Effects of plant-based diets on plasma lipids.

Ferdowsian HR, Barnard ND

Source

Washington Center for Clinical Research, The George Washington University, Washington, DC, USA.

Abstract

Dyslipidemia is a primary risk factor for cardiovascular disease, peripheral vascular disease, and stroke. Current guidelines recommend diet as first-line therapy for patients with elevated plasma cholesterol concentrations. However, what constitutes an optimal dietary regimen remains a matter of controversy. Large prospective trials have demonstrated that populations following plant-based diets, particularly vegetarian and vegan diets, are at lower risk for ischemic heart disease mortality. The investigators therefore reviewed the published scientific research to determine the effectiveness of plant-based diets in modifying plasma lipid concentrations. Twenty-seven randomized controlled and observational trials were included. Of the 4 types of plant-based diets considered, interventions testing a combination diet (a vegetarian or vegan diet combined with nuts, soy, and/or fiber) demonstrated the greatest effects (up to 35% plasma low-density lipoprotein cholesterol reduction), followed by vegan and ovolactovegetarian diets. Interventions allowing small amounts of lean meat demonstrated less dramatic reductions in total cholesterol and low-density lipoprotein levels. In conclusion, plant-based dietary interventions are effective in lowering plasma cholesterol concentrations.

Comment in

  • Am J Cardiol. 2010 Mar 15;105(6):902.
  • Am J Cardiol. 2009 Oct 1;104(7):957-8.

PMID:
19766762
[PubMed - indexed for MEDLINE]

Cáncer de Cólon y dieta de adolescentes

En un nuevo estudio se sigue confirmando la tendencia: consumo de carnes y grasas totales aumenta el riesgo de cáncer de cólon y de recto. Por otro lado, consumo de vegetales disminuye dicho riesgo.

En este estudio, incluso, se ha observado la relación entre lo dicho y la edad. Cuando se adelanta la tendencia al cambio de dieta, a favor de disminuir el consumo de carnes rojas y aumentar el consumo de vegetales en temprana edad, disminuye también el riesgo del desarrollo de los cánceres citados.

Adolescent and mid-life diet: risk of colorectal cancer in the NIH-AARP Diet and Health Study.

Ruder EH, Thiébaut AC, Thompson FE, Potischman N, Subar AF, Park Y, Graubard BI, Hollenbeck AR, Cross AJ.

Source:  Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Department of Health and Human Services, Rockville, MD, USA. rudereh@mail.nih.gov


Abstract

BACKGROUND: Colorectal cancer has a natural history of several decades; therefore, the diet consumed decades before diagnosis may aid in understanding this malignancy.

OBJECTIVE:  The objective was to investigate diet during adolescence and 10 y before baseline (ages 40-61 y) in relation to colorectal cancer.

DESIGN: Participants in the NIH-AARP Diet and Health Study (n = 292,797) completed a 124-item food-frequency questionnaire (FFQ) about diet in the past 12 mo and two 37-item FFQs about diet at ages 12-13 y and 10 y previously. Cox regression was used to estimate multivariate HRs and 95% CIs for colon (n = 2794) and rectal (n = 979) cancers within quintiles of exposures.

RESULTS:   Colon cancer risk was lower in the highest than in the lowest quintile of vitamin A (HR: 0.82; 95% CI: 0.72, 0.92) and vegetable (HR: 0.81, 0.70, 0.92) intakes during adolescence. Those in the highest intake category 10 y previously for calcium (HR: 0.83; 95% CI: 0.73, 0.94), vitamin A (HR: 0.81; 95% CI: 0.71, 0.92), vitamin C (HR: 0.83; 95% CI: 0.72, 0.95), fruit (HR: 0.84; 95% CI: 0.73, 0.97), and milk (HR: 0.78; 95% CI: 0.67, 0.90) had a lower risk of colon cancer, but a higher risk was observed for total fat (HR: 1.15; 95% CI: 1.01, 1.30), red meat (HR: 1.31; 95% CI: 1.12, 1.53), and processed meat (HR: 1.24; 95% CI: 1.06, 1.45). For rectal cancer, milk was inversely associated (HR: 0.75; 95% CI: 0.58, 0.96) with risk.

CONCLUSION:   Adolescent and midlife diet may play a role in colorectal carcinogenesis.

