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- Title
Alcohol consumption and the risk of nasopharyngeal carcinoma: a systematic review.
- Authors
Chen, Liwei; Gallicchio, Lisa; Boyd-Lindsley, Kristina; Tao, Xuguang Grant; Robinson, Karen A; Lam, Tram Kim; Herman, James G; Caulfield, Laura E; Guallar, Eliseo; Alberg, Anthony J
- Abstract
The evidence concerning the influence of alcohol drinking on the risk of nasopharyngeal carcinoma (NPC) has yielded intriguing findings but has lacked a clear-cut interpretation due to inconsistencies. To unify this body of evidence, we performed a systematic review. With funding and using a protocol developed by the World Cancer Research Fund (WCRF), 15 bibliographic databases were searched for epidemiological studies that reported a measure of association between alcoholic beverage consumption and NPC. Pooled odds ratios (ORs) for highest-vs.-lowest categories of total alcohol intake was obtained by using an inverse-variance weighted random-effects model. A dose-response trend was examined in models using generalized least square estimation. The search identified 14 case-control studies from 5 countries. For total alcohol intake, the pooled ORs in a comparison of the highest to the lowest category was 1.33 (95% CI: = 1.09-1.62) in 11 studies. Data from 6 studies indicated a J-shape dose-response trend, with NPC risk decreasing with up to 15 drinks/wk and increasing with higher intake. Fewer data were available to assess the associations between NPC and intake of beer, wine, and spirits. The potential J-shaped dose-response trend suggests a reduced risk of NPC related to the light alcohol drinking, an observation that warrants further study. Considered in total, the quantitative summaries of the case-control evidence suggest that heavy alcohol consumption is associated with an increased risk of NPC.
- Publication
Nutrition and cancer, 2009, Vol 61, Issue 1, p1
- ISSN
1532-7914
- Publication type
Journal Article
- DOI
10.1080/01635580802372633