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                                        Résumé : 
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                                        [BDSP. Notice produite par INIST-CNRS 6T6R0xP1. Diffusion soumise à autorisation]. Epidemiologic data suggest that consumption of whole-grain products may be inversely associated with risk of pancreatic cancer. Grain intake was examined in a population-based case-control study of pancreatic cancer in the San Francisco Bay Area (1995-1999). A 131-item semiquantitative food frequency questionnaire was administered to 532 cases and 1,701 controls. Odds ratios and 95% confidence intervals were computed as estimates of relative risk. Persons who consumed>2 servings of whole grains daily had a lower risk of pancreatic cancer than persons who consumed<1 serving/day (odds ratio (OR)=0.60,95% confidence interval (Cl) : 0.31,1.2 ; trend-p=0.04). Similar results were observed for brown rice (OR=0.72,95% Cl : 0.44,1.2 ; trend-p=0.01) and tortillas (OR=0.56,95% Cl : 0.35,0.89 ; trend-p=0.02). Consumption of doughnuts (>2 servings/week vs.<1 serving/month) conferred increased risk (OR=1.8,95% Cl : 1.2,2.7 ; trend-p=0.003). Consumption of cooked breakfast cereals (>2 servings/week vs.<1 serving/month) was positively associated with risk (for oatmeal/oat bran, OR=1.3,95% Cl : 1.0,1.7 ; for other cooked breakfast cereals, OR=2.1,95% Cl : 1.4,3.3). Dietary fiber was inversely associated with risk (for highest quartile vs. lowest, OR=0.65,95% Cl : 0.47,0.89 ; trend-p=0.02). These data provide some support for the hypothesis that consuming more whole-grain or high-fiber foods may reduce the risk of pancreatic cancer. Refined grains were not associated with risk.
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