Prediagnostic Calcium Intake and Lung Cancer Survival: A Pooled Analysis of 12 Cohort Studies.
Identifieur interne : 000579 ( Main/Exploration ); précédent : 000578; suivant : 000580Prediagnostic Calcium Intake and Lung Cancer Survival: A Pooled Analysis of 12 Cohort Studies.
Auteurs : Danxia Yu [États-Unis] ; Yumie Takata [États-Unis] ; Stephanie A. Smith-Warner [États-Unis] ; William Blot [États-Unis] ; Norie Sawada [Japon] ; Emily White [États-Unis] ; Neal Freedman [États-Unis] ; Kim Robien ; Edward Giovannucci [États-Unis] ; Xuehong Zhang [États-Unis] ; Yikyung Park [États-Unis] ; Yu-Tang Gao [République populaire de Chine] ; Rowan T. Chlebowski [États-Unis] ; Arnulf Langhammer [Norvège] ; Gong Yang [États-Unis] ; Gianluca Severi [France] ; Jonas Manjer [Suède] ; Kay-Tee Khaw [Royaume-Uni] ; Elisabete Weiderpass [Norvège] ; Linda M. Liao [États-Unis] ; Neil Caporaso [États-Unis] ; Steinar Krokstad [Norvège] ; Kristian Hveem [Norvège] ; Rashmi Sinha [États-Unis] ; Regina Ziegler [États-Unis] ; Shoichiro Tsugane [Japon] ; Yong-Bing Xiang [République populaire de Chine] ; Mattias Johansson [France] ; Wei Zheng [États-Unis] ; Xiao-Ou Shu [États-Unis]Source :
- Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology [ 1538-7755 ] ; 2017.
Abstract
Background: Lung cancer is the leading cause of cancer death. Little is known about whether prediagnostic nutritional factors may affect survival. We examined the associations of prediagnostic calcium intake from foods and/or supplements with lung cancer survival.Methods: The present analysis included 23,882 incident, primary lung cancer patients from 12 prospective cohort studies. Dietary calcium intake was assessed using food-frequency questionnaires at baseline in each cohort and standardized to caloric intake of 2,000 kcal/d for women and 2,500 kcal/d for men. Stratified, multivariable-adjusted Cox regression was applied to compute hazard ratios (HR) and 95% confidence intervals (CI).Results: The 5-year survival rates were 56%, 21%, and 5.7% for localized, regional, and distant stage lung cancer, respectively. Low prediagnostic dietary calcium intake (<500-600 mg/d, less than half of the recommendation) was associated with a small increase in risk of death compared with recommended calcium intakes (800-1,200 mg/d); HR (95% CI) was 1.07 (1.01-1.13) after adjusting for age, stage, histology, grade, smoking status, pack-years, and other potential prognostic factors. The association between low calcium intake and higher lung cancer mortality was evident primarily among localized/regional stage patients, with HR (95% CI) of 1.15 (1.04-1.27). No association was found for supplemental calcium with survival in the multivariable-adjusted model.Conclusions: This large pooled analysis is the first, to our knowledge, to indicate that low prediagnostic dietary calcium intake may be associated with poorer survival among early-stage lung cancer patients.Impact: This multinational prospective study linked low calcium intake to lung cancer prognosis. Cancer Epidemiol Biomarkers Prev; 26(7); 1060-70. ©2017 AACR.
