| Titre : | Fish consumption is inversely associated with male lung cancer mortality in countries with high levels of cigarette smoking or animal fat consumption. (2000) |
| Auteurs : | JIANJUN ZHANG . (.) ; H. KESTELOOT ; E.H.M. TEMME ; Department of Epidemiology. School of Public Health. Catholic University of Leuven. Leuven. BEL |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 29, n° 4, 2000) |
| Pagination : | 615-621 |
| Langues: | Anglais |
| Mots-clés : | Régime alimentaire ; Cancer ; Mortalité ; Tabagisme ; Animal vertébré ; Animal ; Epidémiologie ; Facteur risque ; Prévention santé ; Homme ; Appareil respiratoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST Sw6qR0xJ. Diffusion soumise à autorisation]. A striking difference in fish consumption and lung cancer mortality (LCM) exists among populations worldwide. This study investigated the relation between fish consumption and LCM at the population level. Sex-specific LCM data, mostly around 1993 and fish consumption data for 10 periods 1961-1994 in 36 countries were obtained from WHO and FAO, respectively. A significant inverse correlation exists between log fish consumption and LCM rate in 9 out of the 10 time periods (r=-0.34 to r=-0.46, P=0.044 to P=0.005). After adjusting for smoking and other confounders, log fish consumption (% of total energy [% E]) was inversely and significantly associated with LCM rate (per 100 000 per year) in all 10 time periods (bêta=-26.3 to bêta=-36.7) P=0.0039 to P<0.0001). The stratified analysis showed that this inverse relation was significant only in countries with above median level of smoking (>2437 cigarettes/adult/year) or animal fat minus fish fat consumption (22.4% E). An increase in fish consumption by 1% E was calculated to reduce mean male LCM rate of the populations examined in the age class of 45-74 years by 8.4%. In women, no significant relation between fish consumption and LCM could be established. Fish consumption is associated with a reduced risk from LCM, but this possible protective effect is clear-cut only in men and in countries with high levels of cigarette smoking or animal fat consumption. |
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