European Journal of Cancer
Volume 39, Issue 13 , Pages 1912-1919, September 2003

The influence of dietary patterns on the development of thyroid cancer

  • I Markaki

      Affiliations

    • Department of Hygiene & Epidemiology, Medical School, University of Athens, M. Asias 75, pc 115 27 Athens, Greece
  • ,
  • D Linos

      Affiliations

    • 1st Surgical Clinic, Hygeia Diagnostic & Therapeutic Centre of Athens, Athens, Greece
  • ,
  • A Linos

      Affiliations

    • Department of Hygiene & Epidemiology, Medical School, University of Athens, M. Asias 75, pc 115 27 Athens, Greece
    • Corresponding Author InformationCorresponding author. Tel.: +30-210-777-1023 or 746-2059; fax: +30-210-746-2058

Received 8 October 2002; received in revised form 17 March 2003; accepted 24 March 2003.

Abstract 

To elucidate the role of diet in the development of thyroid cancer, we conducted a case–control study of 113 persons with histologically-verified thyroid cancer and 138 controls, matched by age, gender and health unit. Socio-economic data, known risk factors and food consumption of more than 100 items were recorded by interviewer-administered prestructured questionnaire. Factor analysis was used to identify possible dietary patterns and logistic regression analysis was used to explore the effect of food items or dietary patterns on thyroid cancer. After adjustment for age, gender, body mass index (BMI), and total energy intake, significant positive associations were observed for pork consumption, while negative ones were observed for tomatoes, lemons and pasta. Dietary patterns of fruits, raw vegetables and mixed raw vegetables and fruits, led to a reduced risk (corresponding odds ratios (ORs) 0.68, 0.71, 0.73) for all thyroid cancers and similar figures were obtained for papillary thyroid cancers. A dietary pattern of fish and cooked vegetables led to an increased risk (OR 2.79) of follicular cancer.

Keywords:  Nutrition, Food items, Dietary patterns, Factor analysis, Thyroid, Cancer

 

PII: S0959-8049(03)00432-5

doi:10.1016/S0959-8049(03)00432-5

European Journal of Cancer
Volume 39, Issue 13 , Pages 1912-1919, September 2003