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外文摘要
引文資料
題名:
血清維生素A濃度與肝癌相關性之重疊病例對照研究
書刊名:
中華公共衛生雜誌
作者:
謝秀幸
/
于明暉
/
潘文涵
/
楊照雄
/
陳建仁
出版日期:
1995
卷期:
14:2
頁次:
頁159-168
主題關鍵詞:
維生素A
;
肝癌
;
重疊病例對照研究
;
Vitamin A
;
Liver cancer
;
Nested case-control study
原始連結:
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相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:0
點閱:56
本研究係利用重疊病例對照研究法,探討血清維生素A和肝癌發生的關係。對9775 名臺灣地區男性世代追蹤六年後,發現35名肝癌病例。再以年齡、居住地、採血時間配 對方式,選取140名健康對照。所有研究對象於進入研究之初即已採血並貯存血清於-30 ℃。在調整B型肝炎帶原狀態、黃綠色蔬菜攝食頻率、素食習慣之後,血清維生素A對 肝癌有顯著的保護作用,血清維生素A濃度和肝癌危險性之間有顯著的負向劑量效應關 係。進一步只分析血清檢體採集至發病之時間間隔在一年以上的肝癌病例及其對照之血 清維生素A,亦有相同的趨勢。利用多變項條件對數複迴歸分析,調整B型肝炎帶原狀 態、血清維生素A、素食習慣等危險因子後,黃綠色蔬菜每週攝食少於10餐者,其得肝 癌之危險性,為每週攝食10餐以上者的9.95倍(95%C.I.:1.42∼69.92)。蔬菜中除含類胡 蘿蔔素外,也含有其他營養素,又攝食蔬菜較多者,也可能有較健康的生活型態。黃綠 色蔬菜攝食頻率所反映的保養作用,仍有待進一步探討。
以文找文
Nutrients play important roles in human carcinogenesis. To investigate the relationship between serum retinol level and subsequent risk of liver cancer, a nested case-control study was conducted within a cohort of 9775 male adults recruited from 1984 to 1986. a total of 35 liver cases newly diagnosed during the follow-up period were identified, and 140 cancer-free controls matched to liver cancer cases on age, residential area, and time of blood collection were also randomly selected. The blood samples collected in 1984-1986 from all study subjects were stored at -30 ℃ until examinations. Serum retinol levels of cases and controls were determined by high performance liquid chromatography blindly. there was a significant association between serum retinol levle and risk of liver cancer. After adjustment for HBsAg carrier status, darkgreen and yollow vegotable consumption frequency, vegetarian habit; the odds ratio of developing liver cancer for those who had the highest serum retinol level was 0.03 (95% confidence interval=0.002 ∼ 0.42) compared with those who had the lowest level as the referent. There was also a statistically significant dose-response relation between serum retinol level and liver cancer risk. In the further analysis of data for cases who developed liver cancer after 1987 and their matched controls, the association remained unchanged. After adjustment for HBsAg carrier status, serum retinol developing liver cancer for those who consumed darkgreen and yollow vegotable less than ten meals per week was 9.95 (95% confidence interval=1.42 ∼ 69.9) compared with those who consumed more than ten meals a week as the referent.
以文找文
期刊論文
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Peto, R.、Doll, R.、Buckley, J. D.(1981)。Can dietary beta carotene materially reduce human cancer rates?。Nature,290,201-208。
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Wald, N. J.、Boreham, J.、Hayward, J. L.、Bulbrook, R. D.(1984)。Plasma retinol, β-carotene and vitamin E levels in relation to the future risk of breast cancer。Br J Cancer,49,321-324。
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Doll, R.、Peto, R.(1981)。The causes of cancer: Quantitative estimates of avoidable risks of cancer in the United States Today。J Natl Cancer Inst,66(6),1191-1308。
6.
Pan, W. H.、Wang C. Y.、Huang S. M.(1993)。Vitamin A, E, or beta-carotene status and hepatitis B-related Hepatocellular carcinoma。Ann epidemiol,3,217-224。
7.
Wald, N. J.、Thompson, S. G.、Densem, J. W.(1988)。Serum beta-carotene and subsequent risk of cancer: results from the BUPA study。Br J Cancer,57,428-433。
8.