DOI: 10.1158/1055-9965.EPI-16-0863
PubMed: 28264875
Affiliations:
- France, Japon, Norvège, Royaume-Uni, République populaire de Chine, Suède, États-Unis
- Californie, Maryland, Massachusetts, Missouri (État), Région de Kantō, Tennessee, Trøndelag, Washington (État), Østlandet
- Oslo, Tokyo, Trondheim
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type="state">Maryland</region></placeName><wicri:cityArea>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Tsugane, Shoichiro" sort="Tsugane, Shoichiro" uniqKey="Tsugane S" first="Shoichiro" last="Tsugane">Shoichiro Tsugane</name><affiliation wicri:level="3"><nlm:affiliation>Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Xiang, Yong Bing" sort="Xiang, Yong Bing" uniqKey="Xiang Y" first="Yong-Bing" last="Xiang">Yong-Bing Xiang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Johansson, Mattias" sort="Johansson, Mattias" uniqKey="Johansson M" first="Mattias" last="Johansson">Mattias Johansson</name><affiliation wicri:level="1"><nlm:affiliation>Genetic Epidemiology Group, International Agency for Research on Cancer, Lyons, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Genetic Epidemiology Group, International Agency for Research on Cancer, Lyons</wicri:regionArea><wicri:noRegion>Lyons</wicri:noRegion><wicri:noRegion>Lyons</wicri:noRegion></affiliation></author><author><name sortKey="Zheng, Wei" sort="Zheng, Wei" uniqKey="Zheng W" first="Wei" last="Zheng">Wei Zheng</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Shu, Xiao Ou" sort="Shu, Xiao Ou" uniqKey="Shu X" first="Xiao-Ou" last="Shu">Xiao-Ou Shu</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee. xiao-ou.shu@vanderbilt.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, 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type="wicri:Area/Main/Exploration">000579</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prediagnostic Calcium Intake and Lung Cancer Survival: A Pooled Analysis of 12 Cohort Studies.</title><author><name sortKey="Yu, Danxia" sort="Yu, Danxia" uniqKey="Yu D" first="Danxia" last="Yu">Danxia Yu</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Takata, Yumie" sort="Takata, Yumie" uniqKey="Takata Y" first="Yumie" last="Takata">Yumie Takata</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Smith Warner, Stephanie A" sort="Smith Warner, Stephanie A" uniqKey="Smith Warner S" first="Stephanie A" last="Smith-Warner">Stephanie A. Smith-Warner</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Departments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Blot, William" sort="Blot, William" uniqKey="Blot W" first="William" last="Blot">William Blot</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Sawada, Norie" sort="Sawada, Norie" uniqKey="Sawada N" first="Norie" last="Sawada">Norie Sawada</name><affiliation wicri:level="3"><nlm:affiliation>Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="White, Emily" sort="White, Emily" uniqKey="White E" first="Emily" last="White">Emily White</name><affiliation wicri:level="2"><nlm:affiliation>Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, Washington.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle</wicri:cityArea></affiliation></author><author><name sortKey="Freedman, Neal" sort="Freedman, Neal" uniqKey="Freedman N" first="Neal" last="Freedman">Neal Freedman</name><affiliation wicri:level="2"><nlm:affiliation>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Robien, Kim" sort="Robien, Kim" uniqKey="Robien K" first="Kim" last="Robien">Kim Robien</name><affiliation><nlm:affiliation>Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia.