Low-carbohydrate diets and the risk of pancreatic cancer: a large prospective cohort study.

Abstract:

:Low-carbohydrate diets have become a popular approach for weight loss in recent years. However, whether low-carbohydrate diets are associated with the risk of pancreatic cancer remains to be elucidated. Hence, we examined the association of low-carbohydrate diets with the risk of pancreatic cancer in a US population. A population-based cohort of 95962 individuals was identified. A low-carbohydrate-diet score was calculated to quantify adherence to this dietary pattern, with higher scores indicating greater adherence. Cox regression was used to calculate risk estimate for the association of the low-carbohydrate-diet score with the risk of pancreatic cancer. Subgroup analysis was used to identify the potential effect modifiers. After an average follow-up of 8.87 years (875856.9 person-years), we documented a total of 351 pancreatic cancer cases. In the fully adjusted model, the highest vs. the lowest quartiles of the overall low-carbohydrate-diet score was found to be associated with a reduced risk of pancreatic cancer (hazard ratioquartile 4 vs. 1: 0.61; 95% confidence interval: 0.45, 0.82; Ptrend<0.001). Subgroup analysis found that the inverse association of low-carbohydrate diets with the risk of pancreatic cancer was more pronounced in individuals aged ≥65 years than in those aged <65 years (Pinteraction=0.015). Similar results were obtained for animal and vegetable low-carbohydrate-diet scores. In conclusion, low-carbohydrate diets, regardless of the type of protein and fat, are associated with a lower risk of pancreatic cancer in the US population, suggesting that adherence to low-carbohydrate-diets may be beneficial for pancreatic cancer prevention. Future studies should validate our findings in other populations.

journal_name

Carcinogenesis

journal_title

Carcinogenesis

authors

Zhong GC,Li QJ,Yang PF,Wang YB,Hao FB,Wang K,Hu JJ,Wu JJ

doi

10.1093/carcin/bgab006

subject

Has Abstract

pub_date

2021-01-22 00:00:00

eissn

0143-3334

issn

1460-2180

pii

6106538

pub_type

杂志文章