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A population-based case–control study of diet and melanoma risk in northern Italy

Published online by Cambridge University Press:  02 January 2007

Marco Vinceti*
Affiliation:
Department of Public Health SciencesUniversity of Modena and Reggio Emilia, Via Campi 287, I-41100 Modena, Italy
Giovanni Pellacani
Affiliation:
Department of Dermatology, University of Modena and Reggio Emilia, Via Del Pozzo 71, I-41100 Modena, Italy
Carlotta Malagoli
Affiliation:
Department of Epidemiology, National Cancer Institute, Via Venezian 1, I-20133 Milan, Italy
Stefania Bassissi
Affiliation:
Department of Dermatology, University of Modena and Reggio Emilia, Via Del Pozzo 71, I-41100 Modena, Italy
Sabina Sieri
Affiliation:
Department of Epidemiology, National Cancer Institute, Via Venezian 1, I-20133 Milan, Italy
Francesca Bonvicini
Affiliation:
Department of Public Health SciencesUniversity of Modena and Reggio Emilia, Via Campi 287, I-41100 Modena, Italy
Vittorio Krogh
Affiliation:
Department of Epidemiology, National Cancer Institute, Via Venezian 1, I-20133 Milan, Italy
Stefania Seidenari
Affiliation:
Department of Dermatology, University of Modena and Reggio Emilia, Via Del Pozzo 71, I-41100 Modena, Italy
*
*Corresponding author: Email [email protected]
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Abstract

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Objective

We aimed at examining the association between dietary constituents and risk of cutaneous melanoma.

Design

In an area of northern Italy we recruited 59 newly diagnosed melanoma patients and 59 age- and sex-matched population controls, to whom we administered a validated semi-quantitative food-frequency questionnaire.

Results

We found an excess risk of melanoma in subjects with a higher energy-adjusted intake of total polyunsaturated fatty acids and, in particular, of linoleic acid (relative risk = 2.16 for intake in the highest tertile compared with the lowest tertile, P for linear trend = 0.061). Conversely, disease risk was inversely associated with the consumption of soluble carbohydrates (relative risk = 0.34 for intake in the upper vs. the lowest tertile adjusting for total energy intake, P for linear trend = 0.046). No other dietary factors, including alcohol, vitamins and trace elements, correlated with melanoma risk. The association of melanoma risk with linoleic acid and soluble carbohydrates intakes was further strengthened in multivariate analysis, and when analysis was limited to females.

Conclusions

Overall, these results indicate that an excess energy-adjusted intake of linoleic acid and a lower consumption of soluble carbohydrates may increase melanoma risk.