</nlm:affiliation><wicri:noCountry code="subField">District of Columbia</wicri:noCountry></affiliation></author><author><name sortKey="Giovannucci, Edward" sort="Giovannucci, Edward" uniqKey="Giovannucci E" first="Edward" last="Giovannucci">Edward Giovannucci</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Departments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Zhang, Xuehong" sort="Zhang, Xuehong" uniqKey="Zhang X" first="Xuehong" last="Zhang">Xuehong Zhang</name><affiliation wicri:level="2"><nlm:affiliation>Dana Farber Cancer Institute, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Dana Farber Cancer Institute, Brigham and Women's Hospital and Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Park, Yikyung" sort="Park, Yikyung" uniqKey="Park Y" first="Yikyung" last="Park">Yikyung Park</name><affiliation wicri:level="2"><nlm:affiliation>Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation></author><author><name sortKey="Gao, Yu Tang" sort="Gao, Yu Tang" uniqKey="Gao Y" first="Yu-Tang" last="Gao">Yu-Tang Gao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Chlebowski, Rowan T" sort="Chlebowski, Rowan T" uniqKey="Chlebowski R" first="Rowan T" last="Chlebowski">Rowan T. Chlebowski</name><affiliation wicri:level="2"><nlm:affiliation>Los Angeles Biomedical Research Institute at the Harbor-UCLA Medical Center, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Los Angeles Biomedical Research Institute at the Harbor-UCLA Medical Center, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="Langhammer, Arnulf" sort="Langhammer, Arnulf" uniqKey="Langhammer A" first="Arnulf" last="Langhammer">Arnulf Langhammer</name><affiliation wicri:level="3"><nlm:affiliation>HUNT Research Centre, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>HUNT Research Centre, NTNU, Norwegian University of Science and Technology, Trondheim</wicri:regionArea><placeName><settlement type="city">Trondheim</settlement><region type="région" nuts="2">Trøndelag</region></placeName></affiliation></author><author><name sortKey="Yang, Gong" sort="Yang, Gong" uniqKey="Yang G" first="Gong" last="Yang">Gong Yang</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Severi, Gianluca" sort="Severi, Gianluca" uniqKey="Severi G" first="Gianluca" last="Severi">Gianluca Severi</name><affiliation wicri:level="1"><nlm:affiliation>Université Paris-Saclay, Université Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Paris-Saclay, Université Paris-Sud, UVSQ, CESP, INSERM, Villejuif</wicri:regionArea><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation></author><author><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Lund University, University Hospital Malmö, Malmö, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Surgery, Lund University, University Hospital Malmö, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author><author><name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name><affiliation wicri:level="1"><nlm:affiliation>Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge School of Clinical Medicine, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge School of Clinical Medicine</wicri:regionArea><wicri:noRegion>University of Cambridge School of Clinical Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name><affiliation wicri:level="3"><nlm:affiliation>Department of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Liao, Linda M" sort="Liao, Linda M" uniqKey="Liao L" first="Linda M" last="Liao">Linda M. Liao</name><affiliation wicri:level="2"><nlm:affiliation>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Caporaso, Neil" sort="Caporaso, Neil" uniqKey="Caporaso N" first="Neil" last="Caporaso">Neil Caporaso</name><affiliation wicri:level="2"><nlm:affiliation>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Krokstad, Steinar" sort="Krokstad, Steinar" uniqKey="Krokstad S" first="Steinar" last="Krokstad">Steinar Krokstad</name><affiliation wicri:level="3"><nlm:affiliation>HUNT Research Centre, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>HUNT Research Centre, NTNU, Norwegian University of Science and Technology, Trondheim</wicri:regionArea><placeName><settlement type="city">Trondheim</settlement><region type="région" nuts="2">Trøndelag</region></placeName></affiliation></author><author><name sortKey="Hveem, Kristian" sort="Hveem, Kristian" uniqKey="Hveem K" first="Kristian" last="Hveem">Kristian Hveem</name><affiliation wicri:level="3"><nlm:affiliation>HUNT Research Centre, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>HUNT Research Centre, NTNU, Norwegian University of Science and