PMID:22071715[PubMed - indexed for MEDLINE] PMCID:PMC3252554[Available on 2012/12/1]
http://www.ncbi.nlm.nih.gov/pubmed/22071715

Relación entre el grosor de la íntima y media con la dieta vegetariana

En este estudio se confirma la tendencia de las investigaciones que se están haciendo, ya desde hace más de 15 años: mejor perfil de indicadores de riesgo cardiovascular en vegetarianos que en omnívoros.


En este estudio, además de las clásicas mediciones de triglicéridos, colesterol (como HDL, LDL), apoproteinas A y B, que dan una idea de riesgo, se midió el grosor de la íntima más la media de la carótida, valor que está siendo considerado como predictor de enfermedades cardiovasculares, observándose que en el grupo que se alimentó con nutrición vegetariana presentó, significativamente, mejores valores.


Para los que les interese el estudio completo, el link es este:




http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184257/?tool=pubmed

Nuevos estudios confirman el aumento del riesgo cáncer colorectal con el consumo de canres rojas

El consumo de carnes rojas está asociado con el incremento del riesgo de muchos cánceres, en particular con el cáncer colorectal.
Hace muchos años que se está analizando cuales son los componentes de la carne que actúan como inductores. Entre ellos está el hierro hemínico de la hemoglobina y de la mioglobina, y ciertos compuestos químicos, llamados N-nitroso, que poseen un alto poder de genotoxicidad (toxicidad a nivel genómico). En un estudio realizado por integrantes del Departamento de Toxicogenómicos, de la Universidad de Maastricht, Holanda, en este año 2011, investigaron el efecto del consumo de carnes rojas, durante 7 días, en humanos. Observaron, coherentemente con muchos otros trabajos de investigación, el aumento de la genotoxicidad colónica, en función del consumo de carnes rojas, evidenciado con alteraciones en la expresión genómica, las que normalmente están implicadas en el cáncer colorectal.

Toxicidad celular provocada por el Hierro Hemínico (Hemoglobina y Mioglobina)

El hierro está siendo ubicado como un factor independiente de genotoxicidad, la cual está asociada a ciertas proliferaciones neoplasicas (cánceres, tumores benignos), como también en enfermedades neurodegenerativas, diabetes, e incluso en daños de las arterias como la ateriosclerosis (arteriosclerosis por acumulación de lípidos - principalmente, colesterol- y macrofagos en la íntima) .

Ya hace muchos años que se lo comenzó a considerar como tal. Y ahora, con el transcurso de las investigaciones, se comienza ver claramente lo potencialmente peligroso que es el consumo indiscriminado de alimentos con alto contenido de hierro de alta biodisponibilidad (concretamente, hierro hemínico, de la hemoglobina y de la mioglobina, presente en las carnes).


En este estudio, hoy confirmado por muchos otros estudios, se planteaba los riesgos que implica la capacidad oxidante, inductora de radicales libres, del hierro.



Redox reactions of hemoglobin and myoglobin: biological and toxicological implications.

Alayash AI, Patel RP, Cashon RE.

Source: Center for Biologics Evaluation and Research, Food and Drug Administration, Bethesda, MD 20892, USA. Alayash@cber.fda.gov

Abstract

Direct cytotoxic effects associated with hemoglobin (Hb) or myoglobin (Mb) have been ascribed to redox reactions (involving either one- or two-electron steps) between the heme group and peroxides. These interactions are the basis of the pseudoperoxidase activity of these hemoproteins and can be cytotoxic when reactive species are formed at relatively high concentrations during inflammation and typically lead to cell death. Peroxides relevant to biological systems include hydrogen peroxide, lipid hydroperoxides, and peroxynitrite. Reactions between Hb/Mb and peroxides form the ferryl oxidation state of the protein, analogous to compounds I and II formed in the catalytic cycle of many peroxidase enzymes. This higher oxidation state of the protein is a potent oxidant capable of promoting oxidative damage to most classes of biological molecules. Free iron, released from Hb, also has the potential to promote oxidative damage via classical "Fenton" chemistry. It has become increasingly evident that Hb/Mb redox reactions or their by-products play a critical role in the pathophysiology of some disease states. This review briefly discusses the reactions of Hb/Mb with biological peroxides, potential cytotoxicity and the impact of these interactions on modulation of cell signaling pathways regulated by these reactive species. Also discussed in this article is the role of heme-protein chemistry in relation to the toxicity of hemoproteins.

PMID: 11396484 [PubMed - indexed for MEDLINE]



Las siguientes investigaciones demuestran que el paradigma de la definciencia del hierro deberá ser cambiado. Hoy, se podría deducir, de todas estas investigaciones, que es mucho más peligroso su exceso que su deficiencia. Incluso, como en otras investigaciones se ha propuesto, una deficiencia marginal de hierro sería beneficioso para la salud.

