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Sources of macro- and micronutrients in Italian women: results from a food frequency questionnaire for cancer studies. 意大利妇女宏量营养素和微量营养素的来源:癌症研究食物频率调查问卷的结果。
A. Favero, S. Salvini, A. Russo, M. Parpinel, E. Negri, A. Decarli, C. la Vecchia, A. Giacosa, S. Franceschi
The knowledge of major sources of macro- and micronutrients is essential in order to interpret differences in the diet-cancer link in various geographical areas and to provide better nutritional guidelines. For this purpose we took advantage of the control group of a case-control study on breast cancer carried out in six Italian areas. The dietary habits of 2,588 cancer-free women aged 20-74 years (median age 56) were elicited between 1991 and 1994 by means of an interviewer-administered food frequency questionnaire (FFQ) that included 78 foods or food groups, in addition to several questions on general dietary pattern (e.g., fat in seasoning). Bread was the first contributor for total energy (12%), protein (8%) and starch (32%) intake, whereas, for saturated fatty acid, the first sources were different types of cheese (28%); for monounsaturated fatty acids the dressing oils of salad and tomatoes (12%); and, for sugars, apples and pears (19%). Raw vegetables and fresh fruit represented the most important source of most vitamins. The first contributors of vitamin C and beta-carotene were citrus fruits (29%) and raw carrots (17%), respectively. Thus, between 40 and 80% of specific macronutrient intake and up to 90% intake of several micronutrients were derived from the first ten foods or food groups. Often, the major contributors to the intake of a specific component were foods with a relatively low content, but eaten in large quantities. This work further highlights the specificity of nutrient sources in southern European populations.
了解宏量营养素和微量营养素的主要来源对于解释不同地理区域饮食与癌症关系的差异和提供更好的营养指导至关重要。为此,我们利用了在意大利六个地区开展的乳腺癌病例对照研究的对照组。1991年至1994年间,2588名年龄在20-74岁(中位年龄56岁)的无癌症女性的饮食习惯通过访谈者管理的食物频率问卷(FFQ)得到,问卷包括78种食物或食物组,此外还有一些关于一般饮食模式的问题(例如,调味料中的脂肪)。面包是总能量(12%)、蛋白质(8%)和淀粉(32%)摄入量的第一来源,而饱和脂肪酸的第一来源是不同类型的奶酪(28%);单不饱和脂肪酸:沙拉和西红柿的调味油(12%);而对于糖,苹果和梨(19%)。生蔬菜和新鲜水果是大多数维生素的最重要来源。维生素C和β -胡萝卜素的主要来源分别是柑橘类水果(29%)和生胡萝卜(17%)。因此,40%至80%的特定宏量营养素摄入量和高达90%的几种微量营养素摄入量来自前10种食物或食物组。通常,摄入某种特定成分的主要因素是那些含量相对较低但吃得很多的食物。这项工作进一步强调了南欧人群营养来源的特殊性。
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引用次数: 80
Major human cancers are preventable: physiological stimuli induce a dopamine-thyroid-immune efficient mechanism. 主要的人类癌症是可以预防的:生理刺激诱导多巴胺-甲状腺-免疫有效机制。
C. Gilbert
It is proposed that the prerequisites for a low-risk to major cancers-breast, colon, lung, prostate, melanoma (as, for example in Africans, Chinese and Japanese) - include upregulated hypothalamic dopaminergic activity compared to depressed noradrenergic/thyrogenic function and raised vagal tone, and a neuroendocrine constellation that promotes improved immune efficiency and its inimical to the onset of aversive cell responses. Since the integrity of these tissues is regulated by hypothalamic-hypophyseal hormones, under tonic dopaminergic inhibition, cancers are potentially preventable as long as dopaminergic integrity is maintained, or the decline in ageing in slowed. Evidence for the impact of upregulated dopamine on tumour prevention includes: (1) a reduced (40%) rate of colonic cancer in exercised-trained ageing subjects; (2) reduced expected rates of lung/colon cancers, and skin tumours in prolonged post-menopausal oestrogen replacement; (3) the virtual suppression of all cancers during pregnancy (when dopamine synthesis increases); (4) the low rate of bronchogenic carcinoma correlates with reduced enzymatic conversion of dopamine to noradrenaline; and (5) neuroblastoma (specifically dopamine dysregulated tumour) regresses spontaneously on dopamine normalization. Similar tumour reduction is anticipated by controlling the intake of calories. The subtlety of the switch to upregulated dopamine, the speed of translation at the cellular level and the sustainability of responses as long as the initiating stimulus persists (as exposed by pregnancy), underline the plasticity of the neuroendocrine mechanism and ease of manipulation. Long exposure to environmental iodine deficiency, as seen for example in Africans and Chinese, reveals a crucial dopamine-thyroid action that slows cell timing mechanisms. The common neurohormonal basis identified for the prevention of human cancers has practical application, with reasonably assured positive results.
