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:: Volume 19, Issue 4 (Winter 2025) ::
Iranian J Nutr Sci Food Technol 2025, 19(4): 1-11 Back to browse issues page
Dietary Patterns and the Risk of Lung Cancer; A Case-Control Study in Iran
M Mohammadzadeh , M Mamaghanin , A Bahrami , A Paydareh , F Abdi , Sh Seifi* , B Rashidkhani , J Hejazi , Z Sheikhi , E Hejazi *
Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , ehsanhejazi@sbmu.ac.ir
Abstract:   (502 Views)
Background and Objectives: Dietary patterns may play a role in development of lung cancer; however, study in the Middle Eastern is limited. This study aimed to investigate associations between dietary patterns and lung cancer risks in the region, addressing this study gap.
 Materials & Methods: A hospital-based case-control study was carried out in two prominent general hospitals in Tehran, Iran. The study included 135 verified lung cancer cases identified through pathological and computed tomography scans and 237 control subjects free from non-neoplastic conditions and chronic diet-linked diseases. Dietary data were collected using 147-item semiquantitative food frequency questionnaire. Multivariate logistic regression analysis was used to assess associations between dietary patterns and lung cancer risks.
Results: Two distinct dietary patterns, classified as unhealthy and healthy, emerged from the analysis. After adjusting for confounders, unhealthy dietary pattern was significantly associated with increased risks of lung cancer (OR = 3.95, 95% CI = 2.06–7.85). In contrast, a higher adherence to the healthy dietary patterns was negatively associated to lung cancer risks (OR = 0.25, 95% CI = 0.14–0.45).
Conclusion: This study highlights detrimental effects of an unhealthy dietary pattern on lung cancer risks, while emphasizing protective effects of a healthy dietary pattern. These findings underscore importance of dietary interventions in lung-cancer prevention strategies.
Keywords: Diet, Dietary pattern, Lung cancer
Full-Text [PDF 752 kb]   (175 Downloads)    
Article type: Research | Subject: nutrition
Received: 2024/06/19 | Accepted: 2024/08/5 | Published: 2025/01/5
References
1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: a cancer journal for clinicians. 2021;71:209-49. [DOI:10.3322/caac.21660]
2. Rajai N, Ghanbari A, Yoosefi M, Mohebi F, Mohajer B, Sheidaei A, et al. National and subnational trends in incidence and mortality of lung cancer in Iran from 1990 to 2016. Asia-Pacific journal of clinical oncology. 2020;16:129-36. [DOI:10.1111/ajco.13303]
3. Hansen MS, Licaj I, Braaten T, Lund E, Gram IT. The fraction of lung cancer attributable to smoking in the Norwegian Women and Cancer (NOWAC) Study. British journal of cancer. 2021;124:658-62. [DOI:10.1038/s41416-020-01131-w]
4. Huang Y, Zhu M, Ji M, Fan J, Xie J, Wei X, et al. Air Pollution, Genetic Factors, and the Risk of Lung Cancer: A Prospective Study in the UK Biobank. American journal of respiratory and critical care medicine. 2021;204:817-25. [DOI:10.1164/rccm.202011-4063OC]
5. de Groot P, Munden RF. Lung cancer epidemiology, risk factors, and prevention. Radiologic clinics of North America. 2012;50:863-76. [DOI:10.1016/j.rcl.2012.06.006]
6. Freudenheim JL, Ritz J, Smith-Warner SA, Albanes D, Bandera EV, van den Brandt PA, et al. Alcohol consumption and risk of lung cancer: a pooled analysis of cohort studies. The American journal of clinical nutrition. 2005;82:657-67. [DOI:10.1093/ajcn/82.3.657]
7. Zhao L, Kase B, Zheng J, Steck SE. Dietary Patterns and Risk of Lung Cancer: A Systematic Review and Meta-Analyses of Observational Studies. Current nutrition reports. 2023;12:338-57. [DOI:10.1007/s13668-023-00469-w]
8. Baena Ruiz R, Salinas Hernández P. Diet and cancer: risk factors and epidemiological evidence. Maturitas. 2014;77:202-8. [DOI:10.1016/j.maturitas.2013.11.010]
9. Yang T, Wang C, Li S, Guo XF, Li D. Dietary intakes of fruits and vegetables and lung cancer risk in participants with different smoking status: a meta-analysis of prospective cohort studies. Asia Pacific journal of clinical nutrition. 2019;28:770-82.
10. Farvid MS, Sidahmed E, Spence ND, Mante Angua K, Rosner BA, Barnett JB. Consumption of red meat and processed meat and cancer incidence: a systematic review and meta-analysis of prospective studies. European journal of epidemiology. 2021;36:937-51. [DOI:10.1007/s10654-021-00741-9]
11. Mohammadzadeh M, Bahrami A, Ghafouri-Taleghani F, Khalesi S, Abdi F, Hejazi E. Dietary iron and the risk of lung cancer. International journal for vitamin and nutrition research Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung Journal international de vitaminologie et de nutrition. 2023.
