Mushroom consumption and risk of gastric cancer: a pooled analysis within the stomach cancer pooling project and a combined meta-analysis with other observational studies

Author:

Ba Djibril M.1,Ssentongo Paddy1,Pelucchi Claudio2,Negri Eva23,Palli Domenico4,Ferraroni Monica2,Zhang Zuo-Feng5,Yu Guo-Pei6,Tsugane Shoichiro78,Hidaka Akihisa7,Hamada Gerson Shigueaki9,Zaridze David10,Maximovich Dmitry10,Obón-Santacana Mireia111213,Álvarez-Álvarez Laura14,Vioque Jesus1115,Garcia de la Hera Manoli1115,López-Carrillo Lizbeth16,López-Cervantes Malaquias17,Mu Lina18,Lagiou Areti19,Lagiou Pagona2021,Boffetta Paolo2223,Camargo Maria Constanza24,Curado Maria Paula25,Lunet Nuno262728,La Vecchia Carlo2,Muscat Joshua1

Affiliation:

1. Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA

2. Department of Clinical Sciences and Community Health, University of Milan, Milan

3. Pegaso Online University, Naples

4. Cancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network, ISPRO, Florence, Italy

5. Department of Epidemiology, UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, California, USA

6. Medical Informatics Center, Peking University, Peking, China

7. Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center

8. National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan

9. Nikkei Disease Prevention Center, São Paulo, Brazil

10. Department of Epidemiology and Prevention, Russian N.N. Blokhin Cancer Research Center, Moscow, Russia

11. Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid

12. Unit of Biomarkers and Suceptibility (UBS), Oncology Data Analytics Program (ODAP), Catalan Institute of Oncology (ICO), L’Hospitalet del Llobregat

13. ONCOBELL Program, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, Barcelona

14. Group of Investigation in Interactions Gene-Environment and Health (GIIGAS), Institute of Biomedicine (IBIOMED), University of León, León

15. Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernandez (ISABIAL-UMH), Alicante, Spain

16. Mexico National Institute of Public Health, Morelos

17. Facultad de Medicina, UNAM, Coyoacán, Mexico

18. Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York, USA

19. Department of Public and Community Health, School of Public Health, University of West Attica

20. Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece

21. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts

22. Stony Brook Cancer Center, Stony Brook University, Stony Brook, New York, USA

23. Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy

24. Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland, USA

25. Centro Internacional de Pesquisa, A. C. Camargo Cancer Center, São Paulo, Brazil

26. EPIUnit – Instituto de Saúde Pública da Universidade do Porto

27. Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR)

28. Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal

Abstract

Edible mushrooms have high concentrations of vitamins and minerals. They are considered ‘functional foods’ for their disease-prevention properties. Mushroom consumption may reduce the risk of gastric cancer, the fifth most common cancer worldwide. We investigated the association between mushroom consumption and gastric cancer risk in a pooled analysis within the Stomach Cancer Pooling (StoP) Project and in a meta-analysis that also included previously published studies. A total of 3900 gastric cancer cases and 7792 controls from 11 studies were included in the StoP analysis. Mushroom consumption was measured using food frequency questionnaires. Higher mushroom consumption was associated with a lower risk of gastric cancer [relative risk (RR) for the highest vs. lowest consumption categories, 0.82; 95% confidence interval (CI), 0.71–0.95]. The corresponding RRs were 0.59 (95% CI, 0.26–1.33) in a meta-analysis of four previously published studies and 0.77 for all studies combined (95% CI, 0.63–0.95; n = 15 studies). In geographic subgroup analysis, the pooled risk in Western Pacific countries was (RR, 0.59; 95% CI, 0.40–0.87; n = 6). The stronger effect in Asian countries may reflect high level of antioxidants in mushroom species consumed in Asia.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cancer Research,Public Health, Environmental and Occupational Health,Oncology,Epidemiology

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