Hemoglobin and hemin induce DNA damage in human colon tumor cells HT29 clone 19A and in primary human colonocytes.Glei M, Klenow S, Sauer J, Wegewitz U, Richter K, Pool-Zobel BL.
Source
Department of Nutritional Toxicology, Institute for Nutrition, Friedrich-Schiller-University, Dornburger Str. 25, D-07743 Jena, Germany. michael.glei@uni-jena.de


Abstract

Epidemiological findings have indicated that red meat increases the likelihood of colorectal cancer. Aim of this study was to investigate whether hemoglobin, or its prosthetic group heme, in red meat, is a genotoxic risk factor for cancer. Human colon tumor cells (HT29 clone 19A) and primary colonocytes were incubated with hemoglobin/hemin and DNA damage was investigated using the comet assay. Cell number, membrane damage, and metabolic activity were measured as parameters of cytotoxicity in both cell types. Effects on cell growth were determined using HT29 clone 19A cells. HT29 clone 19A cells were also used to explore possible pro-oxidative effects of hydrogen peroxide (H2O2) and antigenotoxic effects of the radical scavenger dimethyl sulfoxide (DMSO). Additionally we determined in HT29 clone 19A cells intracellular iron levels after incubation with hemoglobin/hemin. We found that hemoglobin increased DNA damage in primary cells (> or =10 microM) and in HT29 clone 19A cells (> or =250 microM). Hemin was genotoxic in both cell types (500-1000 microM) with concomitant cytotoxicity, detected as membrane damage. In both cell types, hemoglobin and hemin (> or =100 microM) impaired metabolic activity. The growth of HT29 clone 19A cells was reduced by 50 microM hemoglobin and 10 microM hemin, indicating cytotoxicity at genotoxic concentrations. Hemoglobin or hemin did not enhance the genotoxic activity of H2O2 in HT29 clone 19A cells. On the contrary, DMSO reduced the genotoxicity of hemoglobin, which indicated that free radicals were scavenged by DMSO. Intracellular iron increased in hemoglobin/hemin treated HT29 clone 19A cells, reflecting a 40-50% iron uptake for each compound. In conclusion, our studies show that hemoglobin is genotoxic in human colon cells, and that this is associated with free radical mechanisms and with cytotoxicity, especially for hemin. Thus, hemoglobin/hemin, whether available from red meat or from bowel bleeding, may pose genotoxic and cytotoxic risks to human colon cells, both of which contribute to initiation and progression of colorectal carcinogenesis.

PMID: 16226281  [PubMed - indexed for MEDLINE]


Heme iron from meat and risk of colorectal cancer: a meta-analysis and a review of the mechanisms involved.

Bastide NM, Pierre FH, Corpet DE.
Source: INRA TOXALIM (Research Centre in Food Toxicology), Université de Toulouse; INP ENVT, Toulouse, France.

Abstract
Red meat and processed meat intake is associated with a risk of colorectal cancer, a major cause of death in affluent countries. Epidemiological and experimental evidence supports the hypothesis that heme iron present in meat promotes colorectal cancer. This meta-analysis of prospective cohort studies of colon cancer reporting heme intake included 566,607 individuals and 4,734 cases of colon cancer. The relative risk of colon cancer was 1.18 (95% CI: 1.06-1.32) for subjects in the highest category of heme iron intake compared with those in the lowest category. Epidemiological data thus show a suggestive association between dietary heme and risk of colon cancer. The analysis of experimental studies in rats with chemically-induced colon cancer showed that dietary hemoglobin and red meat consistently promote aberrant crypt foci, a putative precancer lesion. The mechanism is not known, but heme iron has a catalytic effect on (i) the endogenous formation of carcinogenic N-nitroso compounds and (ii) the formation of cytotoxic and genotoxic aldehydes by lipoperoxidation. A review of evidence supporting these hypotheses suggests that both pathways are involved in heme iron toxicity.

©2011 AACR. PMID:21209396 [PubMed - indexed for MEDLINE]


Lipid peroxyl radicals from oxidized oils and heme-iron: implication of a high-fat diet in colon carcinogenesis.

