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Higher intake of whole grains and dietary fiber are associated with lower risk of liver cancer and chronic liver disease mortality

Author

Listed:
  • Xing Liu

    (Harvard University
    Fudan University)

  • Wanshui Yang

    (Brigham and Women’s Hospital and Harvard Medical School
    Anhui Medical University)

  • Jessica L. Petrick

    (Boston University)

  • Linda M. Liao

    (National Cancer Institute)

  • Weibing Wang

    (Fudan University)

  • Na He

    (Fudan University)

  • Peter T. Campbell

    (American Cancer Society)

  • Zuo-Feng Zhang

    (University of California
    UCLA)

  • Edward Giovannucci

    (Harvard University
    Brigham and Women’s Hospital and Harvard Medical School
    Harvard University)

  • Katherine A. McGlynn

    (National Cancer Institute)

  • Xuehong Zhang

    (Harvard University
    Brigham and Women’s Hospital and Harvard Medical School)

Abstract

The relationship between dietary factors and liver disease remains poorly understood. This study evaluated the associations of whole grain and dietary fiber intake with liver cancer risk and chronic liver disease mortality. The National Institutes of Health–American Association of Retired Persons Diet and Health Study cohort recruited 485, 717 retired U.S. participants in 1995–1996. Follow-up through 2011 identified 940 incident liver cancer cases and 993 deaths from chronic liver disease. Compared with the lowest, the highest quintile of whole grain intake was associated with lower liver cancer risk (Hazard ratio [HR]Q5 vs. Q1 = 0.78, 95% confidence interval [CI]: 0.63–0.96) and chronic liver disease mortality (HRQ5 vs. Q1 = 0.44, 95% CI: 0.35–0.55) in multivariable Cox models. Dietary fiber was also associated with lower liver cancer risk (HRQ5 vs. Q1 = 0.69, 95% CI: 0.53–0.90) and chronic liver disease mortality (HRQ5 vs. Q1 = 0.37, 95% CI: 0.29–0.48). Fiber from vegetables, beans and grains showed potential protective effect. Here, we show that higher intake of whole grain and dietary fiber are associated with lower risk of liver cancer and liver disease mortality.

Suggested Citation

  • Xing Liu & Wanshui Yang & Jessica L. Petrick & Linda M. Liao & Weibing Wang & Na He & Peter T. Campbell & Zuo-Feng Zhang & Edward Giovannucci & Katherine A. McGlynn & Xuehong Zhang, 2021. "Higher intake of whole grains and dietary fiber are associated with lower risk of liver cancer and chronic liver disease mortality," Nature Communications, Nature, vol. 12(1), pages 1-9, December.
  • Handle: RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-021-26448-9
    DOI: 10.1038/s41467-021-26448-9
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    Cited by:

    1. Zhening Liu & Hangkai Huang & Jiarong Xie & Yingying Xu & Chengfu Xu, 2024. "Circulating fatty acids and risk of hepatocellular carcinoma and chronic liver disease mortality in the UK Biobank," Nature Communications, Nature, vol. 15(1), pages 1-10, December.

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