Salt intake and gastric cancer: a pooled analysis within the Stomach cancer Pooling (StoP) Project

Purpose Previous studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or added salt and gastric cancer are less consistent and vary with the exposure considered. This study aimed to quantify the association b...

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Published inCancer causes & control Vol. 33; no. 5; pp. 779 - 791
Main Authors Morais, Samantha, Costa, Adriana, Albuquerque, Gabriela, Araújo, Natália, Pelucchi, Claudio, Rabkin, Charles S., Liao, Linda M., Sinha, Rashmi, Zhang, Zuo-Feng, Hu, Jinfu, Johnson, Kenneth C., Palli, Domenico, Ferraroni, Monica, Bonzi, Rossella, Yu, Guo-Pei, López-Carrillo, Lizbeth, Malekzadeh, Reza, Tsugane, Shoichiro, Hidaka, Akihisa, Hamada, Gerson Shigueaki, Zaridze, David, Maximovitch, Dmitry, Vioque, Jesus, de la Hera, Manoli García, Moreno, Victor, Vanaclocha-Espi, Mercedes, Ward, Mary H., Pakseresht, Mohammadreza, Hernández-Ramirez, Raúl Ulises, López-Cervantes, Malaquias, Pourfarzi, Farhad, Mu, Lina, Kurtz, Robert C., Boccia, Stefania, Pastorino, Roberta, Lagiou, Areti, Lagiou, Pagona, Boffetta, Paolo, Camargo, M. Constanza, Curado, Maria Paula, Negri, Eva, La Vecchia, Carlo, Lunet, Nuno
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 01.05.2022
Springer Nature B.V
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Abstract Purpose Previous studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or added salt and gastric cancer are less consistent and vary with the exposure considered. This study aimed to quantify the association between dietary salt exposure and gastric cancer, using an individual participant data meta-analysis of studies participating in the Stomach cancer Pooling (StoP) Project. Methods Data from 25 studies (10,283 cases and 24,643 controls) from the StoP Project with information on salt taste preference (tasteless, normal, salty), use of table salt (never, sometimes, always), total sodium intake (tertiles of grams/day), and high-salt and salt-preserved foods intake (tertiles of grams/day) were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age, and gastric cancer risk factors) odds ratios (aORs), and the corresponding 95% confidence intervals (95% CI). Results Gastric cancer risk was higher for salty taste preference (aOR 1.59, 95% CI 1.25–2.03), always using table salt (aOR 1.33, 95% CI 1.16–1.54), and for the highest tertile of high-salt and salt-preserved foods intake (aOR 1.24, 95% CI 1.01–1.51) vs. the lowest tertile. No significant association was observed for the highest vs. the lowest tertile of total sodium intake (aOR 1.08, 95% CI 0.82–1.43). The results obtained were consistent across anatomic sites, strata of Helicobacter pylori infection, and sociodemographic, lifestyle and study characteristics. Conclusion Salty taste preference, always using table salt, and a greater high-salt and salt-preserved foods intake increased the risk of gastric cancer, though the association was less robust with total sodium intake.
AbstractList Previous studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or added salt and gastric cancer are less consistent and vary with the exposure considered. This study aimed to quantify the association between dietary salt exposure and gastric cancer, using an individual participant data meta-analysis of studies participating in the Stomach cancer Pooling (StoP) Project. Data from 25 studies (10,283 cases and 24,643 controls) from the StoP Project with information on salt taste preference (tasteless, normal, salty), use of table salt (never, sometimes, always), total sodium intake (tertiles of grams/day), and high-salt and salt-preserved foods intake (tertiles of grams/day) were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age, and gastric cancer risk factors) odds ratios (aORs), and the corresponding 95% confidence intervals (95% CI). Gastric cancer risk was higher for salty taste preference (aOR 1.59, 95% CI 1.25-2.03), always using table salt (aOR 1.33, 95% CI 1.16-1.54), and for the highest tertile of high-salt and salt-preserved foods intake (aOR 1.24, 95% CI 1.01-1.51) vs. the lowest tertile. No significant association was observed for the highest vs. the lowest tertile of total sodium intake (aOR 1.08, 95% CI 0.82-1.43). The results obtained were consistent across anatomic sites, strata of Helicobacter pylori infection, and sociodemographic, lifestyle and study characteristics. Salty taste preference, always using table salt, and a greater high-salt and salt-preserved foods intake increased the risk of gastric cancer, though the association was less robust with total sodium intake.