Sawa T, Akaike T, Kida K, Fukushima Y, Takagi K, Maeda H.
Source: Department of Microbiology, Kumamoto University School of Medicine, Japan.
Abstract
A diet high in fat and iron is known as a risk factor in cancer epidemiology. However, the details of the molecular mechanism remains to be elucidated. We examined the possible implication of lipid peroxyl radicals generated from fatty acids and heme-iron in DNA damage, and hence in the possibility of colon cancer. F344 female rats were given N-nitroso-N-methylurea six times during a 2-week period and then fed diets containing different amounts of safflower oil and hemoglobin (rich in iron) for 36 weeks; the occurrence of colon cancer was determined by H&E staining. In this animal model, simultaneous feeding of a fat diet and heme-iron produced a significant increase (P < 0.05) in the incidence of colon cancer compared with a diet without hemoglobin. Electron paramagnetic resonance and chemiluminescence studies revealed that oxidized refined vegetable oils, particularly safflower oil, readily generated lipid peroxyl radicals in the presence of various heme compounds, and the peroxyl radicals did effectively cleave DNA. Unpurified native vegetable oils contain a high amount of peroxyl radical scavengers, whereas conventional refining processes seem to reduce the levels of many valuable anti-peroxyl radical compounds abundant in plant seeds. In conclusion, lipid peroxides and heme components generate peroxyl radical species that exert DNA-cleaving activity. A plausible explanation is that lipid peroxyl radicals thus generated, which originated from routine dietary components such as fat and red meat, may contribute, at least in part, to the high incidence of colon cancer.
PMID: 9829709 [PubMed - indexed for MEDLINE]


Red Meat and Colon Cancer
The Cytotoxic and Hyperproliferative Effects of Dietary Heme

Aloys L. A. Sesink2, Denise S. M. L. Termont, Jan H. Kleibeuker, and Roelof Van der Meer+ Author Affiliations

Wageningen Centre for Food Sciences, Netherlands Institute for Dairy Research Food Research, Section Nutrition and Health, 6710 BA Ede, the Netherlands [A. L. A. S., D. S. M. L. T., R. V. d. M.], and Department of Gastroenterology, University Hospital, Groningen, the Netherlands [J. H. K.]
 

Abstract

The intake of a Western diet with a high amount of red meat is associated with a high risk for colon cancer. We hypothesize that heme, the iron carrier of red meat, is involved in diet-induced colonic epithelial damage, resulting in increased epithelial proliferation. Rats were fed purified control diets, or purified diets supplemented with 1.3 μmol/g of hemin (ferriheme), protoporphyrin IX, ferric citrate, or bilirubin (n = 8/group) for 14 days. Feces were collected for biochemical analyses. Fecal cytotoxicity was determined from the degree of lysis of erythrocytes by fecal water. Colonic epithelial proliferation was measured in vivo using [3H]thymidine incorporation into colonic mucosa.
The colonic epithelial proliferation in heme-fed rats was significantly increased compared to control rats [55.2 ± 5.8 versus 32.6 ± 6.3 dpm/μg DNA (mean ± SE); P < 0.05]. The fecal water of the heme group was highly cytotoxic compared to the controls (90 ± 2% versus 2 ± 1%; P < 0.001), although the concentrations of cytotoxic bile acids and fatty acids were significantly lower. Organic iron was significantly increased compared to the controls (257 ± 26 versus 80 ± 21 μm; P < 0.001). Spectrophotometric analyses suggest that this organic iron is heme-associated. Thiobarbituric acid-reactive substances were greatly increased in the fecal water of heme-fed rats compared to the controls (177 ± 12 versus 59 ± 7 μm; P < 0.05). Heme itself could not account for the increased cytotoxicity because the addition of heme to the fecal water of the control group, which was equimolar to the organic iron content of the fecal water of the heme group, did not influence the cytotoxicity. Hence, an additional heme-induced cytotoxic factor is involved, which may be modulated by the generation of luminal-reactive oxygen species. Protoporphyrin IX, ferric citrate, and bilirubin did not increase proliferation and cytotoxicity. In conclusion, dietary heme leads to the formation of an unknown, highly cytotoxic factor in the colonic lumen. This suggests that, in heme-fed rats, colonic mucosa is damaged by the intestinal contents. This results in a compensatory hyperproliferation of the epithelium, which supposedly increases the risk for colon cancer.

©1999 American Association for Cancer Research.



fuente: http://cancerres.aacrjournals.org/content/59/22/5704.long


Protección del ADN ante sustancias oxidantes:  Este estudio está intimamente relacionado con el análisis anterior, en cuanto a la estabilidad del ADN por consumo de productos de origen vegetal. Concretamente, el consumo de Brocoli, permite evidenciar la presencia, en este vegetal, de componentes claramente anti oxidantes, y por lo tanto, que permite proteger al ADN de sustancias oxidantes. Hay que entender que la inestabilidad del ADN está asociada a ciertas enfermedades como el Cáncer.

