|本期目录/Table of Contents|

[1]袁平,陈铁晖,林修全,等.福建省主要消化道肿瘤高低发区甘薯摄入及其他相关因素分析[J].慢性病学杂志,2016,(10):1083-1087.
　YUAN Ping*,CHEN Tie-hui,LIN Xu-quan,et al.Analysis on sweet potato and other influential factors of digestive tumor in high and low prevelance areas in Fujian province[J].,2016,(10):1083-1087.
点击复制

福建省主要消化道肿瘤高低发区甘薯摄入及其他相关因素分析(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2016年10期
页码:
1083-1087
栏目:
论著
出版日期:
2016-11-27

文章信息/Info

Title:
Analysis on sweet potato and other influential factors of digestive tumor in high and low prevelance areas in Fujian province
作者:
袁平1; 2; 陈铁晖1; 2; 林修全1; 2; 林曙光1; 2; 林仲1; 2
1. 福建省疾病预防控制中心，福州350001；2. 福建医科大学公卫学院教学基地，福州350108
Author(s):
YUAN Ping*;  CHEN Tie-hui;  LIN Xu-quan;  LIN Shu-guang;  LIN Zhong
*Fujian Center for Disease Control and Prevention, Fuzhou, Fujian 350001, China Corespording Guthor: YUAN Ping , E-amil: 44177719@qq.com
关键词:
消化道肿瘤; 甘薯; 饮食; 流行病学
Keywords:
Digestive system cancer;  Sweet potato;  Dietary;  Epidemiology
分类号:
R735.3
DOI:
-
摘要:
目的探讨福建省不同消化道肿瘤高低发区甘薯等饮食摄入与消化道肿瘤的关系。方法按照多 阶段分层随机抽样的方法确定福建省5 个疾病监测点的调查对象，采用入户调查方式对2 930 名调查对象 进行问卷调查(含半定量食物频率调查)，按各种消化道肿瘤死亡率的平均值为标准，将5 个监测点分别划分 为胃癌、肠癌、肝癌高低发区，采用多因素logistic 回归分析其影响。结果肠癌在老年多发，可能降低 两地肠癌发病水平的因素有常吃甘薯、采用蒸或煮方式烹调、甘薯摄入量在主食中占比较大、每日甘薯摄 入量多（近1 年和10 年前）、饮用自来水或桶装水等；可能升高两地肠癌发病水平的因素有粮谷类摄入量 大以及水产品摄入量过多。胃癌在中老年多发，可能影响两地胃癌发病水平的因素有甘薯摄入量在主食中 占比较大、每日甘薯摄入量多（10 年前）。肝癌在青壮年高发，之后随着年龄的增长呈下降趋势，可能影 响两地肝癌发病水平的因素有饮用红茶或龙井茶、自来水或桶装水、饮茶频率、水产品摄入等。结论中 青年是预防肝癌的重点人群， 中老年是预防胃癌的重点人群老年人是预防肠癌的重点人群； 鼓励多采用 蒸、煮烹调方式； 增加膳食纤维摄入量对胃、肠癌的预防有积极作用； 饮用清洁水源、适当饮茶等对肠 癌、肝癌预防有积极作用。
Abstract:
Objective To investigate the sweet potato intake and other influence factors in relation to digestive cancer in Fujian province. Methods A total of 2 930 subjects were selected using multi-stage stratified random sampling method and were interviewed in person. Five survey areas were divided into two types (high or low incidence area) for intestinal, gastric and liver cancer, respectively. Data were analyzed by using conditional logistic regression. Results Intestinal cancer had higher prevalence in the elderly population; liver cancer had higher prevalence in young adults; gastric cancer had higher prevalence in middle-aged people. Increased risk of intestinal cancer was associated with adequate intakes of grain and aquatic produce while decreased risk of colorectal cancer was associated with frequent consumption of sweet potato, higher ratio of sweet potato in staple food, steaming or stewing, cleaning water sources. Influence risk of gastric cancer was associated with frequent consumption of sweet potato, higher ratio of sweet potato in staple food. Influence risk of liver cancer was associated with drinking black tea or oolong tea, cleaning water sources and aquatic produce. Conclusion Young adults area primary target population for liver cancer prevention, while elderly population is a primary target for intestinal cancer prevention. It should be encouraged to use steaming and boiling cooking methods and intake sufficient dietary fibers to prevent from gastric and intestinal cancers. The results also encourage drinking from clean water sources and suitable amount of tea to protect against intestinal and liver cancers.

