학술논문
Yoghurt Intake and Gastric Cancer: A Pooled Analysis of 16 Studies of the StoP Consortium
Document Type
article
Author
Giulia Collatuzzo; Eva Negri; Claudio Pelucchi; Rossella Bonzi; Federica Turati; Charles S. Rabkin; Linda M. Liao; Rashmi Sinha; Domenico Palli; Monica Ferraroni; Lizbeth López-Carrillo; Nuno Lunet; Samantha Morais; Demetrius Albanes; Stephanie J. Weinstein; Dominick Parisi; David Zaridze; Dmitry Maximovitch; Trinidad Dierssen-Sotos; José Juan Jiménez-Moleón; Jesus Vioque; Manoli Garcia de la Hera; Maria Paula Curado; Emmanuel Dias-Neto; Raúl Ulises Hernández-Ramírez; Malaquias López-Cervantes; Mary H. Ward; Shoichiro Tsugane; Akihisa Hidaka; Areti Lagiou; Pagona Lagiou; Zuo-Feng Zhang; Antonia Trichopoulou; Anna Karakatsani; Maria Constanza Camargo; Carlo La Vecchia; Paolo Boffetta
Source
Nutrients, Vol 15, Iss 8, p 1877 (2023)
Subject
Language
English
ISSN
15081877
2072-6643
2072-6643
Abstract
Background: Yoghurt can modify gastrointestinal disease risk, possibly acting on gut microbiota. Our study aimed at exploring the under-investigated association between yoghurt and gastric cancer (GC). Methods: We pooled data from 16 studies from the Stomach Cancer Pooling (StoP) Project. Total yoghurt intake was derived from food frequency questionnaires. We calculated study-specific odds ratios (ORs) of GC and the corresponding 95% confidence intervals (CIs) for increasing categories of yoghurt consumption using univariate and multivariable unconditional logistic regression models. A two-stage analysis, with a meta-analysis of the pooled adjusted data, was conducted. Results: The analysis included 6278 GC cases and 14,181 controls, including 1179 cardia and 3463 non-cardia, 1191 diffuse and 1717 intestinal cases. The overall meta-analysis revealed no association between increasing portions of yoghurt intake (continuous) and GC (OR = 0.98, 95% CI = 0.94–1.02). When restricting to cohort studies, a borderline inverse relationship was found (OR = 0.93, 95% CI = 0.88–0.99). The adjusted and unadjusted OR were 0.92 (95% CI = 0.85–0.99) and 0.78 (95% CI = 0.73–0.84) for any vs. no yoghurt consumption and GC risk. The OR for 1 category of increase in yoghurt intake was 0.96 (95% CI = 0.91–1.02) for cardia, 1.03 (95% CI = 1.00–1.07) for non-cardia, 1.12 (95% CI = 1.07–1.19) for diffuse and 1.02 (95% CI = 0.97–1.06) for intestinal GC. No effect was seen within hospital-based and population-based studies, nor in men or women. Conclusions: We found no association between yoghurt and GC in the main adjusted models, despite sensitivity analyses suggesting a protective effect. Additional studies should further address this association.