Cancer Causes & Control

, Volume 7, Issue 1, pp 147–156

Nutrition and laryngeal cancer

  • Ello Riboli
  • Rudolf Kaaks
  • Jacques Estève
Review Papers

DOI: 10.1007/BF00115645

Cite this article as:
Riboli, E., Kaaks, R. & Estève, J. Cancer Causes Control (1996) 7: 147. doi:10.1007/BF00115645

The main etiologic factors of cancers of the larynx and hypopharynx are alcohol and tobaeco, and their prevalence in different populations explains, to a large extent, the wide variations in incidence observed around the world. Besides these two main risk factors, however, diet also seems to play a role in determining the risk of these cancers. There is consistent evidence that low consumption of fruit and vegetables is associated with higher risk, after statistical adjustment for alcohol and tobacco. Consumption of vegetable oils and fish and a moderately high polyunsaturated/saturated fatty acid ratio (P/S ratio) were reported to be associated with reduced risk. Low intake of vitamin C, β-carotene and vitamin E were reported consistently to be associated with higher laryngeal cancer risk, but there was no clear evidence that these micronutrients are better predictors of cancer risk than the principal food groups from which their intake levels were estimated, i.e., fruits, vegetables, vegetable oils, and fish. Given the overwhelming role of tobacco and alcohol in the etiology of these cancers and the extremely low incidence among nonsmokers/nondrinkers, the available studies provide no estimate of the role of diet in subjects not exposed to these factors. The evidence indicates, however, that, in the presence of tobacco and/or alcohol, low intake of fruit and vegetables may account for 25 to 50 percent of the cases among men.

Key words

Dietepidemiologyhypopharynx cancerlarynx cancerreview

Copyright information

© Rapid Science Publishers 1996

Authors and Affiliations

  • Ello Riboli
    • 1
  • Rudolf Kaaks
    • 1
  • Jacques Estève
    • 1
  1. 1.International Agency for Research on CancerLyonFrance
  2. 2.Unit of Nutrition and CancerLyon CedexFrance