Knekt, P.、Aromaa, A.、Maatela, J.(1990)。Serum vitamin A and subsequent risk of cancer: cancer incidence follow-up of the Finnish Mobile Clinic Health Examination Survey。Am J Epidemiol,132,857-870。
9.
Willett, W. C.、Polk, B. F.、Underwood, B. A.(1984)。Relation of serum vitamins A and E and carotenoids to the risk of cancer。N Eng J Med,310,430-434。
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Nomura, A. M.、Stemmermann, G. N.、Heibrun, L. K.(1985)。Serum vitamin levels and the risk of cancer of specific sites in men of Japanese ancestry in Hawaii。Cancer Research,45,2369-2372。
11.
Stahelin, H. B.、Rose, J. F.、Buess, E.(1984)。Cancer, vitamins, and plasma lipids: prospective Basel study。J Natl Cancer Inst,73,1463-1468。
12.
Goodman, D. S.(1979)。Vitamin A and retinoids: recent advances. Introduction, background, and general overview。Federation proceedings,38(11),2501-2503。
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Sporn, M. B.(1991)。Carcinogenesis and cancer: different perspectives on the same disease。Cancer Research,51,6215-6218。
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Birt, D. F.(1986)。Update on the effects of vitamins selenium on carcinogenesis。Proceedings of the Society for Experimental Biology and Medicine,183,311-320。
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Garewal, H. S.、Meyskens, F. L. Jr.、Killen, D.(1990)。Response of oral leukoplakia to beta-carotene。J Clin Oncol,8,1715-1720。
16.
Mettlin, C.、Graham, S.、Swanson, M.(1979)。Vitamin A and lung cancer。J Natl Cancer Inst,62(6),1435-1438。
17.
Connett, J. E.、Kuller, L. H.、Kjelsberg, M. O.(1989)。Relationship between carotenoids and cancer, the Multiple Risk Factor Intervention Trial (MRFIT) Study。Cancer,64,126-134。
18.
Wald, N.、Idle, M.、Boreham, J.(1980)。Low serum-vitamin-A and subsequent risk of cancer。Lancet,813-815。
19.
Graham, S.、Marshall, J.、Mettlin, C.(1982)。Diet in the the epidemiology of breast cancer。Am J Epidemiol,116,68-75。
20.
Mettlin, C.、Graham, S.(1979)。Dietary risk factors in human bladder cancer。Am J Epidemiol,110,255-263。
21.
Hsing, A. W.、Comstock, G. W.、Abbey, H.(1990)。Serologic precursors of cancer retinol, carotenoids, and tocopherol and risk of prostate cancer。J Natl Cancer Inst,82,941-946。
22.
Schober, S. E.、Comstock, G. W.、Helsing, K. J.(1987)。Serologic precursors of cancer I. prediagnostic serum nutrients and colon cancer risk。Am J Epidemiol,126,1033-1041。
23.
Burney, P. G. J.、Comstock, G. W.、Morris, J. S.(1989)。Serologic precursors of cancer: serum micronutrients and the subsequent risk of pancreatic cancer。Am J Clin Nutr,49,895-900。
24.
Helzlsouer, K. J.、Comstock, G. W.、Morris, J. S.(1989)。Selenium, Iycopene, a-tocopherol, β-carotene, retinol, and subsequent bladder cancer。Cancer Research,49,6144-6148。
25.
Zheng, W.、Blot, W. J.、Diamond, E. L.(1993)。Serum micronutrients and the subsequent risk of oral and pharyngeal cancer。Cancer Research,53,795-798。
26.
Petrakis, N. L.(1985)。Biologic banking in cohort studies, with special reference to blood。Natl Cancer Inst Monogr,67,193-198。
27.
Willett, W. C.、Stampfer, M. J.、Underwood, B. A.(1983)。Vitamins A, E, and carotene: effects of supplementation on their plasma levels。Am J Clin Nutr,38,559-566。
28.
Ong, David E.(1993)。Retinoid metabolism during intestinal absorption。J Nutr,123,351-355。
圖書
1.
于明暉(1991)。台灣地區原發性肝癌之流行病學研究。台北:台大公共衛生研究所。
延伸查詢
圖書論文
1.
Linder, M. C.(1991)。Nutrition and Cancer prevention。Nutritional Biochemistry and Metabolism。
2.
Schottenfeld, D.、Winawer, S. J.(1982)。Large intestine。Cancer epidemiology and prevention。Philadelphia:WB saunders Co.。
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