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预防医学  2020, Vol. 32 Issue (11): 1081-1085    DOI: 10.19485/j.cnki.issn2096-5087.2020.11.001
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杭州市居民膳食模式与甲状腺癌的病例对照研究
任艳军1, 张铁威2, 刘庆敏1, 赵刚1, 陆凤3, 龚巍巍3, 俞敏3
1.杭州市疾病预防控制中心,浙江 杭州 310021;
2.浙江大学公共卫生学院;
3.浙江省疾病预防控制中心
Dietary patterns and thyroid cancer: a case-control studyin Hangzhou residents
REN Yanjun*, ZHANG Tiewei, LIU Qingmin, ZHAO Gang, LU Feng, GONG Weiwei, YU Min
*Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China
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摘要 目的 分析杭州市居民膳食模式与甲状腺癌的关系,为预防甲状腺癌提供依据。方法 选取浙江省肿瘤医院确诊的原发性甲状腺癌新发病例为病例组,按性别、年龄和居住地1∶1匹配社区健康人群为对照组。采用自行设计的问卷收集研究对象的人口学信息、疾病史、膳食行为和生活方式等资料,采用因子分析法归纳膳食模式,采用多因素条件Logistic回归模型分析膳食模式与甲状腺癌的关系。结果 调查病例组258例,对照组258人。因子分析得到素食模式、高蛋白模式、腌制蔬菜/藻类模式、水产海鲜杂粮模式和酒茶模式5种膳食模式。多因素条件Logistic回归分析结果显示,水产海鲜杂粮模式可能降低甲状腺癌的发病风险(OR=0.286,95%CI:0.146~0.561)。结论 增加水产海鲜、杂粮类食物的摄入可能有助于降低甲状腺癌的发病风险。
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任艳军
张铁威
刘庆敏
赵刚
陆凤
龚巍巍
俞敏
关键词 甲状腺癌膳食模式病例对照研究    
AbstractObjective To learn the association between dietary patterns and thyroid cancer in Hangzhou residents, and to provide evidence for thyroid cancer prevention.Methods The newly diagnosed patients with thyroid cancer in Zhejiang Cancer Hospital were selected as the case group, while the healthy population matched (1∶1) by gender, age and residence were selected from community as the control group. A questionnaire survey was conducted to obtain demographic characteristics, disease history, dietary intake, lifestyle and other information. The dietary patterns were established by factor analysis. The multivariate conditional logistic regression model was conducted to explore the relationship between different dietary patterns and thyroid cancer.Results A total of 258 pairs of cases and controls were recruited. Five dietary patterns were obtained, including vegetarian pattern, high-protein food pattern, salted vegetables and algae pattern, seafood and cereal pattern, as well as alcohol and tea pattern. The multivariate conditional logistic regression analysis suggested seafood and cereal pattern might reduce the risk of thyroid cancer (OR=0.286, 95%CI: 0.146-0.561).Conclusion More consumption of seafood and cereal may decrease the incidence of thyroid cancer.
Key wordsthyroid cancer    dietary pattern    case-control study
收稿日期: 2020-05-15      出版日期: 2020-11-09
ZTFLH:  R151.4  
基金资助:国家卫生和计划生育委员会科研基金一浙江省医药卫生重大科技计划(WKJ-ZJ-1506); 浙江省医药卫生一般研究计划(2016KYB243)
通信作者: 任艳军,E-mail:176057528@qq.com   
作者简介: 任艳军,硕士,副主任医师,主要从事慢性病预防控制工作
引用本文:   
任艳军, 张铁威, 刘庆敏, 赵刚, 陆凤, 龚巍巍, 俞敏. 杭州市居民膳食模式与甲状腺癌的病例对照研究[J]. 预防医学, 2020, 32(11): 1081-1085.
REN Yanjun, ZHANG Tiewei, LIU Qingmin, ZHAO Gang, LU Feng, GONG Weiwei, YU Min. Dietary patterns and thyroid cancer: a case-control studyin Hangzhou residents. Preventive Medicine, 2020, 32(11): 1081-1085.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2020.11.001      或      http://www.zjyfyxzz.com/CN/Y2020/V32/I11/1081
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