title: [Study on the association between total plasma homocysteine levels, dietary habits and the risk of gastric cancer].
abstract: OBJECTIVE
  To explore the relationship between total plasma homocysteine (tHcy) levels, dietary habits and susceptibility of gastric cancer (CGC) in Yangzhong and Yixing cities, the two high GC risk areas in Jiangsu province.
  
  
  METHODS
  A population-based case-control study was conducted including 391 histologically-confirmed adenocarcinoma GC cases and 608 age and sex frequency-matched cancer-free controls. The plasma tHcy concentration was measured by enzymatic biochemical assay of homocysteine on microtiter plates, using crude lysate containing recombinant methionine 7-lyase. The relationship between different tHcy levels and risk of GC was analyzed and factors as vegetables and fruits intake, smoking and drinking status were also evaluated together with tHey levels on the risk of GC.
  
  
  RESULTS
  The average tHcy levels in GC cases were significantly higher than that in controls (P = 0.002). In addition, according to the quartile levels (7.9, 10.1, 13.7 micromol/L) in the controls, the risks of GC had an increase of 67% (adjusted OR = 1.67, 95% CI: 1.12-2.48), 98% (adjusted OR = 1.98, 95% CI: 1.33-2.94) and 112% (adjusted OR = 2.12, 95% CI: 1.44-3.15) compared to the lowest quartile of tHcy (< or = 7.9 micromol/L), respectively while the increasing trend was significantly noticed (chi2 = 15.78, P < 0.001). The increase of vegetables and fruits intake could decrease the risk of GC. Results from crossover analyses indicated that subjects with less vegetables and fruits intake or both smoking drinking together with plasma tHcy >15.0 micromol/L could increase the GC risk, when compared to the effect on GC risk of each factor.
  
  
  CONCLUSIONS
  These findings supported the hypothesis that the high level of plasma tHcy and the badness dietary habits were associated to the increased risk of GC. Further larger scale and genetics involved studies on the environment and genetic factors were needed to confirm our findings.
authors.affiliation: Department of Epidemiology and Biostatistics, Cancer Research Center of Nanjing Medical University, Nanjing 210029, China.
authors.forename: Li-na
authors.initials: LN
authors.lastname: Wang
authors.forename: Qiao
authors.initials: Q
authors.lastname: Ke
authors.forename: Wen-sen
authors.initials: WS
authors.lastname: Chen
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhou
authors.forename: Yong-fei
authors.initials: YF
authors.lastname: Tan
authors.forename: Jian-ming
authors.initials: JM
authors.lastname: Wang
authors.forename: Zhao-lai
authors.initials: ZL
authors.lastname: Hua
authors.forename: Shan-xi
authors.initials: SX
authors.lastname: Wang
authors.forename: Yao-chu
authors.initials: YC
authors.lastname: Xu
authors.forename: Jing
authors.initials: J
authors.lastname: Shen
authors.forename: Hong-bing
authors.initials: HB
authors.lastname: Shen
mesh_terms: D000368:Aged; D000428:Alcohol Drinking / Q000009:adverse effects; D016022:Case-Control Studies; D005247:Feeding Behavior; D005260:Female; D005638:Fruit; D006710:Homocysteine / Q000097:blood*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000009:adverse effects; D013274:Stomach Neoplasms / Q000097:blood*; D014675:Vegetables
chemical_list: D006710:Homocysteine