European Journal of Epidemiology

, Volume 8, Issue 2, pp 233–237 | Cite as

Study of the relation between diet and gastric cancer in a rural area of the province of Leon, Spain

  • A. Sanchez-diez
  • R. Hernandez-mejia
  • A. Cueto-espinar


We studied the relationship between diet and gastric cancer in a case-control study. One hundred and nine (109) cases were taken from pathology reports of the regional hospitals, and the 123 controls were obtained from the municipal census of the municipalities of the study. The data were analysed using the Mantel-Haenszel chi-square test.

The non-consumption of fresh fruits appeared as a statistically significant risk factor, as well as the consumption of home-made sausages and home-cured meats in general, the risk of which was enhanced when they were eaten smoked.

It appears that the less frequent the consumption of fresh fruit and the more frequent the consumption of sausages were the higher the risk was. The non-consumption of fresh vegetables also appeared to be a risk factor, but it was not statistically significant.

Key words

Diet Gastric cancer Epidemiology Case-control 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ames B.N. (1983): Dietary Carcinogens and Anticarcinogens - Science 221: 1256–1264.Google Scholar
  2. 2.
    Armijo R., Detels R., Coulson A.H. et al. (1981): Epidemiologia del Cancer Gastrico en Chile - Rev. Med. Chil. 109: 551–556.Google Scholar
  3. 3.
    Bolba G., Kiricuta I. (1984): Resultats d'une Etude Epidemiologique Retrospective sur le Cancer Gastrique en Transylvanie; In: Cancerul Gastric. Enciclopedia Oncologica Vol. 13 - Institutul. Oncologic Cluj-Napoca, Ed. I. Chiricuta, Bucarest.Google Scholar
  4. 4.
    Capoferro R., Torgensen O. (1974): The effect of Hipertonic Saline on the Uptake of Tritiated 7,12-Dimethylbenz(a)anthracene by the Gastric Mucous -Scand. J. Gastroenterol. 9: 343–349.Google Scholar
  5. 5.
    Colimon K.M. (1990): Estudio de Casos y Controles. En: Fundamentos de Epidemiologia, Diaz de Santos, Madrid, 155–168.Google Scholar
  6. 6.
    Correa P., Haenszel W., Cuello C. et al. (1975): A Model for Gastric Cancer Epidemiology - Lancet 2: 58–59.Google Scholar
  7. 7.
    Correa P., Cuello C., Fajardo L.F. et al. (1983): Diet and Gastric Cancer. Nutrition Survey in a High-Risk Area - J. Nat. Cancer Inst. 70: 673–678.Google Scholar
  8. 8.
    Correa P., Fontham E., Pickle L.W. et al. (1985): Dietary Determinants of Gastric Cancer in South Louisiana Inhabitants - J. Nat. Cancer Inst. 75: 645–654.Google Scholar
  9. 9.
    Dungal N. (1961): The Special Problem of Stomach Cancer in Iceland - JAMA 178: 789–798.Google Scholar
  10. 10.
    Escudero R., Garcia-Prieto J. (1984): Panorama Economico Provincial 1984. Leon. Ed. Camara Oficial de Comercio e Industria de Leon.Google Scholar
  11. 11.
    Farre Rovira R. (1986): Procesos de Elaboracion de los Alimentos y Cancer. En: Alimentacion y Cancer, Ed. Ministerio de Sanidad y Consumo, Madrid 23–40.Google Scholar
  12. 12.
    Galvez Vargas R.y Delgado Rodriguez M. (1988): Estudios de Casos y Controles. En: G. Piedrola y cols. Medicina Preventiva y Salud Publica (8a ed) Salvat Editores S.A. Barcelona 115–124.Google Scholar
  13. 13.
    Goti J.L. (1967): Epidemiologia del Cancer Gastrico en Vizcaya - Rev. Clin. Esp. 106: 20–31.Google Scholar
