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Epidemiology, clinical features, and impact of food habits on the risk of hepatocellular carcinoma: A case-control study in Bangladesh
Hepatocellular carcinoma (HCC) is the sixth most common cancer and the third most common cause of cancer mortality worldwide. Infection with hepatitis B virus (HBV) and/or hepatitis C virus (HCV) is the most predominant cause of HCC. Concerns arise for the presence of additional risk factors, as the...
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Published in: | PloS one 2020-04, Vol.15 (4), p.e0232121-e0232121 |
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description | Hepatocellular carcinoma (HCC) is the sixth most common cancer and the third most common cause of cancer mortality worldwide. Infection with hepatitis B virus (HBV) and/or hepatitis C virus (HCV) is the most predominant cause of HCC. Concerns arise for the presence of additional risk factors, as there is still a large proportion of patients without HBV or HCV infection. Previous studies have reported that higher intake of fruits and vegetables and reduced consumption of red/processed meat might play a protective role in HCC etiology, though the nationwide proof is limited. Hence, we studied multiple risk factors including food habit, lifestyle, and clinical implications of HCC patients in Bangladeshi. Demographic, clinical, and biochemical data, as well as data on food habits, were collected in this study. Our results indicated that a high intake of rice (AOR 4.28, 95% CI 1.48 to 14.07, p = 0.011), low intake of fruits (AOR = 4.41 95% CI 1.48-15.46; p = 0.012), leafy vegetables (AOR = 2.80, 95% CI 1.32-6.08; p = 0.008), and fish (AOR = 4.64 95% CI 2.18-10.23; p |
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Infection with hepatitis B virus (HBV) and/or hepatitis C virus (HCV) is the most predominant cause of HCC. Concerns arise for the presence of additional risk factors, as there is still a large proportion of patients without HBV or HCV infection. Previous studies have reported that higher intake of fruits and vegetables and reduced consumption of red/processed meat might play a protective role in HCC etiology, though the nationwide proof is limited. Hence, we studied multiple risk factors including food habit, lifestyle, and clinical implications of HCC patients in Bangladeshi. Demographic, clinical, and biochemical data, as well as data on food habits, were collected in this study. Our results indicated that a high intake of rice (AOR 4.28, 95% CI 1.48 to 14.07, p = 0.011), low intake of fruits (AOR = 4.41 95% CI 1.48-15.46; p = 0.012), leafy vegetables (AOR = 2.80, 95% CI 1.32-6.08; p = 0.008), and fish (AOR = 4.64 95% CI 2.18-10.23; p<0.001) increased the HCC risk. Moreover, a high intake of eggs (AOR = 2.07 95% CI 0.98-4.43; p = 0.058) also showed an increased risk. Roti, non-leafy vegetables, red meat, and tea were found to have no association with HCC risk. This study revealed that food habit patterns and lifestyle may have a profound effect on HCC development among Bangladeshi patients in addition to well established risk factors.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0232121</identifier><identifier>PMID: 32339207</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Alcohol use ; Biology and Life Sciences ; Biotechnology ; Body mass index ; Cancer ; Carcinoma ; Cellular biology ; Clinical medicine ; Development and progression ; Diabetes ; Diet ; Disease ; Eggs ; Epidemiology ; Etiology ; Etiology (Medicine) ; Food ; Food habits ; Food preferences ; Fruits ; Fruits (Food) ; Genetic engineering ; Habits ; Health aspects ; Hepatitis ; Hepatitis B ; Hepatitis B virus ; Hepatitis C ; Hepatitis C virus ; Hepatocellular carcinoma ; Infection ; Infections ; Laboratories ; Liver cancer ; Liver diseases ; Meat ; Medical research ; Medicine and Health Sciences ; Mortality ; Patients ; People and Places ; Population ; Risk analysis ; Risk factors ; Social Sciences ; Studies ; Tea ; Tomography ; Ultrasonic imaging ; Vegetables ; Viruses</subject><ispartof>PloS one, 2020-04, Vol.15 (4), p.e0232121-e0232121</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Shawon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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cancer mortality worldwide. Infection with hepatitis B virus (HBV) and/or hepatitis C virus (HCV) is the most predominant cause of HCC. Concerns arise for the presence of additional risk factors, as there is still a large proportion of patients without HBV or HCV infection. Previous studies have reported that higher intake of fruits and vegetables and reduced consumption of red/processed meat might play a protective role in HCC etiology, though the nationwide proof is limited. Hence, we studied multiple risk factors including food habit, lifestyle, and clinical implications of HCC patients in Bangladeshi. Demographic, clinical, and biochemical data, as well as data on food habits, were collected in this study. Our results indicated that a high intake of rice (AOR 4.28, 95% CI 1.48 to 14.07, p = 0.011), low intake of fruits (AOR = 4.41 95% CI 1.48-15.46; p = 0.012), leafy vegetables (AOR = 2.80, 95% CI 1.32-6.08; p = 0.008), and fish (AOR = 4.64 95% CI 2.18-10.23; p<0.001) increased the HCC risk. Moreover, a high intake of eggs (AOR = 2.07 95% CI 0.98-4.43; p = 0.058) also showed an increased risk. Roti, non-leafy vegetables, red meat, and tea were found to have no association with HCC risk. This study revealed that food habit patterns and lifestyle may have a profound effect on HCC development among Bangladeshi patients in addition to well established risk factors.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32339207</pmid><doi>10.1371/journal.pone.0232121</doi><tpages>e0232121</tpages><orcidid>https://orcid.org/0000-0001-5440-0315</orcidid><orcidid>https://orcid.org/0000-0001-8880-3649</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Alcohol use Biology and Life Sciences Biotechnology Body mass index Cancer Carcinoma Cellular biology Clinical medicine Development and progression Diabetes Diet Disease Eggs Epidemiology Etiology Etiology (Medicine) Food Food habits Food preferences Fruits Fruits (Food) Genetic engineering Habits Health aspects Hepatitis Hepatitis B Hepatitis B virus Hepatitis C Hepatitis C virus Hepatocellular carcinoma Infection Infections Laboratories Liver cancer Liver diseases Meat Medical research Medicine and Health Sciences Mortality Patients People and Places Population Risk analysis Risk factors Social Sciences Studies Tea Tomography Ultrasonic imaging Vegetables Viruses |
title | Epidemiology, clinical features, and impact of food habits on the risk of hepatocellular carcinoma: A case-control study in Bangladesh |
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