Alcohol and lung cancer risk among never smokers: A pooled analysis from the international lung cancer consortium and the SYNERGY study
File(s)161220 Fehringer IJC(1).pdf (235.15 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
It is not clear whether alcohol consumption is associated with lung cancer risk. The relationship is likely confounded by smoking, complicating the interpretation of previous studies. We examined the association of alcohol consumption and lung cancer risk in a large pooled international sample, minimizing potential confounding of tobacco consumption by restricting analyses to never smokers. Our study included 22 case-control and cohort studies with a total of 2548 never-smoking lung cancer patients and 9362 never-smoking controls from North America, Europe and Asia within the International Lung Cancer Consortium (ILCCO) and SYNERGY Consortium. Alcohol consumption was categorized into amounts consumed (grams per day) and also modelled as a continuous variable using restricted cubic splines for potential non-linearity. Analyses by histologic sub-type were included. Associations by type of alcohol consumed (wine, beer and liquor) were also investigated. Alcohol consumption was inversely associated with lung cancer risk with evidence most strongly supporting lower risk for light and moderate drinkers relative to non-drinkers (>0-4.9 g per day: OR = 0.80, 95% CI = 0.70-0.90; 5-9.9 g per day: OR = 0.82, 95% CI = 0.69-0.99; 10-19.9 g per day: OR = 0.79, 95% CI = 0.65-0.96). Inverse associations were found for consumption of wine and liquor, but not beer. The results indicate that alcohol consumption is inversely associated with lung cancer risk, particularly among subjects with low to moderate consumption levels, and among wine and liquor drinkers, but not beer drinkers. Although our results should have no relevant bias from the confounding effect of smoking we cannot preclude that confounding by other factors contributed to the observed associations. Confounding in relation to the non-drinker reference category may be of particular importance.
Date Issued
2017-02-27
Date Acceptance
2016-12-19
Citation
International Journal of Cancer, 2017, 140 (9), pp.1976-1984
ISSN
1097-0215
Publisher
Wiley
Start Page
1976
End Page
1984
Journal / Book Title
International Journal of Cancer
Volume
140
Issue
9
Copyright Statement
© 2017 UICC. This is the accepted version of the following article, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1002/ijc.30618/abstract
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/28120396
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
alcohol
lung cancer
wine
beer
liquor
ENVIRONMENTAL TOBACCO-SMOKE
BEVERAGE PREFERENCE
LIFE-STYLE
CONSUMPTION
METAANALYSIS
DIET
ETIOLOGY
EXPOSURE
Aged
Alcohol Drinking
Alcoholic Beverages
Asia
Case-Control Studies
Cohort Studies
Europe
Female
Humans
Lung Neoplasms
Male
Middle Aged
North America
Risk Factors
Smoking
1112 Oncology And Carcinogenesis
Oncology & Carcinogenesis
Publication Status
Published
Coverage Spatial
United States