Dietary glycemic load, glycemic index, and carbohydrates on the risk of primary liver cancer among Chinese women and men.
BACKGROUND
Dietary glycemic index (GI) and glycemic load (GL) typically have a positive relationship with obesity and diabetes, which are risk factors for liver cancer. However, studies on their association with liver cancer have yielded inconsistent results. Therefore, we assessed the association of GI, GL, and carbohydrates with liver cancer risk.


METHODS
A total of 72 966 women and 60 207 men from the Shanghai Women's Health Study (SWHS) and the Shanghai Men's Health Study (SMHS) were included for analysis. Food frequency questionnaire (FFQ) data were used to calculate daily dietary GI, GL, and carbohydrate intake. These values were energy adjusted and categorized into quintiles. The hazard ratios (HRs) and 95% confidence intervals (CI) were calculated with adjustment for potential confounders.


RESULTS
After a median follow-up time of 11.2 years for the SWHS and 5.3 years for the SMHS, 139 and 208 incident liver cancer cases were identified in the SWHS and SMHS, respectively. In multivariable Cox regression models, no statistically significant trends by quintile of GI, GL, or carbohydrate intake were observed. Stratification by chronic liver disease/hepatitis, diabetes, or body mass index (BMI) did not alter the findings.


CONCLUSIONS
There is little evidence that dietary GI, GL, or carbohydrates affect the incidence of liver cancer in this Asian population.
Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.
E
E
Vogtmann
H L
HL
Li
X O
XO
Shu
W H
WH
Chow
B T
BT
Ji
H
H
Cai
J
J
Gao
W
W
Zhang
Y T
YT
Gao
W
W
Zheng
Y B
YB
Xiang
D000328:Adult; D002681:China; D004040:Dietary Carbohydrates / Q000008:administration & dosage*; D005260:Female; D005947:Glucose / Q000008:administration & dosage*; D038321:Glycemic Index; D006801:Humans; D008113:Liver Neoplasms / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors
D004040:Dietary Carbohydrates; D005947:Glucose