Technology, Trondheim</wicri:regionArea><placeName><settlement type="city">Trondheim</settlement><region type="région" nuts="2">Trøndelag</region></placeName></affiliation></author><author><name sortKey="Sinha, Rashmi" sort="Sinha, Rashmi" uniqKey="Sinha R" first="Rashmi" last="Sinha">Rashmi Sinha</name><affiliation wicri:level="2"><nlm:affiliation>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Ziegler, Regina" sort="Ziegler, Regina" uniqKey="Ziegler R" first="Regina" last="Ziegler">Regina Ziegler</name><affiliation wicri:level="2"><nlm:affiliation>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Tsugane, Shoichiro" sort="Tsugane, Shoichiro" uniqKey="Tsugane S" first="Shoichiro" last="Tsugane">Shoichiro Tsugane</name><affiliation wicri:level="3"><nlm:affiliation>Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Xiang, Yong Bing" sort="Xiang, Yong Bing" uniqKey="Xiang Y" first="Yong-Bing" last="Xiang">Yong-Bing Xiang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Johansson, Mattias" sort="Johansson, Mattias" uniqKey="Johansson M" first="Mattias" last="Johansson">Mattias Johansson</name><affiliation wicri:level="1"><nlm:affiliation>Genetic Epidemiology Group, International Agency for Research on Cancer, Lyons, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Genetic Epidemiology Group, International Agency for Research on Cancer, Lyons</wicri:regionArea><wicri:noRegion>Lyons</wicri:noRegion><wicri:noRegion>Lyons</wicri:noRegion></affiliation></author><author><name sortKey="Zheng, Wei" sort="Zheng, Wei" uniqKey="Zheng W" first="Wei" last="Zheng">Wei Zheng</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Shu, Xiao Ou" sort="Shu, Xiao Ou" uniqKey="Shu X" first="Xiao-Ou" last="Shu">Xiao-Ou Shu</name><affiliation wicri:level="2"><nlm:affiliation>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, Tennessee. xiao-ou.shu@vanderbilt.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author></analytic><series><title level="j">Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology</title><idno type="eISSN">1538-7755</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Lung cancer is the leading cause of cancer death. Little is known about whether prediagnostic nutritional factors may affect survival. We examined the associations of prediagnostic calcium intake from foods and/or supplements with lung cancer survival.Methods: The present analysis included 23,882 incident, primary lung cancer patients from 12 prospective cohort studies. Dietary calcium intake was assessed using food-frequency questionnaires at baseline in each cohort and standardized to caloric intake of 2,000 kcal/d for women and 2,500 kcal/d for men. Stratified, multivariable-adjusted Cox regression was applied to compute hazard ratios (HR) and 95% confidence intervals (CI).Results: The 5-year survival rates were 56%, 21%, and 5.7% for localized, regional, and distant stage lung cancer, respectively. Low prediagnostic dietary calcium intake (<500-600 mg/d, less than half of the recommendation) was associated with a small increase in risk of death compared with recommended calcium intakes (800-1,200 mg/d); HR (95% CI) was 1.07 (1.01-1.13) after adjusting for age, stage, histology, grade, smoking status, pack-years, and other potential prognostic factors. The association between low calcium intake and higher lung cancer mortality was evident primarily among localized/regional stage patients, with HR (95% CI) of 1.15 (1.04-1.27). No association was found for supplemental calcium with survival in the multivariable-adjusted model.Conclusions: This large pooled analysis is the first, to our knowledge, to indicate that low prediagnostic dietary calcium intake may be associated with poorer survival among early-stage lung cancer patients.Impact: This multinational prospective study linked low calcium intake to lung cancer prognosis. Cancer Epidemiol Biomarkers Prev; 26(7); 1060-70. ©2017 AACR.