PurposePrevious studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or added salt and gastric cancer are less consistent and vary with the exposure considered. This study aimed to quantify the association between dietary salt exposure and gastric cancer, using an individual participant data meta-analysis of studies participating in the Stomach cancer Pooling (StoP) Project.MethodsData from 25 studies (10,283 cases and 24,643 controls) from the StoP Project with information on salt taste preference (tasteless, normal, salty), use of table salt (never, sometimes, always), total sodium intake (tertiles of grams/day), and high-salt and salt-preserved foods intake (tertiles of grams/day) were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age, and gastric cancer risk factors) odds ratios (aORs), and the corresponding 95% confidence intervals (95% CI).ResultsGastric cancer risk was higher for salty taste preference (aOR 1.59, 95% CI 1.25–2.03), always using table salt (aOR 1.33, 95% CI 1.16–1.54), and for the highest tertile of high-salt and salt-preserved foods intake (aOR 1.24, 95% CI 1.01–1.51) vs. the lowest tertile. No significant association was observed for the highest vs. the lowest tertile of total sodium intake (aOR 1.08, 95% CI 0.82–1.43). The results obtained were consistent across anatomic sites, strata of Helicobacter pylori infection, and sociodemographic, lifestyle and study characteristics.ConclusionSalty taste preference, always using table salt, and a greater high-salt and salt-preserved foods intake increased the risk of gastric cancer, though the association was less robust with total sodium intake.
Previous studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or added salt and gastric cancer are less consistent and vary with the exposure considered. This study aimed to quantify the association between dietary salt exposure and gastric cancer, using an individual participant data meta-analysis of studies participating in the Stomach cancer Pooling (StoP) Project.PURPOSEPrevious studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or added salt and gastric cancer are less consistent and vary with the exposure considered. This study aimed to quantify the association between dietary salt exposure and gastric cancer, using an individual participant data meta-analysis of studies participating in the Stomach cancer Pooling (StoP) Project.Data from 25 studies (10,283 cases and 24,643 controls) from the StoP Project with information on salt taste preference (tasteless, normal, salty), use of table salt (never, sometimes, always), total sodium intake (tertiles of grams/day), and high-salt and salt-preserved foods intake (tertiles of grams/day) were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age, and gastric cancer risk factors) odds ratios (aORs), and the corresponding 95% confidence intervals (95% CI).METHODSData from 25 studies (10,283 cases and 24,643 controls) from the StoP Project with information on salt taste preference (tasteless, normal, salty), use of table salt (never, sometimes, always), total sodium intake (tertiles of grams/day), and high-salt and salt-preserved foods intake (tertiles of grams/day) were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age, and gastric cancer risk factors) odds ratios (aORs), and the corresponding 95% confidence intervals (95% CI).Gastric cancer risk was higher for salty taste preference (aOR 1.59, 95% CI 1.25-2.03), always using table salt (aOR 1.33, 95% CI 1.16-1.54), and for the highest tertile of high-salt and salt-preserved foods intake (aOR 1.24, 95% CI 1.01-1.51) vs. the lowest tertile. No significant association was observed for the highest vs. the lowest tertile of total sodium intake (aOR 1.08, 95% CI 0.82-1.43). The results obtained were consistent across anatomic sites, strata of Helicobacter pylori infection, and sociodemographic, lifestyle and study characteristics.RESULTSGastric cancer risk was higher for salty taste preference (aOR 1.59, 95% CI 1.25-2.03), always using table salt (aOR 1.33, 95% CI 1.16-1.54), and for the highest tertile of high-salt and salt-preserved foods intake (aOR 1.24, 95% CI 1.01-1.51) vs. the lowest tertile. No significant association was observed for the highest vs. the lowest tertile of total sodium intake (aOR 1.08, 95% CI 0.82-1.43). The results obtained were consistent across anatomic sites, strata of Helicobacter pylori infection, and sociodemographic, lifestyle and study characteristics.Salty taste preference, always using table salt, and a greater high-salt and salt-preserved foods intake increased the risk of gastric cancer, though the association was less robust with total sodium intake.CONCLUSIONSalty taste preference, always using table salt, and a greater high-salt and salt-preserved foods intake increased the risk of gastric cancer, though the association was less robust with total sodium intake.
