Increased risk of esophageal squamous cell carcinoma associated with frequent and long-term consumption of salted meat and salted fat

J Int Med Res. 2019 Aug;47(8):3841-3849. doi: 10.1177/0300060519859729. Epub 2019 Jul 15.

Abstract

Objective: This study aimed to investigate the association between the consumption of salted meat and salted fat and esophageal cancer risk among individuals with normal esophageal mucosa or esophagitis.

Methods: This case-control study enrolled 216 individuals from Yanting County. Information on the consumption of salted meat and salted fat was collected using a food-frequency questionnaire validated among Yanting people.

Results: Higher intake frequencies (≥once a week) of salted meat and salted fat were associated with 2.40-fold and 7.37-fold increased risks of esophageal cancer among individuals with normal esophageal mucosa, while long-term intakes (≥6 months) increased the risks by 6.87-fold and 85.45-fold, respectively. Similarly, the odds ratios (ORs) of patients with esophagitis developing esophageal cancer from frequent intakes of salted meat and salted fat were 6.48 and 5.05, respectively, and the ORs associated with long-term intakes were 44.38 and 74.90, respectively.

Conclusions: Frequent and long-term consumption of salted meat and salted fat could increase the risk of esophageal cancer in individuals from Yanting with normal esophageal mucosa or esophagitis. Efforts should thus be made to reduce the consumption of these foods among people in this region.

Keywords: Esophageal cancer; diet; esophagitis; esophagus mucosa; salted fat; salted meat.

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Esophageal Neoplasms / etiology*
  • Esophageal Neoplasms / pathology
  • Esophageal Squamous Cell Carcinoma / etiology*
  • Esophageal Squamous Cell Carcinoma / pathology
  • Fats / adverse effects*
  • Female
  • Follow-Up Studies
  • Food, Preserved / adverse effects*
  • Humans
  • Male
  • Meat / adverse effects*
  • Middle Aged
  • Prognosis
  • Risk Factors
  • Sodium Chloride / adverse effects*

Substances

  • Fats
  • Sodium Chloride