Adherence to the western, prudent, and mediterranean dietary patterns and chronic lymphocytic leukemia in the MCC-Spain study

Diet is a modifiable risk factor for several neoplasms but evidence for chronic lymphocytic leukemia (CLL) is sparse. Previous studies examining the association between single-food items and CLL risk have yielded mixed results, while few studies have been conducted on overall diet, reporting inconcl...

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Detalles Bibliográficos
Autores: Solans Margalef, Marta, Castelló, Adela, Benavente, Yolanda, Marcos-Gragera, Rafael, Amiano, Pilar, Gracia Lavedan, Esther, Costas, Laura, ​​​​Robles Hellín, Claudia, González Barca, Eva, Banda, Esmeralda de la, Alonso, Esther, Aymerich Gregorio, Marta, Campo Güerri, Elias, Dierssen-Sotos, Trinidad, Fernández-Tardón, Guillermo, Olmedo Requena, Rocío, Gimeno Vázquez, Eva, Castaño-Vinyals, Gemma, Aragonés, Nuria, Kogevinas, Manolis, Sanjosé Llongueras, Silvia de, Pollán, Marina, Casabonne, Delphine
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/16286
Acceso en línea:http://hdl.handle.net/10256/16286
Access Level:acceso abierto
Palabra clave:Leucèmia limfoide
Lymphocytic leukemia
Descripción
Sumario:Diet is a modifiable risk factor for several neoplasms but evidence for chronic lymphocytic leukemia (CLL) is sparse. Previous studies examining the association between single-food items and CLL risk have yielded mixed results, while few studies have been conducted on overall diet, reporting inconclusive findings. This study aimed to evaluate the association between adherence to three dietary patterns and CLL in the multicase-control study (MCC-Spain) study. Anthropometric, sociodemographic, medical and dietary information was collected for 369 CLL cases and 1605 controls. Three validated dietary patterns, Western, Prudent and Mediterranean, were reconstructed in the MCC-Spain data. The association between adherence to each dietary pattern and CLL was assessed, overall and by Rai stage, using mixed logistic regression models adjusted for potential confounders. High adherence to a Western dietary pattern (i.e. high intake of high-fat dairy products, processed meat, refined grains, sweets, caloric drinks, and convenience food) was associated with CLL [ORQ4 vs. Q1=1.63 (95%CI 1.11; 2.39); P-trend=0.02; OR 1-SD increase=1.19 (95%CI: 1.03; 1.37)], independently of Rai stages. No differences in the association were observed according to sex, Body Mass Index, energy intake, tobacco, physical activity, working on a farm, or family history of hematologic malignancies. No associations were observed for Mediterranean and Prudent dietary patterns and CLL. This study provides the first evidence for an association between a Western dietary pattern and CLL, suggesting that a proportion of CLL cases could be prevented by modifying dietary habits. Further research, especially with a prospective design, is warranted to confirm these findings