主要癌症——乳腺癌、结肠癌、肺癌、前列腺癌、黑色素瘤(如非洲人、中国人和日本人)的低风险的先决条件包括下丘脑多巴胺能活性的上调,而去甲肾上腺素能/甲状腺功能的抑制和迷走神经张力的升高,以及促进免疫效率提高的神经内分泌系统,它对厌恶细胞反应的发生是不利的。由于这些组织的完整性是由下丘脑-垂体激素调节的,在强直性多巴胺能抑制下,只要保持多巴胺能的完整性,或者延缓衰老的衰退,癌症就有可能被预防。多巴胺上调对肿瘤预防影响的证据包括:(1)在锻炼有素的老年受试者中降低(40%)结肠癌的发病率;(2)长期绝经后雌激素替代降低了肺癌/结肠癌和皮肤肿瘤的预期发病率;(3)怀孕期间所有癌症的虚拟抑制(当多巴胺合成增加时);(4)支气管源性癌的低发生率与多巴胺转化为去甲肾上腺素的酶促减少有关;(5)神经母细胞瘤(特别是多巴胺失调肿瘤)在多巴胺正常化过程中自发消退。通过控制卡路里的摄入,类似的肿瘤减少有望实现。切换到上调多巴胺的微妙性,细胞水平上的翻译速度和反应的可持续性,只要初始刺激持续存在(如妊娠暴露),强调了神经内分泌机制的可塑性和易于操作。长期暴露于环境碘缺乏中,例如非洲人和中国人,揭示了一种至关重要的多巴胺-甲状腺作用,它减缓了细胞的计时机制。确定用于预防人类癌症的共同神经激素基础具有实际应用,并具有合理保证的积极结果。
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引用次数: 9
Dietary levels of plant phenols and other non-nutritive components: could they prevent cancer? 植物酚类和其他非营养成分的饮食水平:它们能预防癌症吗?
L. Dragsted, M. Strube, T. Leth
Several non-nutritive components in fruits, vegetables, herbs and spices have been found to inhibit tumour formation in experimental animals exposed to carcinogens. The active non-nutritive components vary with respect to their chemical structures, and may be classed as phenols, terpenes, indoles, isothiocyanates, allyl sulphides or others. They also seem to work by different mechanisms, being inducers or inhibitors of various enzymes, antioxidants, scavengers of reactive metabolites, or inducers of apoptosis. The dietary levels are generally in the order of 1-100 mg/day for most classes of compounds in the Danish population, and similar levels are expected in most northern European countries. These levels are very low compared with the levels used in most animal experiments, where non-nutritive factors have individually been shown to have inhibitory actions on tumorigenesis. Human long-term intervention trials with antioxidants have generally been discouraging. In human short-term intervention studies, where increased dietary levels of specific vegetables or fruits are studied, doses are also comparatively low. Effects on important enzymes have been reported in several such studies, indicating that low levels of non-nutritive factors could influence carcinogenesis by specific mechanisms. Meta-analyses of cohort studies on specific food items rich in specific non-nutritive components, indicate that carotenoid- or glucosinolate-rich foods protect against some cancers, while flavonoid rich food items do not uniformly show protective effects.
