PMID- 36335543 OWN - NLM STAT- MEDLINE DCOM- 20230224 LR - 20230224 IS - 1436-6215 (Electronic) IS - 1436-6207 (Print) IS - 1436-6207 (Linking) VI - 62 IP - 2 DP - 2023 Mar TI - Intake of prebiotic fibers and the risk of laryngeal cancer: the PrebiotiCa study. PG - 977-985 LID - 10.1007/s00394-022-03030-7 [doi] AB - PURPOSE: To evaluate whether the intake of specific fibers with prebiotic activity, e.g., inulin-type fructans (ITFs), fructo-oligosaccharides (FOSs), and galacto-oligosaccharides (GOSs), is associated with laryngeal cancer risk. METHODS: Within the PrebiotiCa study, we used data from a case-control study (Italy, 1992-2009) with 689 incident, histologically confirmed laryngeal cancer cases and 1605 controls. Six prebiotic molecules (ITFs, nystose [FOS], kestose [FOS], 1F-beta-fructofuranosylnystose [FOS], raffinose [GOS] and stachyose [GOS]) were quantified in various foods via ad hoc conducted laboratory analyses. Subjects' prebiotic fiber intake was calculated by multiplying food frequency questionnaire intake by the prebiotic content of each food item. The odds ratios (OR) of laryngeal cancer for prebiotic fiber intake were calculated using logistic regression models, including, among others, terms for tobacco, alcohol, and total energy intake. RESULTS: The intakes of kestose, raffinose and stachyose were inversely associated with laryngeal cancer, with ORs for the highest versus the lowest quartile of 0.70 (95% confidence interval, CI 0.50-0.99) for kestose, 0.65 (95% CI 0.45-0.93) for raffinose and 0.61 (95% CI 0.45-0.83) for stachyose. ITFs, nystose and 1F-beta-fructofuranosylnystose were not associated with laryngeal cancer risk. Current smokers and heavy drinkers with medium-low intakes of such prebiotic fibers had, respectively, an over 15-fold increased risk versus never smokers with medium-high intakes and a five to sevenfold increased risk versus never/moderate drinkers with medium-high intakes. CONCLUSION: Although disentangling the effects of the various components of fiber-rich foods is complex, our results support a favorable role of selected prebiotic fibers on laryngeal cancers risk. CI - (c) 2022. The Author(s). FAU - Turati, Federica AU - Turati F AUID- ORCID: 0000-0002-5841-5773 AD - Unit of Medical Statistics and Biometry, IRCCS National Cancer Institute of Milan, Milan, Italy. federica.turati@unimi.it. AD - Department of Clinical Sciences and Community Health, University of Milan, Via G. Celoria, 22, 20133, Milan, Italy. federica.turati@unimi.it. FAU - Concina, Federica AU - Concina F AD - Clinical Epidemiology and Public Health Research Unit, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy. FAU - Bertuccio, Paola AU - Bertuccio P AD - Department of Clinical Sciences and Community Health, University of Milan, Via G. Celoria, 22, 20133, Milan, Italy. AD - Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy. FAU - Fiori, Federica AU - Fiori F AD - Department of Medicine, University of Udine, Udine, Italy. FAU - Parpinel, Maria AU - Parpinel M AD - Department of Medicine, University of Udine, Udine, Italy. FAU - Taborelli, Martina AU - Taborelli M AD - Unit of Cancer Epidemiology, CRO Aviano National Cancer Institute, IRCCS, Aviano, Italy. FAU - Rosato, Valentina AU - Rosato V AD - Unit of Medical Statistics and Biometry, IRCCS National Cancer Institute of Milan, Milan, Italy. FAU - Garavello, Werner AU - Garavello W AD - Department of Otorhinolaryngology, School of Medicine and Surgery, University of Milano- Bicocca, Monza, Italy. FAU - Negri, Eva AU - Negri E AUID- ORCID: 0000-0001-9712-8526 AD - Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. FAU - La Vecchia, Carlo AU - La Vecchia C AD - Department of Clinical Sciences and Community Health, University of Milan, Via G. Celoria, 22, 20133, Milan, Italy. LA - eng GR - Ricerca Finalizzata Giovani Ricercatori/Ministero della Salute/ GR - GR-2016-02361123/Ministero della Salute/ PT - Journal Article DEP - 20221106 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 RN - N5O3QU595M (Raffinose) RN - 0 (Oligosaccharides) RN - 9005-80-5 (Inulin) RN - 0 (Fructans) RN - 0 (Prebiotics) SB - IM MH - Humans MH - Raffinose MH - *Laryngeal Neoplasms MH - Case-Control Studies MH - Oligosaccharides MH - Inulin MH - Fructans MH - Prebiotics PMC - PMC9941254 OTO - NOTNLM OT - Diet OT - Fiber OT - Laryngeal cancer OT - Prebiotics OT - Prevention COIS- The authors declare that they have no conflict of interest. EDAT- 2022/11/07 06:00 MHDA- 2023/02/25 06:00 PMCR- 2022/11/06 CRDT- 2022/11/06 14:02 PHST- 2022/04/12 00:00 [received] PHST- 2022/10/05 00:00 [accepted] PHST- 2022/11/07 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] PHST- 2022/11/06 14:02 [entrez] PHST- 2022/11/06 00:00 [pmc-release] AID - 10.1007/s00394-022-03030-7 [pii] AID - 3030 [pii] AID - 10.1007/s00394-022-03030-7 [doi] PST - ppublish SO - Eur J Nutr. 2023 Mar;62(2):977-985. doi: 10.1007/s00394-022-03030-7. Epub 2022 Nov 6.