Dietary patterns and gastric cancer risk

A systematic review and meta-analysis

P. Bertuccio, V. Rosato, A. Andreano, M. Ferraroni, A. Decarli, V. Edefonti, C. La Vecchia

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

Background: Declines in gastric cancer (GC) incidence and mortality have been related to improvements in diet. It is therefore important to consider dietary patterns. Design: We conducted a systematic review and meta-analysis of the literature through Medline and Embase databases. Results: We identified 16 papers, of these 9 derived dietary patterns through an a posteriori method, 5 through a priori scores, and 2 used both approaches. Eight studies that used the a posteriori approach were considered for the meta-analysis. A favorable role on GC emerged for the 'Prudent/healthy', with an odds ratio (OR) of 0.75 [95% confidence interval (CI): 0.63-0.90], for the highest versus the lowest category. Similar results emerged for separate anatomical subtypes. An unfavorable role on GC emerged for the 'Western/unhealthy' dietary pattern, with an OR of 1.51 (95% CI: 1.21-1.89). This association was weaker for the distal/NOS (not otherwise specified) category (OR = 1.36) compared with the cardia GC (OR = 2.05). Among the a priori scores, the ORs ranged from 0.2 to 0.7 for the favorable and from 1.8 to 6.9 for the unfavorable ones. Conclusion: There is a ~2-fold difference in GC risk between a 'Prudent/healthy' diet-rich in fruits and vegetables, and a 'Western/unhealthy' diet-rich in starchy foods, meat and fats.

Original languageEnglish
Pages (from-to)1450-1458
Number of pages9
JournalAnnals of Oncology
Volume24
Issue number6
DOIs
Publication statusPublished - Jun 2013

Fingerprint

Stomach Neoplasms
Meta-Analysis
Odds Ratio
Confidence Intervals
Diet
Cardia
Vegetables
Meat
Fruit
Fats
Databases
Food
Mortality
Incidence

Keywords

  • Dietary patterns
  • Gastric cancer
  • Meta-analysis
  • Review
  • Score

ASJC Scopus subject areas

  • Oncology
  • Hematology

Cite this

Bertuccio, P., Rosato, V., Andreano, A., Ferraroni, M., Decarli, A., Edefonti, V., & La Vecchia, C. (2013). Dietary patterns and gastric cancer risk: A systematic review and meta-analysis. Annals of Oncology, 24(6), 1450-1458. https://doi.org/10.1093/annonc/mdt108

Dietary patterns and gastric cancer risk : A systematic review and meta-analysis. / Bertuccio, P.; Rosato, V.; Andreano, A.; Ferraroni, M.; Decarli, A.; Edefonti, V.; La Vecchia, C.

In: Annals of Oncology, Vol. 24, No. 6, 06.2013, p. 1450-1458.

Research output: Contribution to journalArticle

Bertuccio, P, Rosato, V, Andreano, A, Ferraroni, M, Decarli, A, Edefonti, V & La Vecchia, C 2013, 'Dietary patterns and gastric cancer risk: A systematic review and meta-analysis', Annals of Oncology, vol. 24, no. 6, pp. 1450-1458. https://doi.org/10.1093/annonc/mdt108
Bertuccio P, Rosato V, Andreano A, Ferraroni M, Decarli A, Edefonti V et al. Dietary patterns and gastric cancer risk: A systematic review and meta-analysis. Annals of Oncology. 2013 Jun;24(6):1450-1458. https://doi.org/10.1093/annonc/mdt108
Bertuccio, P. ; Rosato, V. ; Andreano, A. ; Ferraroni, M. ; Decarli, A. ; Edefonti, V. ; La Vecchia, C. / Dietary patterns and gastric cancer risk : A systematic review and meta-analysis. In: Annals of Oncology. 2013 ; Vol. 24, No. 6. pp. 1450-1458.
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