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21.05.2022 | Original Contribution

Pre-diagnostic dietary consumption of calcium and magnesium and calcium-to-magnesium intake ratio and ovarian cancer mortality: results from the ovarian cancer follow-up study (OOPS)

verfasst von: Ting-Ting Gong, Yi-Fan Wei, Xin-Yu Li, Fang-Hua Liu, Zhao-Yan Wen, Shi Yan, Xue Qin, Song Gao, Xiu-Qin Li, Yu-Hong Zhao, Qi-Jun Wu

Erschienen in: European Journal of Nutrition | Ausgabe 7/2022

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Abstract

Purpose

Previous studies have indicated that dietary consumption of calcium (Ca), magnesium (Mg), and the Ca-to-Mg (Ca:Mg) ratio were associated with different health outcomes. However, no study has evaluated the association of pre-diagnostic Ca, Mg, and Ca:Mg ratio consumption with ovarian cancer (OC) survival.

Methods

The aforementioned associations were investigated in a cohort of 853 Chinese women diagnosed with OC between 2015 and 2020. A validated food frequency questionnaire was used to evaluate pre-diagnostic diet information. Deaths were recorded until March 31, 2021 via medical records and active follow-up. Cox proportional hazards model was applied to calculate the adjusted hazard ratios (HRs) and 95% confidence intervals (CIs).

Results

A total of 130 deaths were observed during a median follow-up of 37.2 months. After adjustment for potential confounders, pre-diagnostic Ca (HR_{< 600 vs. > 1000} = 1.45, 95% CI = 0.47–4.46, p for trend = 0.69) and Mg (HR_{< 250 vs. > 330} = 0.90, 95% CI = 0.39–2.08, p for trend = 0.77) intakes were found to be unrelated to OC survival, whereas a higher Ca:Mg intake ratio was significantly associated with worse survival (HR_{< 1.7 vs. > 2.5} = 2.72, 95% CI = 1.28–5.78, p for trend < 0.05). A significant result was also observed when treating the Ca:Mg ratio as a continuous variable (HR = 1.69, 95% CI = 1.12–2.55) for one-unit increment.

Conclusion

Pre-diagnostic consumption of Ca and Mg was unrelated to OC survival, while a higher Ca:Mg intake ratio was strongly associated with worse survival among OC patients.

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Titel: Pre-diagnostic dietary consumption of calcium and magnesium and calcium-to-magnesium intake ratio and ovarian cancer mortality: results from the ovarian cancer follow-up study (OOPS)
verfasst von: Ting-Ting Gong
Yi-Fan Wei
Xin-Yu Li
Fang-Hua Liu
Zhao-Yan Wen
Shi Yan
Xue Qin
Song Gao
Xiu-Qin Li
Yu-Hong Zhao
Qi-Jun Wu
Publikationsdatum: 21.05.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Nutrition / Ausgabe 7/2022
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-022-02883-2

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Pre-diagnostic dietary consumption of calcium and magnesium and calcium-to-magnesium intake ratio and ovarian cancer mortality: results from the ovarian cancer follow-up study (OOPS)