Study2025Open access

Association of whole grain food consumption with lung cancer risk: a prospective cohort study

Wang K, Zhao J, Yang D, Sun M, Wu Y, Zhou W

Cancer cell international · 6 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (classified by our AI screen)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
University or hospital
Chongqing University
Government
National Cancer Institute
Government
Chongqing Shapingba District Technological Innovation Project
Government
Chongqing Talent Plan

Based on 4 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-01-14 · Cancer Cell Int · vol. 25 · issue 1 · p. 14
Publisher
BioMed Central
Cited
9 citations · more than 95% of similar papers · 4.7× the field average
Impact
Top 10% most cited in its field
References
48 works
Access
Open access (journal) · CC-BY-NC-ND
Research areas
Food composition and properties · Potato Plant Research · Wheat and Barley Genetics and Pathology
Keywords
Medicine, Prospective cohort study, Lung cancer, Whole grains, Association (psychology), Environmental health, Consumption (sociology), Cancer, Cohort study, Cohort, Oncology, Internal medicine, Food science, Biology, Psychology

6 authors

From CN, US

  • Kanran Wang · correspondingChongqing University; Chongqing Cancer Hospital
  • Junhan ZhaoHarvard University
  • Dingyi YangChongqing University; Chongqing Cancer Hospital
  • Mao SunChongqing University; Chongqing Cancer Hospital
  • Yongzhong WuChongqing University; Chongqing Cancer Hospital
  • Wei Zhou · correspondingChongqing University; Chongqing Cancer Hospital

Abstract

Background

Whether the intake of whole grain foods can protect against lung cancer is a long-standing question of considerable public health import, but the epidemiologic evidence has been limited. Therefore we aim to investigate the relationship between whole grain food consumption and lung cancer in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) cohort.

Methods

Diet was assessed with a self-administered Diet History Questionnaire (DHQ) at baseline. All incident lung cancer cases were pathologically verified. Hazard ratios and 95% confidence intervals for lung cancer risk associated with whole grain food consumption were estimated by Cox proportional hazards regression.

Results

During a median follow-up of 12.2 years, a total of 1,706 incident lung cancer events occurred, including 1,473 (86.3%) cases of non-small cell lung cancer (NSCLC) and 233 (13.7%) of small cell lung cancer (SCLC). After multivariate adjustment, comparing the highest quarter of consumption of whole grain foods to the lowest quarter, a 16% lower rate (HR 0.84, 95% CI 0.73-0.98) of lung cancer risks and a 17% lower rate (HR 0.83, 95% CI 0.69-0.98) for NSCLC were found, but no significant difference was shown for SCLC (HR 0.95, 95% CI 0.63-1.44). These results were consistently observed after a large range of subgroup and sensitivity analyses. A linear dose-response pattern was shown for lung cancer, NSCLC, and SCLC (P for non-linearity > 0.05).

Conclusions

In this large prospective cohort study, whole grain food consumption was associated with reduced lung cancer and NSCLC. Our findings suggest a potential protective role of whole grain foods against lung cancer.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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