参考文献/References:

[1] Ferlay J, Soerjomataram I, Dikshit R. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012 [J]. Int J Cancer, 2015,136(5):E359-386.
[2] Bray F, Jemal A, Grey N, et al. Global cancer transitions ac? cording to the human development index (2008-2030): A pop? ulation-based study[J]. Lancet Oncol, 2012,13(8):790-801.
[3] Chen W, Zheng R, Baade PD, et al. Cancer statistics in Chi? na, 2015 [J]. CA Cancer J Clin, 2016,1(25):1-18.
[4] 曾倩,崔芳芳,宇传华,等. 中国癌症发病、死亡现状与趋势分 析[J]. 中国卫生统计, 2016,33(2):321-323.
[5] 俞顺章,穆丽娜,蔡琳. 我国两地区上消化道癌症的危险保护因 素和分子流行病学研究[J]. 中华临床医师杂志(电子版),2007,1 (2):86-90.
[6] Iswarya SK, Premarajan KC, Kar SS, et al. Risk factors for the development of colorectal carcinoma: A case control study from South India [J]. World J Gastrointest Oncol, 2016,8(2): 207-214.
[7] 杨月欣,王光亚,潘兴昌. 中国食物成分表2004[M]. 北京:北京 大学医学出版社,2005:21-219.
[8] 陈万青,郑荣寿,张思维. 中国恶性肿瘤的动态变化[J]. 科技导 报,2014,32(26):65-71.
[9] Le Leu RK, Brown IL, Hu Y, et al. Effect of dietary resistant starch and protein on colonic fermentation and intestinal tumou? rigenesis in rats [J]. Carcinogenesis, 2007,28(2):240-245.
[10] 朱丽萍,梅家模,赵军,等. 江西省308 例大肠癌危险因素的病例 对照研究[J]. 中国慢性病预防与控制, 2001,9(3):117-118.
[11] 徐贵发,石劢,李慧,等. 抗性淀粉与大肠癌关系的病例—对照 研究[J]. 营养学报,2006,28(1):11-14.
[12] Thompson CL, Berger NA, Chak A, et al. Racial differences in measures of obesity and risk of colon adenoma [J]. Obesity, 2012,20(3):673-677.
[13] Zeng H, Lazarova DL. Obesity- related colon cancer: dietary factors and their mechanisms of anticancer action [J]. Clin Exp Pharmacol Physiol, 2012,39(2):161-167.
[14] 叶为民,易应南,周天枢,等. 食用鱼露与福建省胃癌死亡率关 系的流行病学研究[J]. 中国公共卫生,1997,13(3):188-189.
[15] 叶为民,易应南,罗仁夏,等. 饮食与胃癌关系的病例对照研究 [J]. 中华预防医学杂志,1998,32(2):100-102.
[16] Zhang Y, Ren JS, Shi JF, et al. International trends in primary liver cancer incidence from 1973 to 2007 [J]. BMC Cancer, 2015,15(1):94.
[17] Ferlay J, Soerjomataram I, Ervik M, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http:// globocan.iarc.fr, accessed on day/month/year.
[18] Sun Z, Chen T, Thorgeirsson SS, et al. Dramatic reduction of liver cancer incidence in young adults: 28 year follow-up of eti? ological interventions in an endemic area of China [J]. Carcino? genesis, 2013,34(8):1800-1805.
[19] 穆丽娜,周学富,丁保国,等. 饮绿茶降低吸烟、饮酒者消化系 统癌发病的病例对照研究[J]. 中华流行病学杂志,2003,24(3): 192-194.

备注/Memo

备注/Memo:
基金项目：福建省自然基金课题（2013J01269） 作者简介：袁平，硕士研究生，副主任医师，研究方向：营养与肿瘤 通信作者：袁平，E-mail: 441777195@qq.com
更新日期/Last Update: 2016-11-27