在接触致癌物质的实验动物中,水果、蔬菜、草药和香料中的几种非营养成分被发现能抑制肿瘤的形成。活性非营养成分因其化学结构而异,可分为酚类、萜烯类、吲哚类、异硫氰酸酯类、烯丙基硫化物类或其他。它们似乎也通过不同的机制起作用,作为各种酶的诱导剂或抑制剂、抗氧化剂、反应性代谢物的清除剂或细胞凋亡的诱导剂。在丹麦人口中,大多数种类的化合物的饮食水平一般为1-100毫克/天,预计在大多数北欧国家也有类似的水平。与大多数动物实验中使用的水平相比,这些水平非常低,在大多数动物实验中,非营养因素已被单独证明对肿瘤发生有抑制作用。抗氧化剂的人体长期干预试验通常令人沮丧。在人体短期干预研究中,研究了增加特定蔬菜或水果的饮食水平,剂量也相对较低。在一些这样的研究中已经报道了对重要酶的影响,表明低水平的非营养因素可能通过特定机制影响致癌。对富含特定非营养成分的特定食物的队列研究的荟萃分析表明,富含类胡萝卜素或硫代葡萄糖苷的食物可以预防某些癌症,而富含类黄酮的食物并没有统一显示出保护作用。
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引用次数: 50
Micronutrients and breast cancer. 微量营养素和乳腺癌
S. Franceschi
A large part of the epidemiological debate on diet and breast cancer has been dominated by the issue of whether fat, particularly animal fat, increases risk. Lately, the possible protective effect of various dietary constituents has received more attention. Vitamins C and E, and beta-carotene have antioxidant activity and may thus provide a cellular defence against reactive oxygen species that damage DNA. Dietary fibre may influence oestrogen metabolism. A large case-control study (2,569 breast cancer and 2,588 hospital controls) conducted in six Italian areas between 1991 and 1994 suggested that a diet rich in several micronutrients was associated with significantly lowered risk. After allowance for non-dietary risk correlates, energy intake and the mutual confounding effect of the various micronutrients, beta-carotene, vitamin E and calcium were associated with odds ratios in the highest intake quintile compared to the lowest one of 0.84, 0.75 and 0.81, respectively. Among different types of fibre, only cellulose intake showed a moderate inverse association. Evidence from other studies suggests that a favourable role of some micronutrients is possible, albeit probably less important than for cancers of the stomach and colon-rectum. Indeed, the relationship between fruit and vegetable intake is also less marked/consistent for breast cancer than for other sites. Among agents that have only recently been investigated, isoflavones, which are weak oestrogens, are of particular interest.
在关于饮食和乳腺癌的流行病学辩论中,脂肪(尤其是动物脂肪)是否会增加患乳腺癌的风险这一问题一直占据主导地位。近年来,各种膳食成分可能的保护作用受到越来越多的关注。维生素C、维生素E和-胡萝卜素具有抗氧化活性,因此可能为细胞提供防御,防止破坏DNA的活性氧。膳食纤维可能影响雌激素代谢。1991年至1994年期间在意大利六个地区进行的一项大型病例对照研究(2,569名乳腺癌患者和2,588名医院对照者)表明,富含几种微量营养素的饮食与显著降低风险有关。在考虑非饮食风险相关因素后,能量摄入和各种微量营养素(β -胡萝卜素、维生素E和钙)的相互混淆效应与最高摄入五分位数的比值比相关,分别为0.84、0.75和0.81。在不同类型的纤维中,只有纤维素摄入量呈中等负相关。来自其他研究的证据表明,一些微量营养素的有利作用是可能的,尽管可能不如胃癌和结肠直肠癌那么重要。事实上,与其他部位相比,乳腺癌中水果和蔬菜摄入量之间的关系也不那么明显/一致。在最近才被研究的药物中,异黄酮是一种弱雌激素,引起了特别的兴趣。
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引用次数: 5
AIDS turnaround: first remedy the adverse effects of the condom policy. 艾滋病扭转局面:首先补救避孕套政策的不利影响。
A. Gjorgov
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引用次数: 0
Synchrotron radiation sources. 同步辐射源。
Luciano Fonda
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引用次数: 0
Endogenous N-nitrosation. 内生N-nitrosation。
M. Hill
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引用次数: 6
Endogenous production by N-nitroso compounds. n -亚硝基化合物的内源性生产。
I. Rowland
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引用次数: 1
General background on diet and cancer. 关于饮食和癌症的基本背景。
M. Hill
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引用次数: 1
Hormone replacement therapy, breast and endometrial cancer. 激素替代疗法,乳腺癌和子宫内膜癌。
C. la Vecchia
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引用次数: 2
期刊
European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation
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