Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2007-10-31
pubmed:abstractText
Changing patterns of esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC) incidence worldwide suggest distinct etiologies. Although associations between fruit and vegetable intake and both ESCC and EAC have been found in multiple ecological and case-control studies, few prospective studies have investigated these associations. We prospectively examined these associations in 490,802 participants of the National Institutes of Health (NIH)-AARP Diet and Health Study using Cox models adjusted for age, alcohol intake, body mass index, cigarette smoking, education, physical activity and total energy intake. We present hazard ratios and 95% confidence intervals per serving per 1,000 calories. During 2,193,751 person years of follow-up, 103 participants were diagnosed with ESCC and 213 participants with EAC. We found a significant inverse association between total fruit and vegetable intake and ESCC risk (HR: 0.78, 95% CI: 0.67-0.91), but not EAC risk (0.98, 0.90-1.08). In models mutually adjusted for fruit and vegetable intake, the protective association with ESCC was stronger for fruits (0.73, 0.57-0.93) than for vegetables (0.84, 0.66-1.07). When we examined botanical subgroups, we observed significant protective associations for ESCC and intake of Rosacea (apples, peaches, nectarines, plums, pears and strawberries) and Rutaceae (citrus fruits). A significant inverse association between EAC and Chenopodiaceae (spinach) intake was observed. Results from our study suggest that the relation of fruit and vegetable intake and esophageal cancer risk may vary by histologic type.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1097-0215
pubmed:author
pubmed:copyrightInfo
(c) 2007 Wiley-Liss, Inc.
pubmed:issnType
Electronic
pubmed:day
15
pubmed:volume
121
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2753-60
pubmed:meshHeading
pubmed-meshheading:17691111-Adenocarcinoma, pubmed-meshheading:17691111-Aged, pubmed-meshheading:17691111-Carcinoma, Squamous Cell, pubmed-meshheading:17691111-Diet Surveys, pubmed-meshheading:17691111-Esophageal Neoplasms, pubmed-meshheading:17691111-Female, pubmed-meshheading:17691111-Follow-Up Studies, pubmed-meshheading:17691111-Food Habits, pubmed-meshheading:17691111-Fruit, pubmed-meshheading:17691111-Humans, pubmed-meshheading:17691111-Male, pubmed-meshheading:17691111-Middle Aged, pubmed-meshheading:17691111-Odds Ratio, pubmed-meshheading:17691111-Proportional Hazards Models, pubmed-meshheading:17691111-Prospective Studies, pubmed-meshheading:17691111-Risk Assessment, pubmed-meshheading:17691111-Risk Factors, pubmed-meshheading:17691111-United States, pubmed-meshheading:17691111-Vegetables
pubmed:year
2007
pubmed:articleTitle
Fruit and vegetable intake and esophageal cancer in a large prospective cohort study.
pubmed:affiliation
Cancer Prevention Fellowship Program, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
pubmed:publicationType
Journal Article, Research Support, N.I.H., Intramural