Alcohol Intake and Renal Cell Cancer in a Pooled Analysis of 12 Prospective Studies
Open accessAbstract
BACKGROUND: The association between alcohol intake and risk of renal cell cancer has been inconsistent in case-control studies. An inverse association between alcohol intake and risk of renal cell cancer has been suggested in a few prospective studies, but each of these studies included a small number of cases. METHODS: We performed a pooled analysis of 12 prospective studies that included 530,469 women and 229,575 men with maximum follow-up times of 7-20 years. All participants had completed a validated food-frequency questionnaire at baseline. Using the primary data from each study, the study-specific relative risks (RRs) for renal cell cancer were calculated using Cox proportional hazards models and then pooled using a random-effects model. All statistical tests were two-sided. RESULTS: A total of 1430 (711 women and 719 men) cases of incident renal cell cancer were identified. The study-standardized incidence rates of renal cell cancer were 23 per 100,000 person-years among nondrinkers and 15 per 100,000 person-years among those who drank 15 g/day or more of alcohol. Compared with nondrinking, alcohol consumption (> or = 15 g/day, equivalent to slightly more than one alcoholic drink per day) was associated with a decreased risk of renal cell cancer (pooled multivariable RR = 0.72, 95% confidence interval = 0.60 to 0.86; P(trend)<.001); statistically significant inverse trends with increasing intake were seen in both women and men. No difference by sex was observed (P(heterogeneity) = .89). Associations between alcohol intake and renal cell cancer were not statistically different across alcoholic beverage type (beer versus wine versus liquor) (P = .40). CONCLUSION: Moderate alcohol consumption was associated with a lower risk of renal cell cancer among both women and men in this pooled analysis.
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Alcohol may prevent cancer by increasing insulin sensitivity, thereby decreasing the risk of kidney cancer.
“First, by increasing insulin sensitivity, alcohol may decrease the risk of kidney cancer 159, 160; in contrast, insulin resistance has been observed to be a risk factor for cancer independent of other risk factors such as obesity 161, 162.”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [160]
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- Authors
- Lee, J. E., Hunter, D. J., Spiegelman, D., Adami, H.-O., Albanes, D., Bernstein, L., van den Brandt, P. A., Buring, J. E., Cho, E., Folsom, A. R., Freudenheim, J. L., Giovannucci, E., Graham, S., Horn-Ross, P. L., Leitzmann, M. F., McCullough, M. L., Miller, A. B., Parker, A. S., Rodriguez, C., Rohan, T. E., Schatzkin, A., Schouten, L. J., Virtanen, M., Willett, W. C., Wolk, A., Zhang, S. M., & Smith-Warner, S. A.
- Affiliations
- Brigham and Women's Hospital (US)
- University of Southern California (US)
- ORCID
- Venue
- JNCI Journal of the National Cancer Institute
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-05-15
- Volume
- 99
- Issue
- 10
- Pages
- 801-810
- ISSN
- 0027-8874 (ISSN-L)
- 1460-2105
- OpenAlex
- W2153130650
- Cited by
- 126
- References
- 83
- Citations by year
- 2025: 5 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 4 · 2020: 8 · 2019: 6 · 2018: 4 · 2017: 9 · 2016: 8 · 2015: 9 · 2014: 4 · 2013: 10 · 2012: 9
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JNCI Journal of the National Cancer Institute (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Seoul National University Open Repository (Seoul National University) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- National Cancer Institute (R01CA077398, CA-55075)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal cell carcinoma treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- alcohol consumption, renal cell carcinoma, kidney cancer risk, moderate drinking, inverse association, alcohol type, beer, wine, alcoholic beverages, sex differences
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Alcohol Drinking, Carcinoma, Renal Cell, Female, Humans, Kidney Neoplasms, Male, Middle Aged, Risk Factors
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