  14. 14.
    Haenszel W., Kurihara M., Segi M., et al. (1972): Stomach Cancer among Japanese in Hawaii - J. Nat. Cancer Inst. 49: 969–988.Google Scholar
  15. 15.
    Haenzsel W., Correa P., Cuello C. et al. (1976): Gastric Cancer in Colombia. II. Case-Control Epidemiologic Study of Precursor Lesions - J. Nat. Cancer Inst. 57: 1021–1026.Google Scholar
  16. 16.
    Hankin J.H., Rhoads G.G. and Glober G.A. (1975): A dietary method for an epidemiologic study of gastrointestinal cancer - Am. J. Nutr. 28: 1005–1061.Google Scholar
  17. 17.
    Hirayama T. (1979): The Epidemiology of Gastric Cancer in Japan. In: Gastric Cancer. Ed. by Carl J. Pfeiffer, Gerhard Witzstrock Publishing House - Inc. New York 60–82.Google Scholar
  18. 18.
    Hirayama T. (1984): Epidemiology of Stomach Cancer in Japan with Special Reference to the Strategy for the Primary Prevention - Jpn. J. Cli. Oncol. 14: 159–168.Google Scholar
  19. 19.
    Howson CP., Hiyama T., Wynder E.L. (1986): The Decline in Gastric Cancer: Epidemiology of an Unplanned Triumph - Epidemiol. Rev. 8: 1–27.Google Scholar
  20. 20.
    Jain M., Howe G.R., Johnson C. and Miller A.B. (1980): Evaluation of a diet history questionnaire for epidemiologic studies - Am. J. epidemiol. 111: 212–219.Google Scholar
  21. 21.
    Lopez-Abente G., Escolar A. and Errezola M. (1984): Atlas del Cancer en España - Ed. Graficas Santamaria, Vitoria.Google Scholar
  22. 22.
    Modan B., Lubin F., Barrell V. et al. (1974): The Role of Starches in the Etiology of Gastric Cancer -Cancer 34: 2087–2092.Google Scholar
  23. 23.
    Risch H.A., Jain M., Choi N.W. et al. (1985): Dietary Factors and the Incidence of Cancer of the Stomach -Am. J. Epidemiol. 122: 947–959.Google Scholar
  24. 24.
    Sierra R. and Barrantes R. (1983): Epidemiologia y Ecologia del Cancer Gastrico en Costa Rica - Bol. Sanit. Panam. 95: 495–505.Google Scholar
  25. 25.
    Trichopoulos D., Ouranos G., Day N.E. et al. (1985): Diet and Cancer of the Stomach: A Case-Control Study in Greece - Int. J. Cancer 36: 291–297.Google Scholar
  26. 26.
    Wang H., Antonioli D.A. and Goldman H. (1986): Comparative Features of Esophageal and Gastric Adenocarcinomas: Recents Changes in type and Frequency - Hum. Pathol. 17: 482–487.Google Scholar
  27. 27.
    Weinberg G.B., Kuller L.H. and Stehr P.A. (1985): A Case-Control Study of Stomach Cancer in Coal Mining Region of Pennsylvania; Cancer 56: 703–713.Google Scholar
  28. 28.
    Weisburger J.H. and Horn C.L. (1984): Human and Laboratory Studies on the Causes and Prevention of Gastrointestinal Cancer - Scand. J. Gastroenterol. 104: 15–26.Google Scholar
  29. 29.
    Welton P.K and Goldblatt P. (1982): An Investigation of the relationship between Stomach Cancer and Cerebrovascular Disease: Evidence for against the salt Hypothesis - Am. J. Epidemiol. 115: 418–427.Google Scholar
  30. 30.
    Wynder E.L., Kmet J., Dungal N. et al. (1963): An Epidemiological Investigation of Gastric Cancer -Cancer 16: 1461–1496.Google Scholar

Copyright information

© Gustav Fischer 1992

Authors and Affiliations

  • A. Sanchez-diez
    • 1
  • R. Hernandez-mejia
    • 1
  • A. Cueto-espinar
    • 1
  1. 1.Area of Preventive Medicine and Public Health - Department of Medicine - School of MedicineUniversity of OviedoOviedo - (Asturias)Spain

Personalised recommendations