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Data from Glycemic Index, Glycemic Load, and Lung Cancer Risk in Non-Hispanic Whites

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<div>Abstract<p><b>Background:</b> Postprandial glucose (PPG) and insulin responses play a role in carcinogenesis. We evaluated the association between dietary glycemic index (GI) and glycemic load (GL), markers of carbohydrate intake and PPG, and lung cancer risk in non-Hispanic whites.</p><p><b>Methods:</b> GL and GI were assessed among 1,905 newly diagnosed lung cancer cases recruited from the University of Texas MD Anderson Cancer Center (Houston, TX) and 2,413 healthy controls recruited at Kelsey-Seybold Clinics (Houston, TX). We assessed associations between quintiles of GI/GL and lung cancer risk and effect modification by various risk factors. ORs and 95% confidence intervals (CI) were estimated using multivariable logistic regression.</p><p><b>Results:</b> We observed a significant association between GI [5th vs. 1st quintile (Q) OR = 1.49; 95% CI, 1.21–1.83; <i>P</i><sub>trend</sub> <0.001] and lung cancer risk and GI<sub>ac</sub> (5th vs. 1st Q OR = 1.48; 95% CI, 1.20–1.81; <i>P</i><sub>trend</sub> = 0.001) and lung cancer risk. We observed a more pronounced association between GI and lung cancer risk among never smokers (5th vs. 1st Q OR = 2.25; 95% CI, 1.42–3.57), squamous cell carcinomas (SCC; 5th vs. 1st Q OR = 1.92; 95% CI, 1.30–2.83), and those with less than 12 years of education (5th vs. 1st Q OR = 1.75; 95% CI, 1.19–2.58, <i>P</i><sub>interaction</sub> = 0.02).</p><p><b>Conclusion:</b> This study suggests that dietary GI and other lung cancer risk factors may jointly and independently influence lung cancer etiology.</p><p><b>Impact:</b> Understanding the role of GI in lung cancer could inform prevention strategies and elucidate biologic pathways related to lung cancer risk. <i>Cancer Epidemiol Biomarkers Prev; 25(3); 532–9. ©2016 AACR</i>.</p></div>
Title: Data from Glycemic Index, Glycemic Load, and Lung Cancer Risk in Non-Hispanic Whites
Description:
<div>Abstract<p><b>Background:</b> Postprandial glucose (PPG) and insulin responses play a role in carcinogenesis.
We evaluated the association between dietary glycemic index (GI) and glycemic load (GL), markers of carbohydrate intake and PPG, and lung cancer risk in non-Hispanic whites.
</p><p><b>Methods:</b> GL and GI were assessed among 1,905 newly diagnosed lung cancer cases recruited from the University of Texas MD Anderson Cancer Center (Houston, TX) and 2,413 healthy controls recruited at Kelsey-Seybold Clinics (Houston, TX).
We assessed associations between quintiles of GI/GL and lung cancer risk and effect modification by various risk factors.
ORs and 95% confidence intervals (CI) were estimated using multivariable logistic regression.
</p><p><b>Results:</b> We observed a significant association between GI [5th vs.
1st quintile (Q) OR = 1.
49; 95% CI, 1.
21–1.
83; <i>P</i><sub>trend</sub> <0.
001] and lung cancer risk and GI<sub>ac</sub> (5th vs.
1st Q OR = 1.
48; 95% CI, 1.
20–1.
81; <i>P</i><sub>trend</sub> = 0.
001) and lung cancer risk.
We observed a more pronounced association between GI and lung cancer risk among never smokers (5th vs.
1st Q OR = 2.
25; 95% CI, 1.
42–3.
57), squamous cell carcinomas (SCC; 5th vs.
1st Q OR = 1.
92; 95% CI, 1.
30–2.
83), and those with less than 12 years of education (5th vs.
1st Q OR = 1.
75; 95% CI, 1.
19–2.
58, <i>P</i><sub>interaction</sub> = 0.
02).
</p><p><b>Conclusion:</b> This study suggests that dietary GI and other lung cancer risk factors may jointly and independently influence lung cancer etiology.
</p><p><b>Impact:</b> Understanding the role of GI in lung cancer could inform prevention strategies and elucidate biologic pathways related to lung cancer risk.
<i>Cancer Epidemiol Biomarkers Prev; 25(3); 532–9.
©2016 AACR</i>.
</p></div>.

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