DNA damage and repair activity after broccoli intake in young healthy smokers

Riso P, Martini D, Møller P, Loft S, Bonacina G, Moro M, Porrini M.

Source: Dipartimento di Scienze e Tecnologie Alimentari e Microbiologiche, sezione Nutrizione Umana, Università degli Studi di Milano, 20133 Milano, Italy. patrizia.riso@unimi.it

Abstract

Cruciferous vegetables contain compounds with antioxidant properties (e.g. carotenoids, vitamin C and folates) and can alter the activity of xenobiotic metabolism (i.e. isothiocyanates). These constituents may be particularly important for subjects who are exposed to free radicals and genotoxic compounds, including smokers. The aim of the study was to evaluate the effect of broccoli intake on biomarkers of DNA damage and repair. Twenty-seven young healthy smokers consumed a portion of steamed broccoli (250 g/day) or a control diet for 10 days each within a crossover design with a washout period. Blood was collected before and after each period. The level of oxidatively damaged DNA lesions (formamidopyrimidine DNA glycosylase-sensitive sites), resistance to ex vivo H(2)O(2) treatment and repair of oxidised DNA lesions were measured in peripheral blood mononuclear cells (PBMCs). We also measured mRNA expression levels of repair and defence enzymes: 8-oxoguanine DNA glycosylase (OGG1), nucleoside diphosphate linked moiety X-type motif 1 (NUDT1) and heme oxygenase 1 (HO-1). After broccoli consumption, the level of oxidised DNA lesions decreased by 41% (95% confidence interval: 10%, 72%) and the resistance to H(2)O(2)-induced DNA strand breaks increased by 23% (95% CI: 13%, 34%). Following broccoli intake, a higher protection was observed in subjects with glutathione S-transferase (GST) M1-null genotype. The expression level and activity of repair enzymes was unaltered. In conclusion, broccoli intake was associated with increased protection against H(2)O(2)-induced DNA strand breaks and lower levels of oxidised DNA bases in PBMCs from smokers. This protective effect could be related to an overall improved antioxidant status.

PMID: 20713433 [PubMed - indexed for MEDLINE]

Estas son investigaciones que revelan diferencias de estabilidad del ADN entre vegetarianos y no vegetarianos, además de fumadores vs no fumadores (de tabaco).

Los invetigadores, usando técnicas adecuadas, comprobaron que los vegetararianos tienen ADN más estable que los que siguen dietas omnívoras; es decir, en estos últimos se observa mayor daño que los vegetarianos. Lo mismo entre no fumadores y fumadores, ya que los fumadores también tienen mayor inestabilidad en su ADN.

Me parece que la causa esté, al menos, muy relacionada con el perfil redox de los seguidores de dietas vegetarianas (en general mejor que los omnívoros), por la mayor incoporación de sustancias antioxidantes y por la menor incorporación de sustancias pro oxidantes, como el hierro, grasas saturadas y otras más.

Este trabajo permite entender que las dietas vegetarianas (así como no fumar) son mas protectivas que las dietas omnívoras, en cuando a la estabilidad del Ácido Desoxirribonuncléico (ADN o DNA), con las posibles consecuencias de la inestabilidad de esta macromolécula, como son ciertos cánceres.

The effect of smoking and eating habits on DNA damage in Indian population as measured in the Comet assay

Alok Dhawan, Neeraj Mathur, Prahlad Kishore Seth
Industrial Toxicology Research Centre, P.O. Box 80, M.G. Marg, Lucknow 226 007, Uttar Pradesh, India


PMID:11239969  [PubMed - indexed for MEDLINE]
Abstract

This study was undertaken with the aim of assessing the status of DNA damage in a normal healthy Indian population. The 62 male volunteers in this study belonged to the smoking, non-smoking, vegetarian and non-vegetarian categories, were well educated and aged between 23 and 57 years. The data revealed significant differences in the extent of DNA damage in the smokers versus non-smokers as well as between the vegetarians and non-vegetarians. A significant difference was also observed amongst the different groups of smokers depending on the extent of smoking. An age-dependent effect in DNA damage was also observed. This preliminary study has, for the first time, revealed differences in the extent of DNA damage in the normal Indian population depending on their eating and smoking habits as well as age. \






Oxidative DNA damage in relation to nutrition.

