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Eurasian Journal of Medicine and
            Oncology
                                                       Dietary links between dairy, meat, and egg intake and pancreatic cancer risk



            Table 3. Median weekly intake of dairy and meat products for pancreatic cancer and control subjects
            Food item (serving size)                  Median serving per week (25 –75  percentile)        p a
                                                                         th
                                                                            th
                                                Pancreatic cancer (n=101)      Control (n=314)
            Milk (cup)                              1.9 (0.0 – 4.8)             0.73 (0.2 – 4.4)         0.669
            Yogurt (cup)                            3.5 (2.0 – 7.0)              2.7 (1.4 – 4.4)        < 0.001
            Cooked yogurt (Jameed) (cup)           0.44 (0.20 – 0.74)          0.44 (0.17 – 0.74)        0.219
            Buttermilk (cup)                        0.74 (0.15 – 2.6)          0.44 (0.17 – 0.98)        0.243
            Drained yogurt (Labneh) (1/4 cup)       5.5 (3.5 – 7.0)              5.1 (2.5 – 7.0)         0.719
            White cheese (oz)                       3.3 (0.98 – 3.5)             1.5 (0.5 – 3.5)        < 0.001
            Processed cheese (oz)                   2.0 (0.23 – 5.3)            0.58 (0.07 – 2.0)       < 0.001
            Ice cream (1/2 cup)                     0.41 (0.14 – 1.9)           0.41 (0.14 – 1.9)        0.531
            Cooked red meat (veal) (oz)             3.4 (0.81 – 7.1)            2.0 (0.71 – 3.4)         0.005
            Grilled meat (oz)                       0.61 (0.25 – 1.2)           0.81 (0.25 – 1.2)        0.530
            Cooked red meat (lamb) (oz)             3.4 (0.81 – 7.1)            2.0 (0.71 – 3.4)         0.002
            Cooked chicken (oz)                     8.1 (5.0 – 14.0)            7.0 (2.3 – 12.2)        < 0.001
            Cooked liver (oz)                       0.64 (0.46 – 1.7)           0.55 (0.27 – 1.4)        0.757
            Cooked fish (oz)                        1.6 (0.56 – 2.8)             1.8 (1.0 – 3.4)         0.024
            Tuna (oz)                               0.69 (0.44 – 2.7)           0.64 (0.46 – 1.7)        0.176
            Cooked egg (egg)                        3.0 (2.0 – 4.0)              2.0 (3.0 – 4.0)         0.233
            Processed meats (oz)                    0.0 (0.0 – 0.42)            0.16 (0.0 – 0.53)        0.348
                a
            Note:  p-values were calculated using the Mann-Whitney U test; p<0.05 is considered statistically significant.
            1.68 – 5.45; p < 0.001) may increase the risk of pancreatic   4. Discussion
            cancer. Moreover, the daily intake of processed cheese
            (OR: 4.95; 95%CI: 2.51 – 9.76;  P < 0.001) and cooked   Studying the associations between dietary food items and
                                                               the incidence or prevalence of pancreatic cancer is crucial,
            chicken (OR: 5.25; 95%CI: 2.02 – 13.62; p < 0.001) may   as it can aid in the development and implementation
            also increase the risk of pancreatic cancer by around five   of effective recommendations and guidelines for the
            folds.                                             prevention or treatment of the disease. Our results revealed
              The adjusted ORs and 95%CIs for dairy products and   that the extensive consumption of three dairy products
            meats are provided in  Table 5. The daily consumption   (including yogurt, white cheese, and processed cheese) and
            of yogurt (OR: 2.88; 95%CI: 1.97 – 8.86;  p = 0.002),   three meat products (including cooked red meats [veal and
            white cheese (OR: 2.38; 95%CI: 1.18 – 4.79; p < 0.001),   lamb] and cooked chicken) may be significantly associated
            processed cheese (OR: 5.62; 95%CI: 2.53 – 12.48;   with an increased risk of pancreatic cancer. Meanwhile,
            p < 0.001), cooked red meat (veal; OR: 1.72; 95%CI: 1.11   our study results indicated that the intake of cooked fish
            – 3.77; p = 0.011), cooked red meat (lamb; OR: 2.5; 95%CI:   may have a protective effect against the risk of pancreatic
            1.30 – 4.84;  p = 0.002), and cooked poultry (OR: 6.63;   cancer.
            95%CI: 2.22 – 19.77; p < 0.001) was positively associated   Regarding yogurt, the findings of our study contradicted
            with the incidence of pancreatic cancer. Significant   the results of a recent study (i.e., Japan Collaborative
            associations were observed for weekly consumption of   Cohort Study [JACC Study]) conducted by Arafa et al. .
                                                                                                            15
            white cheese (OR: 2.00; 95%CI: 1.07 – 3.94; p = 0.01; per   In  their  study,  it  was  reported  that  the  consumption  of
            4 – 6 servings/week), processed cheese (OR: 2.35; 95%CI:   yogurt is not associated with the risk of pancreatic cancer.
            1.11 – 4.98;  p < 0.001; per 4 – 6 servings/week), and   Likewise, a pooled analysis by Genkinger et al.  suggested
                                                                                                    26
            cooked chicken (OR: 3.76; 95%CI: 1.12 – 12.60; p < 0.001;   that yogurt consumption does not have a relationship with
            per 4 – 6 servings/week). On the other hand, the weekly   the risk of pancreatic cancer. A more recent study found
            consumption of fish may reduce the risk of pancreatic   no associations between the consumption of total dairy
            cancer (OR: 0.45; 95%CI: 0.21 – 0.97; p = 0.032; per 4 – 6   products and pancreatic cancer. Another study found that
                                                                                        27
            servings/week).                                    intake of fermented dairy products may be significantly



            Volume 9 Issue 2 (2025)                         92                              doi: 10.36922/ejmo.6637
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