Sugar-Sweetened Beverage Intake and Cancer Recurrence and Survival in CALGB 89803 (Alliance)

被引:64
作者
Fuchs, Michael A. [1 ]
Sato, Kaori [2 ]
Niedzwiecki, Donna [3 ]
Ye, Xing [3 ]
Saltz, Leonard B. [4 ]
Mayer, Robert J. [2 ]
Mowat, Rex B. [5 ]
Whittom, Renaud [6 ]
Hantel, Alexander [7 ]
Benson, Al [8 ]
Atienza, Daniel [9 ]
Messino, Michael [10 ]
Kindler, Hedy [11 ]
Venook, Alan [12 ]
Ogino, Shuji [2 ,13 ]
Wu, Kana [14 ]
Willett, Walter C. [14 ,15 ]
Giovannucci, Edward L. [15 ,16 ,17 ]
Meyerhardt, Jeffrey A. [2 ]
机构
[1] Brown Univ, Providence, RI 02912 USA
[2] Dana Farber Canc Inst, Boston, MA 02115 USA
[3] Duke Univ, Med Ctr, Alliance Stat & Data Ctr, Durham, NC USA
[4] Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA
[5] Toledo Community Hosp, Oncol Program, Toledo, OH USA
[6] Hop Sacre Coeur, Montreal, PQ H4J 1C5, Canada
[7] Loyola Univ, Stritch Sch Med, Naperville, IL USA
[8] Northwestern Univ, Robert H Lurie Comprehens Canc Ctr, Chicago, IL 60611 USA
[9] Virginia Oncol Associates, Norfolk, VA USA
[10] Mission Hosp Inc, Southeast Canc Control Consortium, Asheville, NC USA
[11] Univ Chicago, Chicago, IL 60637 USA
[12] Univ Calif San Francisco, Ctr Comprehens Canc, San Francisco, CA 94143 USA
[13] Brigham & Womens Hosp, Dept Pathol, Boston, MA 02115 USA
[14] Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA
[15] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[16] Brigham & Womens Hosp, Dept Med, Channing Lab, Boston, MA USA
[17] Harvard Univ, Sch Med, Boston, MA USA
来源
PLOS ONE | 2014年 / 9卷 / 06期
关键词
III COLON-CANCER; FOOD FREQUENCY QUESTIONNAIRE; DIETARY GLYCEMIC LOAD; GROWTH-FACTOR-I; COLORECTAL-CANCER; BODY-WEIGHT; EPIDEMIOLOGIC EVIDENCE; PHYSICAL-ACTIVITY; CELL-LINE; C-PEPTIDE;
D O I
10.1371/journal.pone.0099816
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: In colon cancer patients, obesity, sedentary lifestyle, and high dietary glycemic load have been associated with increased risk of cancer recurrence. High sugar-sweetened beverage intake has been associated with obesity, diabetes, and cardio-metabolic diseases, but the influence on colon cancer survival is unknown. Methods: We assessed the association between sugar-sweetened beverage consumption on cancer recurrence and mortality in 1,011 stage III colon cancer patients who completed food frequency questionnaires as part of a U.S. National Cancer Institute-sponsored adjuvant chemotherapy trial. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated with Cox proportional hazard models. Results: Patients consuming >= 2 servings of sugar-sweetened beverages per day experienced an adjusted HR for disease recurrence or mortality of 1.67 (95% CI, 1.04-2.68), compared with those consuming <2 servings per month (P-trend = 0.02). The association of sugar-sweetened beverages on cancer recurrence or mortality appeared greater among patients who were both overweight (body mass index >= 25 kg/m(2)) and less physically active (metabolic equivalent task-hours per week < 18) (HR = 2.22; 95% CI, 1.29-3.81, P-trend = 0.0025). Conclusion: Higher sugar-sweetened beverage intake was associated with a significantly increased risk of cancer recurrence and mortality in stage III colon cancer patients.
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页数:9
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