Brief Article
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World J Gastrointest Oncol. Nov 15, 2012; 4(11): 223-229
Published online Nov 15, 2012. doi: 10.4251/wjgo.v4.i11.223
Omission of breakfast and risk of gastric cancer in Mexico
Monserrat Verdalet-Olmedo, Clara Luz Sampieri, Jaime Morales-Romero, Hilda Montero-L de Guevara, Álvaro Manuel Machorro-Castaño, Kenneth León-Córdoba
Monserrat Verdalet-Olmedo, Clara Luz Sampieri, Jaime Morales-Romero, Hilda Montero-L de Guevara, Institute of Public Health, University of Veracruz, Xalapa, Veracruz, CP 91190, Mexico
Álvaro Manuel Machorro-Castaño, Blood Bank, Dr. Miguel Dorantes Hospital, Xalapa, Veracruz, CP 91120, Mexico
Kenneth León-Córdoba, Department of Gastroenterology, Dr. Miguel Dorantes Mesa Hospital, Xalapa, Veracruz, CP 91120, Mexico
Author contributions: Verdalet-Olmedo M designed, performed, analyzed the questionnaire and recruited patients; Sampieri CL designed, performed, analyzed the questionnaire and wrote the paper; Morales-Romero J and Montero-L de Guevara H designed and analyzed the questionnaire; Machorro-Castaño ÁM and León-Córdoba K recruited patients, performed and analyzed the questionnaire.
Supported by Consejo Nacional de Ciencia y Tecnología México (CONACYT: 85675 and 79628), Instituto de Salud Pública Universidad Veracruzana (POA: 2008-2009); CONACyT, Scholarship 212315 for Master of Public Health Studies and 86575 Research Project (to Verdalet-Olmedo M)
Correspondence to: Dr. Clara Luz Sampieri, Institute of Public Health, University of Veracruz, Xalapa, Veracruz, CP 91190, Mexico. csampieri@uv.mx
Telephone: +52-228-8418900 Fax: +52-228-8418935
Received: January 19, 2012
Revised: September 20, 2012
Accepted: October 17, 2012
Published online: November 15, 2012
Abstract

AIM: To investigate factors associated with gastric cancer (GC) in the Mexican population using a validated questionnaire.

METHODS: We designed and validated in Spanish a Questionnaire to Find Factors Associated with Diseases of the Digestive Tract using GC as a model. A cross-sectional study using 49 subjects, with confirmed histopathological GC diagnosis, and 162 individuals without GC participated. Odds ratio and 95% CIs were estimated in univariate and multivariate analysis adjusted for possible confounding factors. In order to match age groups, a multivariate sub-analysis was performed in subjects ≥ 39 years of age and in females and males separately.

RESULTS: In the univariate analysis, we found an association between GC and education to primary level or below, low socioeconomic status, the use of dental prostheses, omission of breakfast, consumption of very hot food and drink, addition of salt to prepared foods, consumption of salt-preserved foods and the pattern of alcohol consumption. We found protection against GC associated with the use of mouthwash, food refrigeration and regular consumption of fruit and vegetables. In the multivariate sub-analysis with subjects of ≥ 39 years, the omission of breakfast was identified as a risk factor for GC.

CONCLUSION: Our study suggests an association between the omission of breakfast and the failure to refrigerate food with GC in the Mexican population.

Keywords: Gastric cancer; Questionnaire; Risk factors; Omission of breakfast