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Epidemiology
Fibre intake and prostate cancer risk
Claudio Pelucchi 1 *, Renato Talamini 2, Carlotta Galeone 1, Eva Negri 1, Silvia Franceschi 3, Luigino Dal Maso 2, Maurizio Montella 4, Ettore Conti 5, Carlo La Vecchia 1 6
1Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy
2Servizio di Epidemiologia e Biostatistica, Centro di Riferimento Oncologico, Aviano (PN), Italy
3International Agency for Research on Cancer, Lyon, France
4Servizio di Epidemiologia, Istituto Tumori Fondazione Pascale, Naples, Italy
5Servizio Integrato di Epidemiologia e Sistemi Informativi (SINTESI), Rome, Italy
6Istituto di Statistica Medica e Biometria, Università degli Studi di Milano, Milan, Italy
email: Claudio Pelucchi (pelucchi@marionegri.it)
*Correspondence to Claudio Pelucchi, Istituto di Ricerche Farmacologiche Mario Negri, Via Eritrea, 62-20157 Milano, Italy
Fax: +39-02-33200231
Dr. Conti is deceased.
Funded by:
Italian Association for Cancer Research
Italian League against Cancer
Abstract
Dietary fibre has been reported to protect from several neoplasms, but the issue remains controversial. No previous study considered in depth the topic of fibres and prostate cancer.
A multicentre case-control study was conducted in Italy from 1991 to 2002, including 1,294 men with incident, histologically confirmed prostate cancer and 1,451 controls admitted to the same network of hospitals as cases with acute nonmalignant conditions.
Multivariate odds ratios (OR) and 95% confidence intervals (CI) were obtained after allowance for major identified confounding factors, including total energy intake.
Compared to the lowest quintile, the OR of prostate cancer for the highest quintile of total fibre intake was 0.93 (95% CI 0.71-1.22).
The risk was inversely related with soluble fibre (OR = 0.89, 95% CI 0.78-1.02, for a difference between 80th and 20th percentile), cellulose (OR = 0.88, 95% CI 0.78-1.01) and vegetable fibre (OR = 0.82, 95% CI 0.73-0.93).
These relationships were consistent across strata of age, family history of prostate cancer, body mass index and education.
Vegetable fibres appear, therefore, to have a favourable association with prostate cancer risk.
International Journal of Cancer
Volume 109, Issue 2 , Pages 278 - 280
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