Neglected role of hookah and opium in gastric carcinogenesis: A cohort study on risk factors and attributable fractions
A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population‐based co...
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| Published in: | International journal of cancer Vol. 134; no. 1; pp. 181 - 188 |
|---|---|
| Main Authors: | , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Hoboken, NJ
Wiley-Blackwell
01.01.2014
Wiley Subscription Services, Inc |
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| ISSN: | 0020-7136, 1097-0215, 1097-0215 |
| Online Access: | Get full text |
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| Abstract | A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population‐based cohort study, 928 randomly selected, healthy, Helicobacter pylori‐infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratios (HRs) and 95% CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person‐years of follow‐up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1,000 persons‐years). Opium consumption was strongly associated with baseline antral (OR: 3.2; 95% CI: 1.2–9.1) and body intestinal metaplasia (OR: 7.3; 95% CI: 2.5–21.5). Opium (HR: 3.2; 95% CI: 1.4–7.7), hookah (HR: 3.4; 95% CI: 1.7–7.1) and cigarette use (HR: 3.2; 95% CI: 1.4–7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95% CI: 83–98). Hookah and opium use are risk factors for gastric cancer as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high‐incidence gastric cancer area.
What's new?
Gastric cancer strikes Iranian men more often than any other cancer, and previous studies report a connection between gastric cancer and hookah, a traditional smoking device in the region. This study probed the factors associated with precancerous lesions and gastric cancer, including hookah and opium use. They found that both hookah and opium use increased the likelihood of developing cancer, as did high salt intake and cigarette smoking. |
|---|---|
| AbstractList | A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population‐based cohort study, 928 randomly selected, healthy, Helicobacter pylori‐infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratios (HRs) and 95% CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person‐years of follow‐up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1,000 persons‐years). Opium consumption was strongly associated with baseline antral (OR: 3.2; 95% CI: 1.2–9.1) and body intestinal metaplasia (OR: 7.3; 95% CI: 2.5–21.5). Opium (HR: 3.2; 95% CI: 1.4–7.7), hookah (HR: 3.4; 95% CI: 1.7–7.1) and cigarette use (HR: 3.2; 95% CI: 1.4–7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95% CI: 83–98). Hookah and opium use are risk factors for gastric cancer as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high‐incidence gastric cancer area.
What's new?
Gastric cancer strikes Iranian men more often than any other cancer, and previous studies report a connection between gastric cancer and hookah, a traditional smoking device in the region. This study probed the factors associated with precancerous lesions and gastric cancer, including hookah and opium use. They found that both hookah and opium use increased the likelihood of developing cancer, as did high salt intake and cigarette smoking. A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population-based cohort study, 928 randomly selected, healthy, Helicobacter pylori-infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratios (HRs) and 95% CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person-years of follow-up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1,000 persons-years). Opium consumption was strongly associated with baseline antral (OR: 3.2; 95% CI: 1.2-9.1) and body intestinal metaplasia (OR: 7.3; 95% CI: 2.5-21.5). Opium (HR: 3.2; 95% CI: 1.4-7.7), hookah (HR: 3.4; 95% CI: 1.7-7.1) and cigarette use (HR: 3.2; 95% CI: 1.4-7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95% CI: 83-98). Hookah and opium use are risk factors for gastric cancer as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high-incidence gastric cancer area.A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population-based cohort study, 928 randomly selected, healthy, Helicobacter pylori-infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratios (HRs) and 95% CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person-years of follow-up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1,000 persons-years). Opium consumption was strongly associated with baseline antral (OR: 3.2; 95% CI: 1.2-9.1) and body intestinal metaplasia (OR: 7.3; 95% CI: 2.5-21.5). Opium (HR: 3.2; 95% CI: 1.4-7.7), hookah (HR: 3.4; 95% CI: 1.7-7.1) and cigarette use (HR: 3.2; 95% CI: 1.4-7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95% CI: 83-98). Hookah and opium use are risk factors for gastric cancer as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high-incidence gastric cancer area. A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationships with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population-based cohort study, 928 randomly selected, healthy, Helicobacter pylori infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratio (HRs) and 95%CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person-years of follow-up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1000 persons-years). Opium