Association between dietary sodium, potassium intake and lung cancer risk: Evidence from the prostate, lung, colorectal and ovarian cancer screening trial and the Women's Health Initiative

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  • Dongfang You
  • Mingzhi Zhang
  • Wenjing He
  • Danhua Wang
  • Yang Yu
  • Zhaolei Yu
  • Lange, Theis
  • Sheng Yang
  • Yongyue Wei
  • Hongxia Ma
  • Zhibin Hu
  • Hongbing Shen
  • Feng Chen
  • Yang Zhao

Background: Epidemiological studies have reported that dietary mineral intake plays an important role on lung cancer risk, but the association of sodium, potassium intake is still unclear. Methods: We determined the association between dietary sodium, potassium intake and lung cancer risk based on the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial and the Women's Health Initiative (WHI). Totally 165,409 participants who completed the baseline questionnaire (BQ) and diet history questionnaire (DHQ) were included into the analytical dataset, including 92,984 (44,959 men and 48,025 women) from the PLCO trial and 72,425 (women only) from the WHI cohort. Multivariable Cox proportional hazards regression was used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) of incident lung cancer associated with dietary potassium and sodium intake. The dose-response relationship was also described using the spline smoothed curve after adjusting covariates. Results: After the median follow-up of 8.55 and 18.56 years, 1,278 and 1,631 new cases of lung cancer were identified in the PLCO trial and WHI cohort, respectively. Intake of sodium was significantly associated with the incidence of lung cancer in the PLCO trial after multivariate adjustment for men (HR: 1.19, 95% CI: 1.05-1.35; P for linear trend =0.044). There was a suggestion that lung cancer risk had a quadratic curve correlation with the increase of potassium intake for women (third vs. lowest quintile: HR: 0.72, 95% CI: 0.54-0.96; P for quadratic trend =0.042). The similar results showing an inverse association between potassium intake and lung cancer risk were also observed in the WHI cohort for women (highest vs. lowest quintile: HR: 0.82, 95% CI: 0.70-0.97; P for linear trend =0.009). Conclusions: Appropriate intake of potassium has a protective effect against lung cancer, while high consumption of sodium is associated with an increased risk of lung cancer.

OriginalsprogEngelsk
TidsskriftTranslational Lung Cancer Research
Vol/bind10
Udgave nummer1
Sider (fra-til)45-56
Antal sider12
ISSN2218-6751
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
We gratefully thank all PLCO and WHI participants and staff for their time and commitment to these studies. The funders had no role in study design, collection, analysis, interpretation of data, writing of the report or decision to publish or preparation of the manuscript. Funding: This work is supported by the National Natural Science Foundation of China (Project No. 81872709 to YZ, 81530088 to FC, 81830100 to ZBH, 81820108028 to H.B. S., 81922061 to HXM); Key Project of the Natural Science Foundation of the Jiangsu Higher Education Institutions of China (18KJA110004 to YZ); and the Qing-lan Project of Jiangsu Province and Excellent Young Faculty Program of NMU.

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