 mortalities (70.27% males and 29.73% females; ratio of males to females was 2.36:1). The correlation between HDI and SIR was -0.121 (p=0.105); with -0.061 (p=0.415) for men and -0.190 (p=0.010) for women. Moreover, the correlation between HDI and SMR was -0.156 (p=0.036), with -0.101

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The incidence and mortality of esophageal cancer and its relationship with development in the world

Hassanipour

Mohammadian-Hafshejani

Ghoncheh

et al. 2017

Biomed. Res. Ther.

View full text Add to dashboard Cite

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“…Another four meta-analyses confirmed an increased risk of both squamous and adenocarcinoma with higher red and/or processed meat intake, 19,20,23,25 however, there is evidence for heterogeneity by the cancer subtype. 21 For pancreatic cancer, red meat intake indicated a nonsignificantly increased risk, while for processed meat the association was significant (table I). This was confirmed in a meta-analysis based on eleven prospective studies.…”

Section: Artículo Especialmentioning

confidence: 99%

The role of diet in cancer: the epidemiologic link

2016

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Diet is an important modifiable risk factor for cancer. Adequate diet modification may play a key role in reducing the incidence of some cancers. ResumenLa dieta es un factor de riesgo modificable importante para el cáncer. Una modificación adecuada puede jugar un papel clave en la reducción de la incidencia de algunos cánceres. La evidencia epidemiológica sugiere enlaces de algunas exposiciones nutricionales con cánceres específicos. Esta revisión actualiza y resume los datos existentes sobre factores de la dieta que se relacionan con la prevención del cáncer, que fueron evaluados en 2007 por el World Cancer Research Fund/American Institute for Cancer Research, e identifica áreas para profundizar en investigación. Se discuten mecanismos de acción de los nutrientes. Para la prevención del cáncer, la evidencia epidemiológica se relaciona con los alimentos de origen vegetal, carnes procesadas y alcohol. Se necesita más investigación para aclarar la relación que tienen con el cáncer ciertos alimentos como lácteos, granos, diferentes tipos de carbohidratos, y otros factores que podrían intervenir: micronutrientes presentes en los alimentos contra suplementos, grasas industriales trans, preparación de alimentos y hábitos alimentarios. Esto facilitaría la creación de estrategias seguras de prevención de cáncer. 2 The report led to the formulation of cancer prevention recommendations on food, nutrition and physical activity, based on epidemiological evidence linking dietary or nutritional components with individual cancer risks. Some dietary factors are believed to play a direct role in cancer prevention; while others are more likely to act through obesity-related mechanisms.2 Despite the growing body of evidence, uncertainty remains for some foods and nutrients; subsequent updates of the 2007 report (Continuous Update Projects, CUP) have further reviewed the evidence for individual cancer sites.3 The aim of this review was to combine the evidence for individual cancers, discuss and update existing data for the dietary factors rated as having strong (convincing or probable) or limitedsuggestive evidence in relation to cancer prevention for at least one cancer. In the present revision recent reviews and key papers were searched for in PubMed with relevant keywords (cancer site/exposure) since the year when the relevant updated report was published, until June 2015. However, this paper did not involve a full systematic review. The review focuses on thirteen cancers with the highest incidence in men and women worldwide listed by Globocan 2012: 4 breast, prostate, lung, colorectal, cervix uteri, stomach, liver, corpus uteri, ovary, oesophagus, bladder, kidney, pancreas. Cancers of non-Hodgkin's lymphoma and leukaemia were excluded due to limited evidence for individual cancers; the WCRF/AICR report considered them jointly and concluded that more research is needed in order to be able to draw any conclusions. 2Foods items that presented a protective effect in more than one cancer site were: fruits, vegetables, coff...

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“…19 A recent literature review reported that processed meat was significantly associated with esophageal adenocarcinoma, but not with ESCC. 20 Although a number of epidemiologic studies have focused on the association between processed meat and EC, there is a limited number of studies that specified the association between salted meat and ESCC. 21,22 Yanting County, located in the Southwest China, is among the several high ESCC risk areas in the country.…”

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confidence: 99%

Consumption of salted meat and its interactions with alcohol drinking and tobacco smoking on esophageal squamous-cell carcinoma

et al. 2015

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Etiology of esophageal cancer has not yet been clearly documented, especially in high-risk regions. To evaluate the association between salted meat intake and esophageal squamous-cell carcinoma (ESCC) and to explore its joint effects with alcohol drinking and smoking, a population-based case-control study was conducted in a high ESCC risk area in China, including 942 incident ESCC cases and 942 age-and sex-matching controls. A validated food frequency questionnaire was used to collect information on dietary factors, alcohol drinking and tobacco smoking. Conditional logistic regressions were applied to estimate the association between salted meat intake and ESCC and its interactions with alcohol drinking and smoking, with adjustment for other confounders, including total energy intake. Salted meat intake was associated with an increased risk of ESCC, showing an exposure-response relationship (p for trend <0.001). Consumption of 50 g salted meat per week was related to an increased risk by 18% (odds ratio 5 1.18, 95% confidence interval: 1.13-1.23). Salted meat in combination with either alcohol drinking or smoking had a greater risk than salted meat alone, which was more than additive. The strongest association was seen in the combination of all the three factors, particularly at the highest level of salted meat intake (odds ratio 5 29.27, 95% confidence interval: 13.21-64.89). Salted meat intake is strongly associated with ESCC and its interactions with alcohol drinking and/or smoking highlights the significance of reducing salted meat intake among smokers and drinkers with respect to ESCC prevention.Esophageal cancer (EC) is one of the most common cancers in the world, with very high incidence and mortality rates in some developing countries. China is among the countries with the highest incidence rate, contributing to half of the total cases and deaths. 1 In China, >90% of EC occurs in the form of esophageal squamous-cell carcinoma (ESCC). Despite a steady decline in mortality from this cancer over the recent two decades, the incidence and mortality in China remained in the top of the world. Moreover, the 5-year survival rate of ESCC was low in China, ranging 10-30%, because of poor prognosis and lack of effective treatments. 2 Hence, implementation of effective prevention and control of the cancer are of vital importance.Alcohol drinking and tobacco smoking are two wellestablished risk factors for ESCC. [3][4][5][6][7] It is generally recognized that dietary factors play important roles in the development of this cancer. [8][9][10][11][12] However, whether alcohol drinking and smoking interact with diets in the development of ESCC is unclear. Recently, concerns over a high incidence of ESCC have been linked to consumption of processed meat. But, findings from previous studies on the associations between processed meat and ESCC were not consistent. [13][14][15][16][17][18] A varied definition of processed meat might partially explain the inconsistency of the results. 19 A recent literature review reported that...

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Meat, fish, and esophageal cancer risk: a systematic review and dose-response meta-analysis

Cited by 99 publications

References 69 publications

The incidence and mortality of esophageal cancer and its relationship with development in the world

The incidence and mortality of esophageal cancer and its relationship with development in the world

The role of diet in cancer: the epidemiologic link

Consumption of salted meat and its interactions with alcohol drinking and tobacco smoking on esophageal squamous-cell carcinoma

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