Krajcovicová-Kudlácková M, Dusinská .M


Abstract


Oxidative DNA damage in humans could arise also from incorrect nutritional habit and life style. DNA strand breaks with apurinic/apyrimidinic sites, oxidized purines and oxidized pyrimidines were assessed in 24 subjectively healthy vegetarians (plant food, dairy products, eggs) and compared with 24 non-vegetarians (traditional diet, general population). DNA strand breaks + oxidized purines are significantly reduced in vegetarians (p<0.05), DNA strand breaks are nonsignificantly decreased. The sufficient antioxidative status (overthreshold values of natural essential antioxidants, which mean a reduced risk of free radical disease) is crucial in free radical defense. Intake of protective food commodities (fruit, vegetables, dark grain products, grain sprouts, oil seeds) is significantly higher in vegetarians. Alternative nutrition subjects have a significantly increased plasma levels of vitamin C, vitamin E, beta-carotene with high incidence of overthreshold values (92% vs. 42% - vitamin C, 67% vs. 33% - vitamin E, 67% vs. 17% - beta-carotene). There is recorded a significant inverse linear correlation between values of DNA strand breaks + oxidized purines and vitamin C or beta-carotene levels (p<0.01, p<0.05). Vegetarian diet is significantly more rich source of antioxidants. The results of reduced endogenous DNA damage and higher antioxidative status in vegetarians document that a correct vegetarian nutrition might represent an effective cancer prevention.

PMID: 15004656  [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/pubmed/15004656



Es muy probable que la causa esté, al menos, relacionada con el perfil redox de los seguidores de dietas vegetarianas, por la mayor incorporación de sustancias antioxidantes y por la menor incorporación de sustancias pro oxidantes, como el hierro, grasas saturadas y otras más.

Este trabajo permite entender que las dietas vegetarianas (así como no fumar) son mas protectivas que las dietas omnívoras, en cuando a la estabilidad del Ácido Desoxirribonuncléico (ADN o DNA)
Transferrin Saturation, Dietary Iron Intake, and Risk of Cancer

Arch G. Mainous III, PhD; James M. Gill, MD, MPH; Charles J. Everett, PhD

PMID: 15798039 [PubMed - indexed for MEDLINE]  PMCID: PMC1466848


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1466848/?tool=pubmed

Abstract

Purpose: Transferrin saturation of more than 60% has been identified as a cancer risk factor. It is unclear whether dietary iron intake increases the risk of cancer among individuals with transferrin saturation of less than 60%. The purpose of this study was to examine the association of dietary iron intake and the risk of cancer among adults with increased transferrin saturation.

Methods: Analysis of a cohort study, the National Health and Nutrition Examination Survey I Epidemiologic Follow-Up Study, was performed. US adults (aged 25 to 74 years at baseline) were followed up from baseline in 1971–1974 to 1992 (N = 6,309).
Results: A total of 7.3% of the US population had a serum transferrin saturation of more than 45% at baseline. Intake of dietary iron was essentially uncorrelated with transferrin saturation ( r = 0.04). Compared with individuals who had normal serum transferrin saturation and low dietary iron intake, individuals whose serum transferrin saturation was more than 45% and who had high dietary iron intake also had an increased adjusted relative risk of cancer (2.24; 95% confidence interval [CI], 1.02-4.89). Increased risk was not found for individuals with a transferrin saturation of more than 45% but a normal dietary iron intake (hazard ratio, 1.02; 95% CI, 0.69–1.49). Transferrin saturation levels could be set as low as 41%, and the individuals with high transferrin saturation and high dietary iron intake would still have an increased adjusted relative risk of cancer (hazard ratio, 2.00; 95% CI, 1.04–3.82).

Conclusions: Among persons with increased transferrin saturation, a daily intake of dietary iron more than 18 mg is associated with an increased risk of cancer. Future research might focus on the benefits of dietary changes in those individuals with increased serum transferrin saturation.  


Traducción de las conclusiones: Entre las personas con elevada saturacion de la transferrina, la ingesta diaria de más de 18 mg de hierro está asociada al incremento del riesgo de cancer. Futuras investigaciones deberían centrarse en los beneficios de los cambios dietarios en aquellas personas con valores altos de saturación de la transferrina sérica.


