Associations between Dietary Patterns and Head and Neck Cancer: The Carolina Head and Neck Cancer Epidemiology Study

Citation

Bradshaw, Patrick T.; Siega-Riz, Anna Maria; Campbell, Marci Kramish; Weissler, Mark Christian; Funkhouser, William K.; & Olshan, Andrew F. (2012). Associations between Dietary Patterns and Head and Neck Cancer: The Carolina Head and Neck Cancer Epidemiology Study. American Journal of Epidemiology, 175(12), 1225-1233. PMCID: PMC3372316

Abstract

Few studies have examined the associations between dietary patterns and head and neck squamous cell carcinoma (SCC) or whether they differ by race. This was evaluated using data from a population-based case-control study (2002-2006) including 1,176 cases of head and neck SCC and 1,317 age-, race-, and gender-matched controls from central and eastern North Carolina whose diets had been assessed by food frequency questionnaire. Factor analysis identified 2 patterns of intake: 1) high consumption of fruits, vegetables, and lean protein and 2) high consumption of fried foods, high-fat and processed meats, and sweets. Associations were estimated using logistic regression, adjusting for matching factors and confounders. Heterogeneity by tumor site (oral/pharyngeal vs. laryngeal) and effect-measure modification were also evaluated. Reduced odds of head and neck SCC were found for the fruit, vegetable, and lean protein pattern (for highest quartile vs. lowest, odds ratio = 0.53, 95% confidence interval: 0.39, 0.71). The fried foods, high-fat and processed meats, and sweets pattern was positively associated only with laryngeal cancer (odds ratio = 2.12, 95% confidence interval: 1.21, 3.72). These findings underline the importance of a dietary pattern rich in fruits and vegetables and low in high-fat and processed meats and sweets for prevention of head and neck cancer.

URL

http://dx.doi.org/10.1093/aje/kwr468

Reference Type

Journal Article

Year Published

2012

Journal Title

American Journal of Epidemiology

Author(s)

Bradshaw, Patrick T.
Siega-Riz, Anna Maria
Campbell, Marci Kramish
Weissler, Mark Christian
Funkhouser, William K.
Olshan, Andrew F.

PMCID

PMC3372316

ORCiD

Olshan - 0000-0001-9115-5128
Siega-Riz - 0000-0002-1303-4248