대구.경북지역 위암환자의 식품과 영양섭취상태

The Nutritional Intakes of the Stomach Cancer Patients in the Daegu and Gyeongbuk Areas, Korea

  • 서수원 (경북대학교 식품영양학과) ;
  • 구보경 (경북대학교 식품영양학과) ;
  • 최용환 (경북대학교 의과대학 내과학교실) ;
  • 이혜성 (경북대학교 식품영양학과)
  • 발행 : 2003.04.01

초록

The present study was conducted to evaluate the food and nutrients intakes of stomach cancer patients in the Daegu and Gyeongbuk areas in order to find out the dietary risk factors for stomach cancer. The subjects of the study were 102 patients who had recently been diagnosed with stomach cancer at the Gyeongbuk National University Hospital. The control subjects were 105 people including patients from the Department of Orthopedic Surgery and healthy volunteers who did not have any gastrointestinal diseases. Estimates of nutrients intakes were determined from the food intake frequency data obtained by individual interviews using questionnaires. The mean daily calorie intakes of the control and the case groups were not significantly different. However the energy intake from protein was significantly higher in the case group as compared to the control group. With regard to the nutrients intakes, the case subjects consumed significantly higher amounts of nutrients such as protein, calcium, sodium, phosphorus and niacin than the control group. The case group showed a tendency to consume higher amount of protein, fat, calcium and iron from animal food sources. In the present study dietary factors which were suspected as being risk factors for stomach cancer included high consumption of animal foods, specific nutrients such as protein, sodium and niacin, specific food groups such as meat, spices, and low consumption of fruits and mushrooms. Therefore, it is recommended that more extensive and systematic surveys be conducted to confirm the risk factors for stomach cancer, taking into consideration the dietary cultural characteristics of this region. (Korean J Community Nutrition 8(2) : 202∼219, 2003).