Purpose Previous studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or added salt and gastric cancer are less consistent and vary with the exposure considered. This study aimed to quantify the association between dietary salt exposure and gastric cancer, using an individual participant data meta-analysis of studies participating in the Stomach cancer Pooling (StoP) Project. Methods Data from 25 studies (10,283 cases and 24,643 controls) from the StoP Project with information on salt taste preference (tasteless, normal, salty), use of table salt (never, sometimes, always), total sodium intake (tertiles of grams/day), and high-salt and salt-preserved foods intake (tertiles of grams/day) were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age, and gastric cancer risk factors) odds ratios (aORs), and the corresponding 95% confidence intervals (95% CI). Results Gastric cancer risk was higher for salty taste preference (aOR 1.59, 95% CI 1.25–2.03), always using table salt (aOR 1.33, 95% CI 1.16–1.54), and for the highest tertile of high-salt and salt-preserved foods intake (aOR 1.24, 95% CI 1.01–1.51) vs. the lowest tertile. No significant association was observed for the highest vs. the lowest tertile of total sodium intake (aOR 1.08, 95% CI 0.82–1.43). The results obtained were consistent across anatomic sites, strata of Helicobacter pylori infection, and sociodemographic, lifestyle and study characteristics. Conclusion Salty taste preference, always using table salt, and a greater high-salt and salt-preserved foods intake increased the risk of gastric cancer, though the association was less robust with total sodium intake.
Author Zhang, Zuo-Feng
Tsugane, Shoichiro
Vanaclocha-Espi, Mercedes
Costa, Adriana
Hidaka, Akihisa
Hamada, Gerson Shigueaki
Curado, Maria Paula
Pakseresht, Mohammadreza
Albuquerque, Gabriela
López-Cervantes, Malaquias
Ward, Mary H.
Johnson, Kenneth C.
Liao, Linda M.
Lagiou, Pagona
Camargo, M. Constanza
Moreno, Victor
Boccia, Stefania
Ferraroni, Monica
Rabkin, Charles S.
Lagiou, Areti
Negri, Eva
La Vecchia, Carlo
Palli, Domenico
Pelucchi, Claudio
Mu, Lina
Araújo, Natália
de la Hera, Manoli García
Hu, Jinfu
Morais, Samantha
Zaridze, David
Sinha, Rashmi
Maximovitch, Dmitry
Boffetta, Paolo
Lunet, Nuno
Pourfarzi, Farhad
Yu, Guo-Pei
Hernández-Ramirez, Raúl Ulises
Kurtz, Robert C.
Bonzi, Rossella
López-Carrillo, Lizbeth
Malekzadeh, Reza
Vioque, Jesus
Pastorino, Roberta
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/35304655$$D View this record in MEDLINE/PubMed
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Keywords Consortium
Sodium, Dietary
Pooled analysis
Sodium chloride
Stomach neoplasms
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SecondaryResourceType review_article
Snippet Purpose Previous studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total...
Previous studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total salt or...
PurposePrevious studies show that consuming foods preserved by salting increases the risk of gastric cancer, while results on the association between total...
SourceID proquest
pubmed
crossref
springer
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 779
SubjectTerms Biomedical and Life Sciences
Biomedicine
Cancer Research
Case-Control Studies
Epidemiology
Food
Food intake
Gastric cancer
Helicobacter Infections - complications
Helicobacter pylori
Hematology
Humans
Oncology
Original Paper
Public Health
Risk Factors
Salt
Salty taste
Sodium
Sodium Chloride, Dietary - adverse effects
Stomach Neoplasms - epidemiology
Stomach Neoplasms - etiology
Taste
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Title Salt intake and gastric cancer: a pooled analysis within the Stomach cancer Pooling (StoP) Project
URI https://link.springer.com/article/10.1007/s10552-022-01565-y
https://www.ncbi.nlm.nih.gov/pubmed/35304655
https://www.proquest.com/docview/2650103675
https://www.proquest.com/docview/2640997810
Volume 33
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