PMID- 29502539 OWN - NLM STAT- MEDLINE DCOM- 20190403 LR - 20190403 IS - 1475-2662 (Electronic) IS - 0007-1145 (Linking) VI - 119 IP - 9 DP - 2018 May TI - Dietary inflammatory index and risk of oesophageal cancer in Xinjiang Uyghur Autonomous Region, China. PG - 1068-1075 LID - 10.1017/S0007114518000405 [doi] AB - Diet has been shown to have an effect on both inflammation and oesophageal cancer. This study investigated the association between the dietary inflammatory index (DII(R)) and the risk of oesophageal cancer in Xinjiang Uyghur Autonomous Region, China. A case-control study was conducted during 2008-2009 in Urumqi and Shihezi. DII scores were calculated based on dietary intake assessed by a validated FFQ administered to 359 incident oesophageal cancer patients and 380 hospital-based controls. Higher DII scores indicate more pro-inflammatory diets. Logistic regression analyses were performed to assess the association between DII scores and oesophageal cancer risk. Oesophageal cancer patients had a significantly higher median DII score (-0.35; interquartile range (IQR)=-2.25, 1.86) than that of controls (-1.41; IQR -3.07, 0.40). Multivariable logistic analysis revealed a positive association between higher DII scores and oesophageal cancer risk (ORQuartile 4 v. 1 2.55; 95 % CI 1.61, 4.06; P trend<0.001). A pro-inflammatory diet appears to be associated with an increased risk of oesophageal cancer in Xinjiang Uyghur Autonomous Region. Specific carcinogenic mechanisms are discussed. Accumulating evidence, to which the study contributes, indicates that encouraging the intake of more anti-inflammatory foods may be a strategy to protect against oesophageal cancer in this high-risk area of China. FAU - Tang, Li AU - Tang L AD - 1Chinese Evidence-based Medicine Center,West China Hospital,Sichuan University,Chengdu 610041,People's Republic of China. FAU - Shivappa, Nitin AU - Shivappa N AD - 2Cancer Prevention and Control Program,University of South Carolina,Columbia,SC 29208,USA. FAU - Hebert, James R AU - Hebert JR AD - 2Cancer Prevention and Control Program,University of South Carolina,Columbia,SC 29208,USA. FAU - Lee, Andy H AU - Lee AH AD - 5School of Public Health,Curtin University,Perth,WA 6845,Australia. FAU - Xu, Fenglian AU - Xu F AD - 6Faculty of Health,University of Technology Sydney,Sydney, NSW 2007,Australia. FAU - Binns, Colin W AU - Binns CW AD - 5School of Public Health,Curtin University,Perth,WA 6845,Australia. LA - eng GR - R44 DK103377/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20180305 PL - England TA - Br J Nutr JT - The British journal of nutrition JID - 0372547 SB - IM MH - Aged MH - Case-Control Studies MH - China/epidemiology MH - Diet/*adverse effects MH - Diet Surveys MH - Esophageal Neoplasms/*epidemiology/*etiology MH - Female MH - Food Analysis MH - Humans MH - Inflammation/*complications MH - Logistic Models MH - Male MH - Middle Aged MH - Risk Factors OTO - NOTNLM OT - DII dietary inflammatory index OT - EAC oesophageal adenocarcinoma OT - ESCC oesophageal squamous cell cancer OT - China OT - Dietary inflammatory index OT - Oesophageal cancer OT - Xinjiang EDAT- 2018/03/06 06:00 MHDA- 2019/04/04 06:00 CRDT- 2018/03/06 06:00 PHST- 2018/03/06 06:00 [pubmed] PHST- 2019/04/04 06:00 [medline] PHST- 2018/03/06 06:00 [entrez] AID - S0007114518000405 [pii] AID - 10.1017/S0007114518000405 [doi] PST - ppublish SO - Br J Nutr. 2018 May;119(9):1068-1075. doi: 10.1017/S0007114518000405. Epub 2018 Mar 5.