Type
Research Article
Copyright
Copyright © The Authors 2005

References

1Ferriman, A. Large increases occur in cancers of skin and prostate. British Medical Journal 2003; 327: 1306.Google Scholar
2de Vries, E, Bray, FI, Coebergh, JW, Parkin, DM. Changing epidemiology of malignant cutaneous melanoma in Europe 1953–1997: rising trends in incidence and mortality but recent stabilizations in western Europe and decreases in Scandinavia. International Journal of Cancer 2003; 107: 119–26.CrossRefGoogle ScholarPubMed
3Desmond, RA, Soong, SJ. Epidemiology of malignant melanoma. Surgical Clinics of North America 2003; 83: 129.CrossRefGoogle ScholarPubMed
4Millen, AE, Tucker, MA, Hartge, P, Halpern, A, Elder, DE, Guerry, D 4th, et al. Diet and melanoma in a case–control study. Cancer Epidemiology, Biomarkers & Prevention 2004; 13: 1042–51.Google Scholar
5Naldi, L, Gallus, S, Tavani, A, Imberti, GL, La Vecchia, C. Oncology Study Group of the Italian Group for Epidemiologic Research in Dermatology. Risk of melanoma and vitamin A, coffee and alcohol: a case–control study from Italy. European Journal of Cancer Prevention 2004; 13: 503–8.Google Scholar
6Le Marchand, L. Dietary factors in the etiology of melanoma. Clinics in Dermatology 1992; 10: 7982.CrossRefGoogle ScholarPubMed
7Vinceti, M, Bassissi, S, Malagoli, C, Pellecani, G, Alber, D, Bergomi, M, et al. Environmental exposure to trace elements and risk of cutaneous melanoma. Journal of Exposure Analysis and Enivornmental Epidemiology 2005; 15: 458–62.Google Scholar
8Pisani, P, Faggiano, F, Krogh, V, Palli, D, Vineis, P, Berrino, F. Relative validity and reproducibility of a food frequency dietary questionnaire for use in the Italian EPIC centres. International Journal of Epidemiology 1997; 26(Suppl. 1): S152–60.Google Scholar
9Pala, V, Sieri, C, Palli, D, Salvini, S, Berrino, F, Bellegotti, M, et al. Diet in the Italian EPIC cohorts: presentation of data and methodological issues. Tumori 2003; 89: 594607.Google Scholar
10Salvini, S, Parpinel, M, Gnagnarella, P, Maisonneuve, P, Turrini, A. Banca dati di composizione degli alimenti per studi epidemiologici in Italia. Milan: Istituto Europeo di Oncologia, 1998.Google Scholar
11Willett, WC, Howe, GR, Kushi, LH. Adjustment for total energy intake in epidemiologic studies. American Journal of Clinical Nutrition 1997; 65: 1220S–8S.Google Scholar
12Mackie, BS. Malignant melanoma and diet. Medical Journal of Australia 1974; 1: 810.Google ScholarPubMed
13Mackie, BS, Johnson, AR, Mackie, LE, Fogerty, AC, Ferris, M, Baxter, RI. Dietary polyunsaturated fats and malignant melanoma. Medical Journal of Australia 1980; 1: 159–63.Google Scholar
14Mackie, BS, Mackie, LE, Curtin, LD, Bourne, DJ. Melanoma and dietary lipids. Nutrition and Cancer 1987; 9: 219–26.CrossRefGoogle ScholarPubMed
15Mackie, BS, Mackie, LE. Cancer and dietary lipids. New Zealand Medical Journal 1991; 104: 322.Google ScholarPubMed
16Simpson, LO. Melanoma and fatty acids. New Zealand Medical Journal 1990; 103: 569.Google Scholar
17Holborow, P. Melanoma and polyunsaturated fat; cancer and diet. New Zealand Medical Journal 1990; 103: 515–6.Google Scholar
18Holman, CD, Armstrong, BK, Heenan, PJ, Blackwell, JB, Cumming, FJ, English, DR, et al. The causes of malignant melanoma: results from the West Australian Lions Melanoma Research Project. Recent Results in Cancer Research 1986; 102: 1837.Google Scholar
19Osterlind, A, Tucker, MA, Stone, BJ, Jensen, OM. The Danish case–control study of cutaneous malignant melanoma. IV. No association with nutritional factors, alcohol, smoking or hair dyes. International Journal of Cancer 1988; 42: 825–8.Google Scholar
20Stryker, WS, Stampfer, MJ, Stein, EA, Kaplan, L, Louis, TA, Sober, A, et al. Diet, plasma levels of β-carotene and α-tocopherol, and risk of malignant melanoma. American Journal of Epidemiology 1990; 131: 597611.Google Scholar
21Kirkpatrick, CS, White, E, Lee, JA. Case–control study of malignant melanoma in Washington State. 2. Diet, alcohol, and obesity. American Journal of Epidemiology 1994; 139: 869–80.CrossRefGoogle ScholarPubMed
22Bain, C, Green, A, Siskind, V, Alexander, J, Harvey, P. Diet and melanoma. An exploratory case–control study. Annals of Epidemiology 1993; 3: 235–8.CrossRefGoogle ScholarPubMed
23Veierod, MB, Thelle, DS, Laake, P. Diet and risk of cutaneous malignant melanoma: a prospective study of 50,757 Norwegian men and women. International Journal of Cancer 1997; 71: 600–4.3.0.CO;2-F>CrossRefGoogle Scholar
24Block, G, Hartman, AM, Naughton, D. A reduced dietary questionnaire: development and validation. Epidemiology 1990; 1: 5864.CrossRefGoogle ScholarPubMed
25Rose, DP. Dietary fat, fatty acids and breast cancer. Breast Cancer 1997; 4: 716.Google Scholar
26Zock, PL, Katan, MB. Linoleic acid intake and cancer risk: a review and meta-analysis. American Journal of Clinical Nutrition 1998; 68: 142–53.Google Scholar
27Bartsch, H, Nair, J, Owen, RW. Dietary polyunsaturated fatty acids and cancers of the breast and colorectum: emerging evidence for their role as risk modifiers. Carcinogenesis 1999; 20: 2209–18.Google Scholar
28Newcomer, LM, King, IB, Wicklund, KG, Stanford, JL. The association of fatty acids with prostate cancer risk. Prostate 2001; 47: 262–8.Google Scholar
29Astorg, P. Dietary n-6 and n-3 polyunsaturated fatty acids and prostate cancer risk: a review of epidemiological and experimental evidence. Cancer Causes & Control 2004; 15: 367–86.Google Scholar
30Erickson, KL. Is there a relation between dietary linoleic acid and cancer of the breast, colon, or prostate? American Journal of Clinical Nutrition 1998; 68: 57.Google Scholar
31Hamazaki, T, Okuyama, H. The Japan Society for Lipid Nutrition recommends to reduce the intake of linoleic acid. A review and critique of the scientific evidence. World Review of Nutrition and Dietetics 2003; 92: 109–32.Google Scholar
32Black, HS, Lenger, W, Phelps, AW, Thornby, JI. Influence of dietary lipid upon ultraviolet-light carcinogenesis. Nutrition and Cancer 1983; 5: 5968.CrossRefGoogle ScholarPubMed
33Mathews-Roth, MM, Krinsky, NI. Effect of dietary fat level on UV-B induced skin tumors, and anti-tumor action of β-carotene. Photochemistry and Photobiology 1984; 40: 671–3.Google Scholar
34Black, HS, Thornby, JI, Gerguis, J, Lenger, W. Influence of dietary omega-6, -3 fatty acid sources on the initiation and promotion stages of photocarcinogenesis. Photochemistry and Photobiology 1992; 56: 195–9.Google Scholar
35Cario-Andre, M, Briganti, S, Picardo, M, Nikaido, O, de Verneuil, H, Taieb, A. Polyunsaturated fatty acids partially reproduce the role of melanocytes in the epidermal melanin unit. Experimental Dermatology 2005; 14: 194201.Google Scholar
36Feskanich, D, Willett, WC, Hunter, DJ, Colditz, GA. Dietary intakes of vitamins A, C, and E and risk of melanoma in two cohorts of women. British Journal of Cancer 2003; 88: 1381–7.Google Scholar
37Sigvardsson, S, Hardell, L, Przybeck, TR, Cloninger, R. Increased cancer risk among Swedish female alcoholics. Epidemiology 1996; 7: 140–3.Google Scholar