Dietary glycaemic index, glycaemic load and head and neck cancer risk: a pooled analysis in an international consortium.
By: Chun-Pin Chang, Carlo La Vecchia, Diego Serraino, Andrew F Olshan, Jose P Zevallos, Hal Morgenstern, Fabio Levi, Werner Garavello, Karl Kelsey, Michael McClean, Chu Chen, Stephen M Schwartz, Stimson Schantz, Guo-Pei Yu, Paolo Boffetta, Mia Hashibe, Yuan-Chin Amy Lee, Maria Parpinel, Livia S A Augustin, Federica Turati, Zuo-Feng Zhang, Valeria Edefonti

Division of Public Health, Department of Family & Preventive Medicine, University of Utah School of Medicine, and Huntsman Cancer Institute, 375 Chipeta Way, Suite A, Salt Lake City, UT, 84108, USA.
2019-07-18; doi: 10.1038/s41416-019-0702-4
Abstract

High dietary glycaemic index (GI) and glycaemic load (GL) may increase cancer risk. However, limited information was available on GI and/or GL and head and neck cancer (HNC) risk. We conducted a pooled analysis on 8 case-control studies (4081 HNC cases; 7407 controls) from the International Head and Neck Cancer Epidemiology (INHANCE) consortium. We estimated the odds ratios (ORs) and 95% confidence intervals (CIs) of HNC, and its subsites, from fixed- or mixed-effects logistic models including centre-specific quartiles of GI or GL. GI, but not GL, had a weak positive association with HNC (ORQ4 vs. Q1 = 1.16; 95% CI = 1.02-1.31). In subsites, we found a positive association between GI and laryngeal cancer (ORQ4 vs. Q1 = 1.60; 95% CI = 1.30-1.96) and an inverse association between GL and oropharyngeal cancer (ORQ4 vs. Q1 = 0.78; 95% CI = 0.63-0.97). This pooled analysis indicates a modest positive association between GI and HNC, mainly driven by laryngeal cancer.





PMID:31929514






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