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Armenta-González LL, Hernández-Pérez JG, Feeney EL, Vázquez-Salas A, Galván-Portillo M, López DS, Torres-Sánchez L. Differential association between dairy intake patterns and incident prostate cancer: a potential dairy matrix effect. Eur J Nutr 2024; 63:847-857. [PMID: 38197912 DOI: 10.1007/s00394-023-03315-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 12/18/2023] [Indexed: 01/11/2024]
Abstract
OBJECTIVE To evaluate the association between dairy intake patterns and the risk of prostate cancer (PC), and its histological differentiation, among men from Mexico City. METHODS We analyzed the information from 394 incident PC cases paired by age (± 5 years) with 794 population controls. According to the Gleason score at diagnosis, cases were classified as well- (≤ 6), moderately- (= 7), and poorly differentiated PC (≥ 8). Based on a semiquantitative-food frequency questionnaire and using energy-density approach, we estimated the energy-adjusted daily intake of whole milk, cheese (fresh, Oaxaca, and Manchego), cream, and yogurt. Through a principal component analysis, we identified three dairy intake patterns: whole milk, cheese, and yogurt. The association between each dairy intake pattern and PC was evaluated from independent nonconditional logistic regression models. We also evaluated the mediator role of calcium and saturated fat intake. RESULTS After adjustment, a high intake of whole milk pattern was associated with a 63% increased risk of PC (ORhigh vs low: 1.63; 95% CI 1.17-2.25, p trend = 0.002); at expenses of moderately (ORhigh vs low: 1.77; 95% CI 1.09-2.85, p trend = 0.015) and poorly differentiated PC (ORhigh vs low: 1.75; 95% CI 1.05- 2.92, p trend = 0.031). The association was mainly mediated by calcium intake (proportion mediated = 1.17; p < 0.01). No associations were found between cream and yogurt intake patterns with risk of PC, and its histological grade. CONCLUSIONS A differential association of dairy intake patterns with risk of PC, and the poorly differentiated PC, was identified. This association seems to be determined by different dairy matrices and it is mediated by calcium content. Longitudinal studies are needed to confirm these findings and be able to identify other potential mediators in the etiology of PC.
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Affiliation(s)
- Leticia Lizbeth Armenta-González
- Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Av. Universidad 655, Col Sta. María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico
- Escuela de Salud Pública de México, Instituto Nacional de Salud Publica, Av. Universidad 655, Col Sta. María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico
| | - Jesús Gibran Hernández-Pérez
- Escuela de Salud Pública de México, Instituto Nacional de Salud Publica, Av. Universidad 655, Col Sta. María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico
- Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Av. Universidad 655, Col Sta. María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico
| | - Emma L Feeney
- UCD Institute of Food and Health, Science Centre South, University College Dublin, Dublin, Ireland
| | - Argelia Vázquez-Salas
- Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Av. Universidad 655, Col Sta. María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico
| | - Marcia Galván-Portillo
- Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Av. Universidad 655, Col Sta. María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico
| | - David S López
- Department of Epidemiology, School of Public and Population Health, The University of Texas Medical Branch, Galveston, TX, USA
| | - Luisa Torres-Sánchez
- Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Av. Universidad 655, Col Sta. María Ahuacatitlán, CP. 62100, Cuernavaca, Morelos, Mexico.
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Hernández-Pérez JG, López DS, Rodríguez-Valentín R, Vázquez-Salas RA, Sierra-Santoyo A, Torres-Sánchez L. Late puberty onset and lack of acne during adolescence reduce high-grade prostate cancer at adulthood. Prostate 2023; 83:1342-1350. [PMID: 37415324 DOI: 10.1002/pros.24596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 05/31/2023] [Accepted: 06/27/2023] [Indexed: 07/08/2023]
Abstract
BACKGROUND The interplay between pubertal events patterns (PEP) and prostate cancer (PCa) remains poorly understood. Therefore, we investigated the association of PEP with the odds of PCa, and PCa histological differentiation in men residents of Mexico city. METHODS In this case-control study, we analyzed the information of 371 incident prostate cancer cases and 775 controls matched on age (±5 years). High-grade prostate cancer was classified with Gleason score at diagnosis as ≥8. With information related to beard growth, age at maximum height attainment, and acne severity, the k-medoids algorithm was used to identify three mutually exclusive PEP (early, intermediate, and late). This association was evaluated using multivariable nonconditional logistic regression models. RESULTS Men with late PEP, characterized by age at maximum height attainment at around 23 years and no history of acne, was inversely associated with incident (odds ratio [OR]: 0.27; 95% confidence interval [CI]: 0.15-0.48, p trend <0.01) and high-grade prostate cancer (OR: 0.24; 95% CI: 0.09-0.59, p trend <0.01). Similar associations were observed even after adjusting by IGF-1 (OR: 0.19; 95% CI: 0.06-0.58) and androgens excretion (OR: 0.21; 95% CI: 0.06-0.66). Only the association between the absence of acne and prostate cancer remained significant after adjustment by these biomarkers. CONCLUSIONS This study suggests that pubertal characteristics might be helpful in identifying risk groups, among which, secondary prevention strategies could be applied. Also, the results agree with previous work suggesting other potential biological mechanisms involved in the etiology of prostate cancer such as the infectious and inflammatory pathways.
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Affiliation(s)
| | - David S López
- Department of Epidemiology, School of Public and Population Health, The University of Texas Medical Branch, Galveston, Texas, USA
| | - Rocío Rodríguez-Valentín
- Center for Population Health Research, National Institute of Public Health (INSP), Cuernavaca, Morelos, México
| | - Ruth Argelia Vázquez-Salas
- Center for Population Health Research, National Institute of Public Health (INSP), Cuernavaca, Morelos, México
| | - Adolfo Sierra-Santoyo
- Department of Toxicology, Center for Research and Advanced Studies of the National Polytechnic Institute (Cinvestav-IPN), Mexico City, Mexico
| | - Luisa Torres-Sánchez
- Center for Population Health Research, National Institute of Public Health (INSP), Cuernavaca, Morelos, México
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Metabolic Syndrome and Prostate Cancer Risk in Mexican Men: A Population Case-control Study. Arch Med Res 2022; 53:594-602. [DOI: 10.1016/j.arcmed.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 07/06/2022] [Accepted: 07/15/2022] [Indexed: 11/20/2022]
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