Debemos recordar que la transferrina es una proteina de transporte de hierro. Se satura, entre otras causas, con alto consumo de hierro de alta biodisponibilidad, como es el hierro de las carnes. La transferrina cumple una función de fijación del hierro, para evitar que éste esté en sangre en forma libre, ya que el hierro es extremadamente dañino (incluso mortal) si se queda libre en la sangre en no tan grandes cantidades.

Creo que es muy constructivo leer la introducción que prepararon los autores de esta investigación, en la que se plantea el peligro de altos consumos de carnes rojas, con relación al desarrollo de ciertos cánceres:


Recent evidence has suggested that increased body iron stores, as indicated by high percentages of transferrin saturation, may be associated with an increased risk for mortality. In cohort studies, increased transferrin saturation is associated with an increased all-cause mortality risk, even after controlling for common mortality risk factors.The mortality risk associated with increased transferrin saturation is higher when those with increased transferrin saturation have an additional attribute that may interact with iron stores to potentially increase oxidative stress. For example, persons with increased transferrin saturation who consume high levels of dietary iron or red meat have an increased mortality risk, whereas the risk is not increased for persons with high transferrin saturation but a normal dietary intake of iron or red meat.
In addition to an increased all-cause mortality risk with increased transferrin saturation, research has shown a weak positive association between the percentage of transferrin saturation and the risk of cancer. In one study in the United States, a significant trend was found for the risk of cancer among men that increased with each successive quartile of transferrin saturation. The highest quartile of transferrin saturation (transferrin saturation levels of >37%) did not have a significantly higher relative risk than the lowest quartile, however. Among both men and women, the risk of cancer was not significant until the transferrin saturation was at least 60%.
In another study from Finland, the relative risk of cancer did not vary significantly between quartiles of transferrin saturation. Persons with a transferrin saturation level of 60%, which corresponded to the 97th percentile, however, had a significantly increased risk of any type of cancer, as well as colorectal cancer.
The data relating transferrin saturation to cancer risk suggest that high levels of transferrin saturation, consistent with a predisposition to iron overload increase a person’s risk. It is unclear whether the cancer risk associated with elevated transferrin saturation is increased by consumption of high levels of dietary iron in the same manner as the association with mortality. Moreover, few data exist to indicate whether consumption of high amounts of dietary iron among persons with lower transferrin saturation carries an increased cancer risk. Thus, the purpose of this study was to examine, in a nationally representative cohort, the risk of cancer among persons with increased transferrin saturation who consumed high levels of dietary iron.
Dietary fatty acids and pancreatic cancer in the NIH-AARP diet and health study.

Thiébaut AC, Jiao L, Silverman DT, Cross AJ, Thompson FE, Subar AF, Hollenbeck AR, Schatzkin A, Stolzenberg-Solomon RZ.

Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.

http://jnci.oxfordjournals.org/content/101/14/1001.full

BACKGROUND: Previous research relating dietary fat, a modifiable risk factor, to pancreatic cancer has been inconclusive.

METHODS: We prospectively analyzed the association between intakes of fat, fat subtypes, and fat food sources and exocrine pancreatic cancer in the National Institutes of Health-AARP Diet and Health Study, a US cohort of 308 736 men and 216 737 women who completed a 124-item food frequency questionnaire in 1995-1996. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using Cox proportional hazards regression models, with adjustment for energy intake, smoking history, body mass index, and diabetes. Statistical tests were two-sided. RESULTS: Over an average follow-up of 6.3 years, 865 men and 472 women were diagnosed with exocrine pancreatic cancer (45.0 and 34.5 cases per 100 000 person-years, respectively). After multivariable adjustment and combination of data for men and women, pancreatic cancer risk was directly related to the intakes of total fat (highest vs lowest quintile, 46.8 vs 33.2 cases per 100 000 person-years, HR = 1.23, 95% CI = 1.03 to 1.46; P(trend) = .03), saturated fat (51.5 vs 33.1 cases per 100 000 person-years, HR = 1.36, 95% CI = 1.14 to 1.62; P(trend) < .001), and monounsaturated fat (46.2 vs 32.9 cases per 100 000 person-years, HR = 1.22, 95% CI = 1.02 to 1.46; P(trend) = .05) but not polyunsaturated fat. The associations were strongest for saturated fat from animal food sources (52.0 vs 32.2 cases per 100 000 person-years, HR = 1.43, 95% CI = 1.20 to 1.70; P(trend) < .001); specifically, intakes from red meat and dairy products were both statistically significantly associated with increased pancreatic cancer risk (HR = 1.27 and 1.19, respectively).

