Dietary behaviors and survival in people with head and neck cancer: Results from Head and Neck 5000.


Journal

Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541

Informations de publication

Date de publication:
07 2019
Historique:
received: 25 03 2018
revised: 20 12 2018
accepted: 04 01 2019
pubmed: 31 1 2019
medline: 8 10 2020
entrez: 31 1 2019
Statut: ppublish

Résumé

The association between diet and head and neck cancer (HNC) survival is unclear. Cox proportional hazard models measured the association between fruit, vegetable, and deep-fried food intake and HNC overall survival adjusting for clinical, social and lifestyle variables including smoking, alcohol, and HPV status. Fruit and vegetable intake and improved survival were associated in minimally adjusted analyses. Following adjustment for smoking and alcohol consumption (fully adjusted analyses), the association with survival disappeared for fruit (HR 0.91, 95% CI 0.67, 1.23; P for trend = .55) and attenuated for vegetables (HR 0.79, 95% CI 0.61, 1.03; P for trend = .04). We observed no association between survival and deep-fried food intake in minimally adjusted or fully adjusted analyses (HR 0.88 95% CI 0.72, 1.07; P for trend = .13). Vegetable intake and HNC survival are modestly associated. There is some confounding by tobacco and alcohol consumption.

Sections du résumé

BACKGROUND
The association between diet and head and neck cancer (HNC) survival is unclear.
METHODS
Cox proportional hazard models measured the association between fruit, vegetable, and deep-fried food intake and HNC overall survival adjusting for clinical, social and lifestyle variables including smoking, alcohol, and HPV status.
RESULTS
Fruit and vegetable intake and improved survival were associated in minimally adjusted analyses. Following adjustment for smoking and alcohol consumption (fully adjusted analyses), the association with survival disappeared for fruit (HR 0.91, 95% CI 0.67, 1.23; P for trend = .55) and attenuated for vegetables (HR 0.79, 95% CI 0.61, 1.03; P for trend = .04). We observed no association between survival and deep-fried food intake in minimally adjusted or fully adjusted analyses (HR 0.88 95% CI 0.72, 1.07; P for trend = .13).
CONCLUSIONS
Vegetable intake and HNC survival are modestly associated. There is some confounding by tobacco and alcohol consumption.

Identifiants

pubmed: 30698303
doi: 10.1002/hed.25660
pmc: PMC7116031
mid: EMS88728
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2074-2084

Subventions

Organisme : Department of Health
ID : RP-PG-0707-10034
Pays : United Kingdom
Organisme : Programme Grants for Applied Research
ID : RP-PG-0707-10034
Pays : International
Organisme : Cancer Research UK
ID : C18281
Pays : United Kingdom
Organisme : Cancer Research UK
ID : A19169
Pays : United Kingdom

Informations de copyright

© 2019 Wiley Periodicals, Inc.

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Auteurs

Samantha Lang (S)

National Institute of Health (NIHR) Bristol Biomedical Research Centre, Nutrition Theme, University of Bristol, Bristol, United Kingdom.

Sarah Schimansky (S)

National Institute of Health (NIHR) Bristol Biomedical Research Centre, Nutrition Theme, University of Bristol, Bristol, United Kingdom.

Rhona Beynon (R)

Department of Population Health Sciences, University of Bristol Medical School, Bristol, United Kingdom.

Christopher Penfold (C)

National Institute of Health (NIHR) Bristol Biomedical Research Centre, Nutrition Theme, University of Bristol, Bristol, United Kingdom.

Amy Davies (A)

National Institute of Health (NIHR) Bristol Biomedical Research Centre, Nutrition Theme, University of Bristol, Bristol, United Kingdom.

Andrea Waylen (A)

Department of Oral and Dental Sciences, Bristol Dental School, Bristol, United Kingdom.

Steven Thomas (S)

Department of Oral and Dental Sciences, Bristol Dental School, Bristol, United Kingdom.

Miranda Pring (M)

Department of Oral and Dental Sciences, Bristol Dental School, Bristol, United Kingdom.

Michael Pawlita (M)

Molecular Diagnostics of Oncogenic Infections Division, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Tim Waterboer (T)

Infections and Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Andrew R Ness (AR)

National Institute of Health (NIHR) Bristol Biomedical Research Centre, Nutrition Theme, University of Bristol, Bristol, United Kingdom.

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