Diet and Nutrient Intakes and Risk of Non-Hodgkin's Lymphoma in Connecticut Women

Tongzhang Zheng, Theodore R. Holford, Brian Leaderer, Yawei Zhang, Shelia Hoar Zahm, Stuart Flynn, Giovanni Tallini, Bing Zhang, Kaiyong Zhou, Patricia H. Owens, Qing Lan, Nathaniel Rothman, Peter Boyle

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97 Scopus citations

Abstract

A population-based case-control study (601 cases and 717 controls) was conducted in 1995-2001 among Connecticut women to evaluate the relation between diet and nutrient intakes and the risk of non-Hodgkin's lymphoma (NHL). When the highest quartile of intake was compared with the lowest, the authors found an increased risk of NHL associated with animal protein (odds ratio = 1.7, 95% confidence interval: 1.2, 2.4) and saturated fat (odds ratio = 1.9, 95% confidence interval: 1.11, 2.3) but a reduced risk for polyunsaturated fat (odds ratio = 0.6, 95% confidence interval: 0.4, 0.9) and no relation for vegetable protein and monounsaturated fat. An increased risk was also observed for higher intakes of retinol, eggs, and dairy products. On the other hand, a reduced risk was found for higher intakes of dietary fiber and for several fruit and vegetable items. Risk of NHL associated with diet and nutrient intakes appeared to vary based on NHL subtype. An association between dietary intake and NHL risk is biologically plausible because diets high in protein and fat may lead to altered immunocompetence, resulting in an increased risk of NHL. The antioxidant or inhibiting nitrosation reaction properties of vegetables and fruits may result in a reduced risk. Further investigation of the role of dietary intakes on the risk of NHL is warranted.

Original languageEnglish (US)
Pages (from-to)454-466
Number of pages13
JournalAmerican journal of epidemiology
Volume159
Issue number5
DOIs
StatePublished - Mar 1 2004

Keywords

  • Case-control studies
  • Diet
  • Dietary fats
  • Lymphoma
  • Non-Hodgkin
  • Proteins
  • Risk factors
  • Women

ASJC Scopus subject areas

  • Epidemiology

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  • Cite this

    Zheng, T., Holford, T. R., Leaderer, B., Zhang, Y., Zahm, S. H., Flynn, S., Tallini, G., Zhang, B., Zhou, K., Owens, P. H., Lan, Q., Rothman, N., & Boyle, P. (2004). Diet and Nutrient Intakes and Risk of Non-Hodgkin's Lymphoma in Connecticut Women. American journal of epidemiology, 159(5), 454-466. https://doi.org/10.1093/aje/kwh067