</div></front></TEI><affiliations><list><country><li>France</li><li>Japon</li><li>Norvège</li><li>Royaume-Uni</li><li>République populaire de Chine</li><li>Suède</li><li>États-Unis</li></country><region><li>Californie</li><li>Maryland</li><li>Massachusetts</li><li>Missouri (État)</li><li>Région de Kantō</li><li>Tennessee</li><li>Trøndelag</li><li>Washington (État)</li><li>Østlandet</li></region><settlement><li>Oslo</li><li>Tokyo</li><li>Trondheim</li></settlement></list><tree><noCountry><name sortKey="Robien, Kim" sort="Robien, Kim" uniqKey="Robien K" first="Kim" last="Robien">Kim Robien</name></noCountry><country name="États-Unis"><region name="Tennessee"><name sortKey="Yu, Danxia" sort="Yu, Danxia" uniqKey="Yu D" first="Danxia" last="Yu">Danxia Yu</name></region><name sortKey="Blot, William" sort="Blot, William" uniqKey="Blot W" first="William" last="Blot">William Blot</name><name sortKey="Caporaso, Neil" sort="Caporaso, Neil" uniqKey="Caporaso N" first="Neil" last="Caporaso">Neil Caporaso</name><name sortKey="Chlebowski, Rowan T" sort="Chlebowski, Rowan T" uniqKey="Chlebowski R" first="Rowan T" last="Chlebowski">Rowan T. Chlebowski</name><name sortKey="Freedman, Neal" sort="Freedman, Neal" uniqKey="Freedman N" first="Neal" last="Freedman">Neal Freedman</name><name sortKey="Giovannucci, Edward" sort="Giovannucci, Edward" uniqKey="Giovannucci E" first="Edward" last="Giovannucci">Edward Giovannucci</name><name sortKey="Liao, Linda M" sort="Liao, Linda M" uniqKey="Liao L" first="Linda M" last="Liao">Linda M. Liao</name><name sortKey="Park, Yikyung" sort="Park, Yikyung" uniqKey="Park Y" first="Yikyung" last="Park">Yikyung Park</name><name sortKey="Shu, Xiao Ou" sort="Shu, Xiao Ou" uniqKey="Shu X" first="Xiao-Ou" last="Shu">Xiao-Ou Shu</name><name sortKey="Sinha, Rashmi" sort="Sinha, Rashmi" uniqKey="Sinha R" first="Rashmi" last="Sinha">Rashmi Sinha</name><name sortKey="Smith Warner, Stephanie A" sort="Smith Warner, Stephanie A" uniqKey="Smith Warner S" first="Stephanie A" last="Smith-Warner">Stephanie A. Smith-Warner</name><name sortKey="Takata, Yumie" sort="Takata, Yumie" uniqKey="Takata Y" first="Yumie" last="Takata">Yumie Takata</name><name sortKey="White, Emily" sort="White, Emily" uniqKey="White E" first="Emily" last="White">Emily White</name><name sortKey="Yang, Gong" sort="Yang, Gong" uniqKey="Yang G" first="Gong" last="Yang">Gong Yang</name><name sortKey="Zhang, Xuehong" sort="Zhang, Xuehong" uniqKey="Zhang X" first="Xuehong" last="Zhang">Xuehong Zhang</name><name sortKey="Zheng, Wei" sort="Zheng, Wei" uniqKey="Zheng W" first="Wei" last="Zheng">Wei Zheng</name><name sortKey="Ziegler, Regina" sort="Ziegler, Regina" uniqKey="Ziegler R" first="Regina" last="Ziegler">Regina Ziegler</name></country><country name="Japon"><region name="Région de Kantō"><name sortKey="Sawada, Norie" sort="Sawada, Norie" uniqKey="Sawada N" first="Norie" last="Sawada">Norie Sawada</name></region><name sortKey="Tsugane, Shoichiro" sort="Tsugane, Shoichiro" uniqKey="Tsugane S" first="Shoichiro" last="Tsugane">Shoichiro Tsugane</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Gao, Yu Tang" sort="Gao, Yu Tang" uniqKey="Gao Y" first="Yu-Tang" last="Gao">Yu-Tang Gao</name></noRegion><name sortKey="Xiang, Yong Bing" sort="Xiang, Yong Bing" uniqKey="Xiang Y" first="Yong-Bing" last="Xiang">Yong-Bing Xiang</name></country><country name="Norvège"><region name="Trøndelag"><name sortKey="Langhammer, Arnulf" sort="Langhammer, Arnulf" uniqKey="Langhammer A" first="Arnulf" last="Langhammer">Arnulf Langhammer</name></region><name sortKey="Hveem, Kristian" sort="Hveem, Kristian" uniqKey="Hveem K" first="Kristian" last="Hveem">Kristian Hveem</name><name sortKey="Krokstad, Steinar" sort="Krokstad, Steinar" uniqKey="Krokstad S" first="Steinar" last="Krokstad">Steinar Krokstad</name><name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name></country><country name="France"><noRegion><name sortKey="Severi, Gianluca" sort="Severi, Gianluca" uniqKey="Severi G" first="Gianluca" last="Severi">Gianluca Severi</name></noRegion><name sortKey="Johansson, Mattias" sort="Johansson, Mattias" uniqKey="Johansson M" first="Mattias" last="Johansson">Mattias Johansson</name></country><country name="Suède"><noRegion><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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