consumption was strongly associated with baseline antral (OR:3.2;95%CI:1.2–9.1) and body intestinal metaplasia (OR:7.3;95%CI:2.5–21.5). Opium (HR:3.2;95%CI:1.4–7.7), hookah (HR:3.4;95%CI:1.7–7.1) and cigarette use (HR:3.2;95%CI:1.4–7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95%CI:83–98). Hookah and opium use are risk factors for gastric cancer, as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high incidence gastric cancer area. A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population-based cohort study, 928 randomly selected, healthy, Helicobacter pylori-infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratios (HRs) and 95% CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person-years of follow-up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1,000 persons-years). Opium consumption was strongly associated with baseline antral (OR: 3.2; 95% CI: 1.2-9.1) and body intestinal metaplasia (OR: 7.3; 95% CI: 2.5-21.5). Opium (HR: 3.2; 95% CI: 1.4-7.7), hookah (HR: 3.4; 95% CI: 1.7-7.1) and cigarette use (HR: 3.2; 95% CI: 1.4-7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95% CI: 83-98). Hookah and opium use are risk factors for gastric cancer as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high-incidence gastric cancer area. A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population‐based cohort study, 928 randomly selected, healthy, Helicobacter pylori‐ infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratios (HRs) and 95% CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person‐years of follow‐up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1,000 persons‐years). Opium consumption was strongly associated with baseline antral (OR: 3.2; 95% CI: 1.2–9.1) and body intestinal metaplasia (OR: 7.3; 95% CI: 2.5–21.5). Opium (HR: 3.2; 95% CI: 1.4–7.7), hookah (HR: 3.4; 95% CI: 1.7–7.1) and cigarette use (HR: 3.2; 95% CI: 1.4–7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95% CI: 83–98). Hookah and opium use are risk factors for gastric cancer as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high‐incidence gastric cancer area. What's new? Gastric cancer strikes Iranian men more often than any other cancer, and previous studies report a connection between gastric cancer and hookah, a traditional smoking device in the region. This study probed the factors associated with precancerous lesions and gastric cancer, including hookah and opium use. They found that both hookah and opium use increased the likelihood of developing cancer, as did high salt intake and cigarette smoking. A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous lesions. We examined the association between hookah/opium and gastric precancerous lesions and subsequent gastric cancer. In a population-based cohort study, 928 randomly selected, healthy, Helicobacter pylori-infected subjects in Ardabil Province, Iran, were followed for 10 years. The association between baseline precancerous lesions and lifestyle risk factors (including hookah/opium) was analyzed using logistic regression and presented as odds ratios (ORs) and 95% confidence intervals (CIs). We also calculated hazard ratios (HRs) and 95% CIs for the associations of lifestyle risk factors and endoscopic and histological parameters with incident gastric cancers using Cox regression models. Additionally, the proportion of cancers attributable to modifiable risk factors was calculated. During 9,096 person-years of follow-up, 36 new cases of gastric cancer were observed (incidence rate: 3.96/1,000 persons-years). Opium consumption was strongly associated with baseline antral (OR: 3.2; 95% CI: 1.2-9.1) and body intestinal metaplasia (OR: 7.3; 95% CI: 2.5-21.5). Opium (HR: 3.2; 95% CI: 1.4-7.7), hookah (HR: 3.4; 95% CI: 1.7-7.1) and cigarette use (HR: 3.2; 95% CI: 1.4-7.5), as well as high salt intake, family history of gastric cancer, gastric ulcer and histological atrophic gastritis and intestinal metaplasia of body were associated with higher risk of gastric cancer. The fraction of cancers attributable jointly to high salt, low fruit intake, smoking (including hookah) and opium was 93% (95% CI: 83-98). Hookah and opium use are risk factors for gastric cancer as well as for precancerous lesions. Hookah, opium, cigarette and high salt intake are important modifiable risk factors in this high-incidence gastric cancer area. What's new? Gastric cancer strikes Iranian men more often than any other cancer, and previous studies report a connection between gastric cancer and hookah, a traditional smoking device in the region. This study probed the factors associated with precancerous lesions and gastric cancer, including hookah and opium use. They found that both hookah and opium use increased the likelihood of developing cancer, as did high salt intake and cigarette smoking. [PUBLICATION ABSTRACT] |
| Author | Babaei, Masoud Derakhshan, Mohammad H. Islami, Farhad Nikmanesh, Arash de Bock, Geertruida H. Farzadfar, Farshad Sotoudeh, Masoud Parsaeian, Mahbubeh Ahmadi, Emad Sadjadi, Alireza Alimohammadian, Masoomeh Pourfarzi, Farhad Samadi, Fatemeh Alizadeh, Behrooz Z. Yazdanbod, Abbas Delavari, Alireza Boreiri, Majid Etemadi, Arash Malekzadeh, Reza |