12. Vieira AR, Abar L, Vingeliene S, Chan D, Aune D, Navarro-Rosenblatt D, et al. Fruits, vegetables and lung cancer risk: a systematic review and meta-analysis. Annals of Oncology. 2016;27:81-96. [DOI:10.1093/annonc/mdv381]
13. Abid Z, Cross AJ, Sinha R. Meat, dairy, and cancer. The American journal of clinical nutrition. 2014;100:386S-93S. [DOI:10.3945/ajcn.113.071597]
14. Schulze MB, Hoffmann K. Methodological approaches to study dietary patterns in relation to risk of coronary heart disease and stroke. The British journal of nutrition. 2006;95:860-9. [DOI:10.1079/BJN20061731]
15. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Current opinion in lipidology. 2002;13:3-9. [DOI:10.1097/00041433-200202000-00002]
16. Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. Journal of epidemiology. 2010;20:150-8. [DOI:10.2188/jea.JE20090083]
17. Ghaffarpour M, Houshiar-Rad A, Kianfar H. The manual for household measures, cooking yields factors and edible portion of foods. Tehran: Nashre Olume Keshavarzy. 1999;7:42-58.
18. Azar M, Sarkisian E. Food composition table of Iran. Tehran: National Nutrition and Food Research Institute, Shaheed Beheshti University. 1980;65.
19. Azizi H, Asadollahi K, Davtalab Esmaeili E, Mirzapoor M. Iranian dietary patterns and risk of colorectal cancer. Health promotion perspectives. 2015;5:72-80. [DOI:10.15171/hpp.2015.009]
20. Bahrami A, Houshyari M, Jafari S, Rafiei P, Mazandaranian M, Hekmatdoost A, et al. Dietary patterns and the risk of colorectal cancer and adenoma: a case control study in Iran. Gastroenterology and hepatology from bed to bench. 2019;12:217-25.
21. Aadahl M, Jørgensen T. Validation of a new self-report instrument for measuring physical activity. Medicine and science in sports and exercise. 2003;35:1196-202. [DOI:10.1249/01.MSS.0000074446.02192.14]
22. De Stefani E, Deneo‐Pellegrini H, Boffetta P, Ronco AL, Aune D, Acosta G, et al. Dietary patterns and risk of cancer: a factor analysis in Uruguay. International journal of cancer. 2009;124:1391-7. [DOI:10.1002/ijc.24035]
23. De Stefani E, Ronco AL, Deneo-Pellegrini H, Correa P, Boffetta P, Acosta G, et al. Dietary patterns and risk of adenocarcinoma of the lung in males: a factor analysis in Uruguay. Nutrition and cancer. 2011;63:699-706. [DOI:10.1080/01635581.2011.563033]
24. Hawrysz I, Wadolowska L, Slowinska MA, Czerwinska A, Golota JJ. Adherence to prudent and Mediterranean dietary patterns is inversely associated with lung cancer in moderate but not heavy male polish smokers: A case-control study. Nutrients. 2020;12:3788. [DOI:10.3390/nu12123788]
25. Abar L, Vieira AR, Aune D, Stevens C, Vingeliene S, Navarro Rosenblatt DA, et al. Blood concentrations of carotenoids and retinol and lung cancer risk: an update of the WCRF-AICR systematic review of published prospective studies. Cancer Medicine. 2016;5:2069-83. [DOI:10.1002/cam4.676]
26. Nyberg F, Agrenius V, Svartengren K, Svensson C, Pershagen G. Dietary factors and risk of lung cancer in never‐smokers. International journal of cancer. 1998;78:430-6. https://doi.org/10.1002/(SICI)1097-0215(19981109)78:4<430::AID-IJC7>3.0.CO;2-V [DOI:10.1002/(SICI)1097-0215(19981109)78:43.0.CO;2-V]
27. Subramaniam S, Selvaduray KR, Radhakrishnan AK. Bioactive compounds: natural defense against cancer? Biomolecules. 2019;9:758. [DOI:10.3390/biom9120758]
28. Singh A, Prakash A, Choudhary R. Bioactive Components Having Antimicrobial and Anticancerous Properties: A Review. Bioactive Components: A Sustainable System for Good Health and Well-Being. 2022:271-99. [DOI:10.1007/978-981-19-2366-1_17]
29. Messina MJ. Legumes and soybeans: overview of their nutritional profiles and health effects. The American journal of clinical nutrition. 1999;70:439s-50s. [DOI:10.1093/ajcn/70.3.439s]
