Alcohol consumption and incidence of pancreatic cancer

Aage Tverdal , Randi Selmer , Dag S. Thelle
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引用次数: 1

Abstract

Purpose

The association between alcohol consumption and pancreatic cancer is unsettled.

Methods

Altogether 243,169 men and women 20–79 years, without cancer at baseline, were followed with respect to pancreatic cancer by linkage to the Cancer Registry of Norway and the Norwegian Cause of Death Registry. They participated in a cardiovascular survey where information on alcohol consumption, smoking habits, anthropometric measures, and some biological variables were recorded. During 20 years of follow-up, 991 incident pancreatic cancers were registered. We estimated the hazard ratios with the Cox proportional hazards model, and graphed spline curves between glass-units/d of alcohol and hazard ratio of incident pancreatic cancer.

Results

The multivariable adjusted hazard per 1 glass-unit/d was 1.08 (95% confidence interval 1.02–1.15) for men and 1.04 (0.97–1.13) for women. The association between alcohol consumption and incident pancreatic cancer was present in ex- and current smokers, but the association could be ascribed to smoking habits. The multivariable adjusted spline curves increased with increasing glass-units/d and with confidence bands not encompassing 1.0 above one glass-unit/day.

Conclusion

Our findings of an association between higher level of alcohol consumption and incident pancreatic cancer, could be attributed to confounding by smoking habits.

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饮酒与胰腺癌发病率
目的:饮酒与胰腺癌之间的关系尚不明确。方法通过与挪威癌症登记处和挪威死亡原因登记处的联系,对243,169名20-79岁的基线无癌症的男性和女性进行胰腺癌随访。他们参加了一项心血管调查,记录了饮酒、吸烟习惯、人体测量指标和一些生物学变量的信息。在20年的随访中,登记了991例胰腺癌病例。我们用Cox比例风险模型估计了风险比,并绘制了玻璃单位/d酒精与胰腺癌发病风险比之间的样条曲线。结果每1玻璃单位/d的多变量校正风险,男性为1.08(95%可信区间1.02 ~ 1.15),女性为1.04(95%可信区间0.97 ~ 1.13)。饮酒与胰腺癌发病之间的联系存在于前吸烟者和现在吸烟者中,但这种联系可以归因于吸烟习惯。多变量调整样条曲线随玻璃单位/天的增加而增加,置信带不包括1.0以上的玻璃单位/天。结论:我们发现高水平饮酒与胰腺癌发病率之间存在关联,这可能归因于吸烟习惯的混淆。
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来源期刊
Global Epidemiology
Global Epidemiology Medicine-Infectious Diseases
CiteScore
5.00
自引率
0.00%
发文量
22
审稿时长
39 days
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