CONCLUSION: In this large prospective cohort with a wide range of intakes, dietary fat of animal origin was associated with increased pancreatic cancer risk.


En este estudio prospectivo de caso cohorte, analizando una gran variedad de dietas, analizando una amplia variedad de grasas de origen animal (carnes rojas, blancas - como son el pollo, pescado, etc, incluyendo huevo y productos lácteos), se concluye que la grasa origen animal consumida está asociada con el incremento del riesgo de cáncer pancreático.
Consumption of Food Groups and the Risk of Pancreatic Cancer: A Case-Control Study.
Ghadirian P, Nkondjock A.
Epidemiology Research Unit, Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM)-Hôtel-Dieu, Faculty of Medicine, Université de Montréal, 3850 St. Urbain St., Montreal, H2W 1T7, QC, Canada,
parviz.ghadirian@umontreal.ca

PURPOSE: The purpose of this study is to investigate whether the consumption of specific food groups predicts the risk of pancreatic cancer, a case-control study of nutrition and pancreatic cancer among French-Canadians was carried out in Montreal, Quebec, Canada. METHODS: A total of 179 pancreatic cancer cases (97 males and 82 females) and 239 population-based control subjects were interviewed. Dietary intake was evaluated via a validated food frequency questionnaire that gathers information on over 200 different food items and beverages. Odd ratios (ORs) and 95% confidence intervals (CIs) were computed by unconditional logistic regression. RESULTS: After adjustment for age, smoking, diabetes status, proxy interview, gender and total energy intake, a reduced risk of pancreatic cancer was related to vegetables and vegetable products [OR = 0.47; 95%CI: (0.21-1.06) p-trend = 0.024], while an increased risk was associated with the consumption of lamb, veal and game [OR = 2.24; 95%CI: (1.11-4.52) p-trend = 0.026], when the upper and lower quartiles of intake were compared. Changes in dietary intake over the last decade revealed an elevated risk with augmented consumption of soups, sauces and gravies [OR = 2.32; 95%CI: (1.20-4.49) p-trend=0.03], beef products [OR = 2.07; 95%CI: (0.95-4.51) p-trend=0.05] as well as fish and shellfish [OR = 1.48; 95%CI: (0.78-2.80) p-trend=0.05]. CONCLUSIONS: These findings suggest that a diet rich in vegetables and vegetable products may decrease the risk of pancreatic cancer.

PMID: 20101477 [PubMed - as supplied by publisher]


Traducción

El objetivo de este estudio es investigar si el consumo especifico de determinados grupos de alimentos predice el riesgo de cáncer pancreático. Un estudio de caso - control de nutrición y cáncer pancreático entre canadienses franceses fue llevado a cabo en Montreal, Quebec, Canadá. Método: un total de 179 casos de cáncer pancreático (97 hombres y 82 mujeres) y 239 sujetos de la población tomados como control, fueron interrogados. La dieta fue evaluada vía un cuestionario de frecuencias alimenticias validado dentro de 200 items opcionales de alimentos. Los odd ratios (relación probabilística de hechos) y los intervalos de confidencia del 95% (CIs) fueron computarizados a través de una regresión logística incondicional.

Resultados: después de hacer ajustes por edad, fumadores, diabetes, género y consumo de energía total, una reducción del riesgo de cáncer pancreático fue relacionada al consumo de vegetales y productos vegetales [(OR= 0.47, CI: 0.21-1.06) p-trend = 0.024], mientras un incremento del riesgo fue asociado al consumo de carne de cordero, vaca y aves [OR = 2.24; 95%CI: (1.11-4.52) p-trend = 0.026], cuando los cuartilos mayor y menor de consumo fueron comparados. Cambios en el consumo de alimentos en la última década demuestran un riesgo elevado de cáncer pancréatico con el consumo de salsas picantes, caldos y salsas a base de carnes [OR = 2.32; 95%CI: (1.20-4.49) p-trend=0.03], productos derivados de la carne [OR = 2.07; 95%CI: (0.95-4.51) p-trend=0.05], así como de pescado y mariscos [OR = 1.48; 95%CI: (0.78-2.80) p-trend=0.05].
Conclusiones: estos resultados sugieren que las dietas ricas en vegetales y productos vegetales pueden reducir el riesgo de cáncer pancreático.


Esta es otra investigación con resultados coherentes con la tendencia actual de confirmar que las dietas vegetarianas son preventivas de ciertos cánceres, en este caso particular, el agresivísimo cáncer pancreático.