30. Tu H, Heymach JV, Wen C-P, Ye Y, Pierzynski JA, Roth JA, et al. Different dietary patterns and reduction of lung cancer risk: a large case-control study in the US. Scientific reports. 2016;6:26760. [DOI:10.1038/srep26760]
31. Jin S, Je Y. Nuts and legumes consumption and risk of colorectal cancer: a systematic review and meta-analysis. European journal of epidemiology. 2022;37:569-85. [DOI:10.1007/s10654-022-00881-6]
32. Yang JJ, Yu D, Xiang Y-B, Blot W, White E, Robien K, et al. Association of dietary fiber and yogurt consumption with lung cancer risk: a pooled analysis. JAMA oncology. 2020;6:e194107-e. [DOI:10.1001/jamaoncol.2019.4107]
33. Gomes M, Teixeira AL, Coelho A, Araujo A, Medeiros R. The role of inflammation in lung cancer. Inflammation and cancer. 2014:1-23. [DOI:10.1007/978-3-0348-0837-8_1]
34. Simpson HL, Campbell BJ. Review article: dietary fibre-microbiota interactions. Alimentary pharmacology & therapeutics. 2015;42:158-79. [DOI:10.1111/apt.13248]
35. Niero M, Bartoli G, De Colle P, Scarcella M, Zanetti M. Impact of Dietary Fiber on Inflammation and Insulin Resistance in Older Patients: A Narrative Review. Nutrients. 2023;15. [DOI:10.3390/nu15102365]
36. Ros E, Singh A, O'Keefe JH. Nuts: Natural Pleiotropic Nutraceuticals. Nutrients. 2021;13. [DOI:10.3390/nu13093269]
37. Hall MN, Campos H, Li H, Sesso HD, Stampfer MJ, Willett WC, et al. Blood levels of long-chain polyunsaturated fatty acids, aspirin, and the risk of colorectal cancer. Cancer Epidemiol Biomarkers Prev. 2007;16:314-21. [DOI:10.1158/1055-9965.EPI-06-0346]
38. Zheng JS, Hu XJ, Zhao YM, Yang J, Li D. Intake of fish and marine n-3 polyunsaturated fatty acids and risk of breast cancer: meta-analysis of data from 21 independent prospective cohort studies. Bmj. 2013;346:f3706. [DOI:10.1136/bmj.f3706]
39. Balder HF, Goldbohm RA, van den Brandt PA. Dietary patterns associated with male lung cancer risk in the Netherlands Cohort Study. Cancer Epidemiology Biomarkers & Prevention. 2005;14:483-90. [DOI:10.1158/1055-9965.EPI-04-0353]
40. Wei X, Zhu C, Ji M, Fan J, Xie J, Huang Y, et al. Diet and Risk of Incident Lung Cancer: A Large Prospective Cohort Study in UK Biobank. The American journal of clinical nutrition. 2021;114:2043-51. [DOI:10.1093/ajcn/nqab298]
41. Tao J, Jatoi A, Crawford J, Lam WWT, Ho JC, Wang X, et al. Role of dietary carbohydrates on risk of lung cancer. Lung Cancer. 2021;155:87-93. [DOI:10.1016/j.lungcan.2021.03.009]
42. Kuang H, Yang F, Zhang Y, Wang T, Chen G. The Impact of Egg Nutrient Composition and Its Consumption on Cholesterol Homeostasis. Cholesterol. 2018;2018:6303810. [DOI:10.1155/2018/6303810]
43. Si R, Qu K, Jiang Z, Yang X, Gao P. Egg consumption and breast cancer risk: a meta-analysis. Breast cancer (Tokyo, Japan). 2014;21:251-61. [DOI:10.1007/s12282-014-0519-1]
44. Tse G, Eslick GD. Egg consumption and risk of GI neoplasms: dose-response meta-analysis and systematic review. European journal of nutrition. 2014;53:1581-90. [DOI:10.1007/s00394-014-0664-5]
45. Zhong S, Ma T, Chen L, Chen W, Lv M, Zhang X, et al. Physical Activity and Risk of Lung Cancer: A Meta-analysis. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 2016;26:173-81. [DOI:10.1097/JSM.0000000000000219]
46. Ohgaki H, Takayama S, Sugimura T. Carcinogenicities of heterocyclic amines in cooked food. Mutation research. 1991;259:399-410. [DOI:10.1016/0165-1218(91)90130-E]
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Mohammadzadeh M, Mamaghanin M, Bahrami A, Paydareh A, Abdi F, Seifi* S, et al . Dietary Patterns and the Risk of Lung Cancer; A Case-Control Study in Iran. Iranian J Nutr Sci Food Technol 2025; 19 (4) :1-11
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Volume 19, Issue 4 (Winter 2025) Back to browse issues page
Iranian Journal of  Nutrition Sciences and Food  Technology
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