J Dig Dis. 2020 May 14. doi: 10.1111/1751-2980.12878. [Epub ahead of print]
Dietary habits and Risk of Hepatocellular Carcinoma among Hepatitis B Surface Antigen Carriers: A Prospective Cohort Study in China.
Cheng Xiao Y1,2, Chen YS3, Zi Jun G4, Zhang YH3, Xin X1,2, Tian T1,2, Wen Y1,2, Zhu J3, Song C1,2, Chen JG3,5, Zhi Bin H1,2.
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Abstract
BACKGROUND:
China has the greatest number of Hepatitis B virus (HBV) infection people worldwide. In addition to nucleot(s)ide analogues drugs taking, regular inspection and appropriate exercise, reasonable diet is also an important measure to prevent HCC. A systematic evaluation of the relationship between dietary habits and the risk of HCC among the HBV carriers are still need.
METHODS:
We identified 3199 hepatitis B surface antigen (HBsAg) carriers aged 30 to 70 years in a prospective cohort in Qidong, China from 2007 to 2011. At baseline, all participants self-reported dietary habits through questionnaire interview. The follow-up checkup was performed every half a year to identify HCC cases until November 2017. Cox regression analysis and interaction analysis were performed to estimate the relative risks between HCC and baseline dietary habits.
RESULTS:
Among 3199 HBsAg-positive participants, 270 developed HCC (143.86/100000 person years [PYs]). When compared with participants rarely have consumption of garlic, the HCC risk for those have ≥1 times per week consumption of garlic decreased along with the frequency increased (HR = 1.00, 0.90 and 0.62 for rarely, 1-7 times per week, ≥7 times per week, respectively). Furthermore, this study found the synergistic effect between garlic and tea consumption on HCC risk (P = 0.039 for multiplicative interaction).
CONCLUSIONS:
It is necessary for HBsAg carriers paying attention to their dietary habits. Regular garlic consumption and tea drinking may reduce the HCC incidence for the HBsAg carriers. This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.
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