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  • ISSN 1674-8301
  • CN 32-1810/R
Volume 36 Issue 6
Nov.  2022
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Dongfang You, Hongyang Xu, Xin Chen, Jiawei Zhou, Yaqian Wu, Yingdan Tang, Zhongtian Wang, Yang Zhao, Fang Shao. Association between soft drink consumption types and risk of lung cancer and all-cancer: A prospective study of PLCO data[J]. The Journal of Biomedical Research, 2022, 36(6): 390-400. DOI: 10.7555/JBR.36.20220135
Citation: Dongfang You, Hongyang Xu, Xin Chen, Jiawei Zhou, Yaqian Wu, Yingdan Tang, Zhongtian Wang, Yang Zhao, Fang Shao. Association between soft drink consumption types and risk of lung cancer and all-cancer: A prospective study of PLCO data[J]. The Journal of Biomedical Research, 2022, 36(6): 390-400. DOI: 10.7555/JBR.36.20220135
shu

Association between soft drink consumption types and risk of lung cancer and all-cancer: A prospective study of PLCO data

  • 1.

    Department of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China

  • 2.

    Department of Critical Care Medicine, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, Jiangsu 214023, China

  • 3.

    China International Cooperation Center for Environment and Human Health, Center for Global Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China

  • 4.

    The Center of Biomedical Big Data and the Laboratory of Biomedical Big Data, Nanjing Medical University, Nanjing, Jiangsu 211166, China

  • 5.

    Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing Medical University, Nanjing, Jiangsu 211166, China

More Information
  • Corresponding author:

    Fang Shao and Yang Zhao, Department of Biostatistics, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing, Jiangsu 211166, China. Tels: +86-18362903184 and +86-13584025868, E-mails: shaofang@njmu.edu.cn and yzhao@njmu.edu.cn

  • Received Date: June 02, 2022
  • Revised Date: August 25, 2022
  • Accepted Date: September 03, 2022
  • Available Online: November 19, 2022
    Graphical Abstract
    • Abstract
  • Diet/sugar-free soft drinks are considered to be healthier than regular soft drinks. However, few studies have examined the relationship between the types of soft drinks (regular and diet/sugar-free) and lung cancer (LC)/all-cancer (AC) risk. In this study, we comprehensively assessed the influence of the type of soft drink consumption on LC/AC risk based on the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial. Multivariable Cox proportional hazards and competing risks Fine-Gray regression models adjusted for relevant confounders were used to estimate hazard ratios (HRs) and subdistribution HRs for different types of soft drink consumption. In the PLCO population, female subgroup, and the ever/current smoker subgroup, consumption of both regular and diet soft drinks was associated with a significantly reduced risk of LC compared with no soft drinks at all. For the non-lung cancer (NLC) risk, consumption of only diet soft drinks had a significant positive association for the total population and female subgroup. Based on our findings, it was suggested that partial replacement of regular soft drinks with diet soft drinks might be beneficial to LC prevention, especially for females and ever/current smokers. Additionally, completely replacing regular soft drinks with diet soft drinks might be detrimental to NLC prevention, especially for females.
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  • This work was supported by the National Natural Science Foundation of China (Projects No. 82173620 to Y.Z. and 82204156 to D.Y.) and Priority Academic Program Development of Jiangsu Higher Education Institution. The authors are also grateful to Mrs. Yue Wang for language polishing.

    CLC number: R73.31, Document code: A

    The authors reported no conflict of interests.

    △These authors contributed equally to this work.

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