Open AccessAlcohol intake and stomach cancer risk in Japan: A pooled analysis of six cohort studies
Author(s) -
Tamura Takashi,
Wakai Kenji,
Lin Yingsong,
Tamakoshi Akiko,
Utada Mai,
Ozasa Kotaro,
Sugawara Yumi,
Tsuji Ichiro,
Ono Ayami,
Sawada Norie,
Tsugane Shoichiro,
Ito Hidemi,
Nagata Chisato,
Kitamura Tetsuhisa,
Naito Mariko,
Tanaka Keitaro,
Shimazu Taichi,
Mizoue Tetsuya,
Matsuo Keitaro,
Inoue Manami
Publication year - 2022
Publication title -
cancer science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.035
H-Index - 141
eISSN - 1349-7006
pISSN - 1347-9032
DOI - 10.1111/cas.15172
Subject(s) - medicine , stomach cancer , stomach , hazard ratio , cancer , cohort , confidence interval , cohort study , gastroenterology , proportional hazards model , alcohol , incidence (geometry) , multivariate analysis , biology , biochemistry , physics , optics
The association between alcohol intake and stomach cancer risk remains controversial. We undertook a pooled analysis of data from six large‐scale Japanese cohort studies with 256 478 participants on this topic. Alcohol intake as ethanol was estimated using a validated questionnaire. The participants were followed for incidence of stomach cancer. We calculated study‐specific hazard ratios (HRs) and 95% confidence intervals (CIs) for stomach cancer according to alcohol intake using a Cox regression model. Summary HRs were estimated by pooling the study‐specific HRs using a random‐effects model. During 4 265 551 person‐years of follow‐up, 8586 stomach cancer cases were identified. In men, the multivariate‐adjusted HRs (95% CIs) of stomach cancer were 1.00 (0.87‐1.15) for occasional drinkers, and 1.00 (0.91‐1.11) for <23 g/d, 1.09 (1.01‐1.18) for 23 to <46 g/d, 1.18 (1.09‐1.29) for 46 to <69 g/d, 1.21 (1.05‐1.39) for 69 to <92 g/d, and 1.29 (1.11‐1.51) for ≥92 g/d ethanol in regular drinkers compared with nondrinkers. In women, the multivariate‐adjusted HRs were 0.93 (0.80‐1.08) for occasional drinkers, and 0.85 (0.74‐0.99) for <23 g/d, and 1.22 (0.98‐1.53) for ≥23 g/d in regular drinkers compared with nondrinkers. The HRs for proximal and distal cancer in drinkers vs nondrinkers were 1.69 (1.15‐2.47) and 1.24 (0.99‐1.55) for ≥92 g/d in men, and 1.60 (0.76‐3.37) and 1.18 (0.88‐1.57) for ≥23 g/d in women, respectively. Alcohol intake increased stomach cancer risk in men, and heavy drinkers showed a greater point estimate of risk for proximal cancer than for distal cancer.