| AuthorAffiliation | 3 Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK 5 Endocrine and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran 4 Gastrointestinal Cancer Research Center, Ardabil University of Medical Sciences, Ardabil, Iran 8 Institute for Translational Epidemiology, Mount Sinai School of Medicine, New York, USA 7 Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, USA 6 School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 1 Digestive Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran 2 Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands |
| AuthorAffiliation_xml | – name: 1 Digestive Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran – name: 3 Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK – name: 5 Endocrine and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran – name: 8 Institute for Translational Epidemiology, Mount Sinai School of Medicine, New York, USA – name: 6 School of Public Health, Tehran University of Medical Sciences, Tehran, Iran – name: 2 Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands – name: 7 Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, USA – name: 4 Gastrointestinal Cancer Research Center, Ardabil University of Medical Sciences, Ardabil, Iran |
| Author_xml | – sequence: 1 givenname: Alireza surname: Sadjadi fullname: Sadjadi, Alireza organization: University of Groningen, University Medical Center Groningen – sequence: 2 givenname: Mohammad H. surname: Derakhshan fullname: Derakhshan, Mohammad H. organization: University of Glasgow – sequence: 3 givenname: Abbas surname: Yazdanbod fullname: Yazdanbod, Abbas organization: Ardabil University of Medical Sciences – sequence: 4 givenname: Majid surname: Boreiri fullname: Boreiri, Majid organization: Tehran University of Medical Sciences – sequence: 5 givenname: Mahbubeh surname: Parsaeian fullname: Parsaeian, Mahbubeh organization: Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences – sequence: 6 givenname: Masoud surname: Babaei fullname: Babaei, Masoud organization: Ardabil University of Medical Sciences – sequence: 7 givenname: Masoomeh surname: Alimohammadian fullname: Alimohammadian, Masoomeh organization: Tehran University of Medical Sciences – sequence: 8 givenname: Fatemeh surname: Samadi fullname: Samadi, Fatemeh organization: Ardabil University of Medical Sciences – sequence: 9 givenname: Arash surname: Etemadi fullname: Etemadi, Arash organization: National Cancer Institute – sequence: 10 givenname: Farhad surname: Pourfarzi fullname: Pourfarzi, Farhad organization: Ardabil University of Medical Sciences – sequence: 11 givenname: Emad surname: Ahmadi fullname: Ahmadi, Emad organization: Tehran University of Medical Sciences – sequence: 12 givenname: Alireza surname: Delavari fullname: Delavari, Alireza organization: Tehran University of Medical Sciences – sequence: 13 givenname: Farhad surname: Islami fullname: Islami, Farhad organization: Mount Sinai School of Medicine – sequence: 14 givenname: Farshad surname: Farzadfar fullname: Farzadfar, Farshad organization: Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences – sequence: 15 givenname: Masoud surname: Sotoudeh fullname: Sotoudeh, Masoud organization: Tehran University of Medical Sciences – sequence: 16 givenname: Arash surname: Nikmanesh fullname: Nikmanesh, Arash organization: Tehran University of Medical Sciences – sequence: 17 givenname: Behrooz Z. surname: Alizadeh fullname: Alizadeh, Behrooz Z. organization: University of Groningen, University Medical Center Groningen – sequence: 18 givenname: Geertruida H. surname: de Bock fullname: de Bock, Geertruida H. organization: University of Groningen, University Medical Center Groningen – sequence: 19 givenname: Reza surname: Malekzadeh fullname: Malekzadeh, Reza organization: Tehran University of Medical Sciences |
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| ContentType | Journal Article |
| Copyright | 2013 UICC 2015 INIST-CNRS 2013 UICC. |
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| DOI | 10.1002/ijc.28344 |
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| Keywords | hookah Spirillales gastric cancer precancerous lesions Tobacco smoking Spirillaceae Malignant tumor Stomach cancer Carcinogenesis Epidemiology Infection opium Cancerology Helicobacter pylori Cohort study Risk factor smoking Bacteriosis Bacteria Digestive diseases Lesion Cancer Gastric disease |
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| Snippet | A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationship with gastric precancerous... A recent study showed an association between hookah/opium use and gastric cancer but no study has investigated the relationships with gastric precancerous... |
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| SubjectTerms | Adult Biological and medical sciences Cancer Cohort Studies Drug use Epidemiology Female Gastric cancer Gastritis, Atrophic - etiology Gastroenterology. Liver. Pancreas. Abdomen Helicobacter Infections - complications Helicobacter pylori hookah Humans Incidence Male Medical research Medical sciences Metaplasia - etiology Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Narcotics Narcotics - administration & dosage opium Opium - administration & dosage Precancerous Conditions - etiology precancerous lesions Risk Factors Smoking Smoking - adverse effects Stomach Neoplasms - etiology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors |
| Title | Neglected role of hookah and opium in gastric carcinogenesis: A cohort study on risk factors and attributable fractions |
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