키워드

참고문헌

  1. Agudo A, Gonzalez CA, Marcos G, Sanz M, Saigi E, Verge J, Boleda M, Ortego J (1992) : Consumpttion of alcohol, coffee, and tobacco and gastric cancer in Spain. Unit of Epidemiology, Hospital de Mataro, Spain. Mar 3(2) : 137-143
  2. Baek JW, Koo BK, Kim KJ, Lee YK, Lee SK, Lee HS (2000) : Nutritional status of the long-lived elderly people in Kyungpook Sung-Ju area (I) -Estimation of nutrients intakes-,Korean J nutrition 33 (4) : 438-453
  3. Boeing H, Frentzel-Beyme R, Berger M, Berndt V, Gores W, Komer M, Lohmeier R, Menarcher A, Mannl HF, Meinhardt M, et al (1991) : Case-control study on stomach cancer in Germany. Int J Cancer 47(6) : 858-864 https://doi.org/10.1002/ijc.2910470612
  4. Botterweck AA, Brandt PA, Goldbohm RA (1998) : Vitamins, carote-noids, dietary fiber, and the risk of gastric carcinoma : results from a prospective study after 6.3 years of follow-up. Cancer 88(4) : 737-748 https://doi.org/10.1002/(SICI)1097-0142(20000215)88:4<737::AID-CNCR2>3.0.CO;2-H
  5. Chatenoud L, Tavani A, La Vecchia C, Jacobs DR Jr, Negri E, Levi F, Franceshi S (1998) : Whole grain food intake and cancer risk. Int J Cancer77(1) : 24-28
  6. Choi MJ (1998) : Studies of nutrient intake and serum lipids level in adult women in Taegu. Korean J nutrition 31(4) : 777-786
  7. Cynn MK (1993) : Correlation study on foods/nutrients intake and the mortality and the morbidity of cancer of stomach and colorectum in Korea. Korean Journal of Epidemiology 15(2) 119-131
  8. Demirer T, Icli F, Uzunalimoglu O, Kucuk O (1990) : Diet and stomach cancer incidence. A case-control study in Turkey. Cancer 65 (10) : 2344-2348
  9. Dreosti IE (1998) : Nutrition, cancer and aging. Ann N Y Acad Sci 854 : 371-377 https://doi.org/10.1111/j.1749-6632.1998.tb09917.x
  10. Galanis OJ , Konel LN, Lee J, Nomura A (1998) : Intakes of selected foods and beverages and the incidence of gastric cancer among the Japanese residents of Hawaii : a prospective study. Int J Epidemiol 27(2) : 173-180 https://doi.org/10.1093/ije/27.2.173
  11. Hoshiyarna Y, Sasaba T (1992) : A case-control study of stomach cancer and its relation to diet, cigarettes, and alcohol consumption in Saitama Prefecure. Japan. Cancer Causes Control 3(5) : 441-448 https://doi.org/10.1007/BF00051357
  12. Jansen MC, Bruno-de-Mesquita HB, Rasanen L, Fidanza F, Menotti A, Nissinen A, Feskens EJ, Kok FJ, Krornhout D (1999) : Consump-tion of plant and stomach cancer mortality in seven countries study. Is grain consumption a risk factor? Seven Countries Study Resear-ch Group 34(1) : 49-55 https://doi.org/10.1207/S15327914NC340107
  13. Jeong JS (1986) : A literature review study on the correlation between stomach cancer and dietary factors. Journal of Epidemiology 15 (2) 119-131
  14. Kerlinger FN (1986) : Foundations of behavioral research. 3th edition. Holt, Renehart and Winston, inc. New York
  15. Kikuchi S (2001) : Risk factors of stomach cancer. Gan To Kagaku Ryoho 28(2) : 142-145
  16. Kim HJ, Lee SS, Jang UK, Kim MK, Choi BY, Park KN, Choi HS (1999) : A case-control study on food intake and stomach cancer incidence. Korean J nutrition 32 (4) : 478
  17. Kim WY, Yang EJ (1998) : A study on development and validation of food frequency questionnaire for Koreans. Korean J nutrition 31(2) : 220-230
  18. Kono S, Hirohata T (1990) : A review of gastric cancer and life style. Gan No Rinsho Spec. No : 257-267
  19. Korean advanced food research institute (1988) : Food measurement with the eye. Seoul
  20. Kurt Jl (2001) : Principles of internal medicine, pp.1486-1487
  21. Lee HJ, Lee CW (1996) : Correlation study of regional variation in mortality of stomach cancer and fruits intake in Korea Korean J nutrition 29(10) : 1192-1193
  22. Lee HS, Lee YK, Seo YJ (1994) : Annual changes in the estimated dietary fiber intakes of Korean during 1969-1990. Korean J nutri-tion 27(1) : 59-70
  23. Mahan LK, Escort-stump S (2000) : Krause's food, nutrition and diet theraphy. W.B. Saunders company, pp.867-877
  24. Mathew A, Gangadharan P, Varghese C, Nair MK (2000) : Diet and stomach cancer : a case-control study in South India. Eur J Cancer Prev 9(2) : 89-97 https://doi.org/10.1097/00008469-200004000-00004
  25. Ministry of health and welfare (1999) : Analysis on 1998 National Health and Nutrition Survey
  26. Moon HK (1991) : Diet and stomach cancer : A case-control study in Korea. Journal of Epidemiology 13(1) 33-51
  27. National Cancer Center (2002) : National Cancer Center/Cancer Regi-stry and Statistics in KOREA/Cancer Statistics 2000. http://www,ncc.re.kr
  28. Nishimune T, Sumimoto T, Yakusiji T, Kunita N (1991) : Determina-tion of total dietary fiber in Japanese foods. J Assoc Off Anal Chem 74(2) : 350-359
  29. Paik HY, Ryu N, Choi JS, Ahn YJ, Moon HK, Park YS, Lee HK, Kim YI (1995) : Developement and validation of food frequency ques-tionnaire for dietary assessment of Korean adults in rural area. Korean J nutrition 28(9) : 914-922
  30. Park CK, Choe M, Ju JS (1992) : Comparison of sodium intakes pattern in the family members of normal and stomach cancer patients J. Korean Soc Food Sci Nutr 21(6) : 648-654
  31. Rural Development Aadministration (1996) : Food composition table 5th revision
  32. Suh SW, Koo BK, Choi YH, Lee HS (2002) : Life-style and eating behaviors of the stomach cancer patients in Daegu and Kyungpook area in Korea. Korean J nutrition 35(3) : 380-393
  33. Tominaga S (1990) : The potential of cancer prevention. Gan To Kaga- ku Ryoho 17(2) : 173-179
  34. Tuyns AJ, Kaaks R, Haeltennan M, Riboli E (1992) : Diet and gastric cancer. A case-control study in Belgium. Int J Cancer 51(1) : 1-6 https://doi.org/10.1002/ijc.2910510102
  35. Watanabe H, Hirayama T (1990) : Stomach cancer mortality and life styles in Niigata Prefecture. Gan No Rinsho Spec. No : 285-91
  36. Williams GM, Williams CL, Weisburger JH (1999) : Diet and cancer prevention: the fiber first diet. Toxicol Sci 52(2) : 72-86 https://doi.org/10.1093/toxsci/52.2.72
  37. Yang EJ, Kim WY (1993) : A study on dietary factors related to the incidence of stomach cancer and colon cancer in Korea. Korean J nutrition 26(5) : 603-614
  38. Yoon JS, Yu KH, Ryu HK (2000) : Assessment of nutrients intake and evaluation of nutritional adequacy of adults living in Kyungpook area. J Korean Soc Food Sci Nutr 29(4) : 701-711
  39. Youm PY, Kim SH (1998). A case-control study on dietary and other factors related to stomach cancer incidence. Korean J nutrition 31 (1) : 62-71