Objectives: To estimate the dietary intakes of heterocyclic amines (HCAs), to examine the intakes in relation to socio-economics, lifestyle and other dietary factors and to compare the classification of subjects by intake of HCA versus intake of meat and fish. Design: Cross-sectional analysis within the Malmö Diet and Cancer (MDC) cohort. Data were obtained from a modified diet history, a structured questionnaire on socioeconomics and lifestyle, anthropometric measurements and chemical analysis of HCAs. HCA intake was cross-classified against meat and fish intake. The likelihood of being a high consumer of HCAs was estimated by logistic regression analysis. Dietary intakes were examined across quintiles of HCA intake using analysis of variance. Setting: Baseline examinations conducted in 1991-1994 in Malmö, Sweden. Subjects: A sub-sample of 8599 women and 6575 men of the MDC cohort. Results: The mean daily HCA intake was 583 ng for women and 821 ng for men. Subjects were ranked differently with respect to HCA intake compared with intake of fried and baked meat and fish (k ¼ 0.13). High HCA intake was significantly associated with lower age, overweight, sedentary lifestyle and smoking. Intakes of dietary fibre, fruits and fermented milk products were negatively associated with HCA intake, while intakes of selenium, vegetables, potatoes, alcohol (among men) and non-milk-based margarines (among women) were positively associated with HCA intake. Conclusions: The estimated daily HCA intake of 690 ng is similar to values obtained elsewhere. The present study suggests that lifestyle factors (e.g. smoking, physical activity, fruit and vegetable intakes, and types of milk products and margarines) may confound associations between HCA intake and disease. The poor correlation between HCA intake and intakes of fried meat and fish facilitates an isolation of the health effects of HCAs.
Keywords
Heterocyclic aminesSocio-economics Lifestyle Nutrients Foods Cohort study Epidemiological studies have indicated that diet is an important factor in the global variation of human cancer rates and the importance of dietary components for cancer development has been generally accepted. Doll and Peto estimated in 1981 that 10 -70% of all cancer in the USA could be related to diet 1 . The mutagenic/carcinogenic heterocyclic amines (HCAs) in cooked foods have been discussed in the aetiology of human cancer 2 . The first report on high mutagenic activity in cooked meat appeared almost 30 years ago 3,4 ; since then much research has been devoted to studying various aspects of HCAs, such as their formation, occurrence in foods, levels of exposure, metabolism, dietary factors that influence their uptake and biotransformation, and hereditary factors that influence the metabolism of these dietary carcinogens 5 .The molecular structures of two of the most abundant HCAs,quinoxaline) and PhIP (2-amino-1-methyl-6-phenylimidazo [4,5-b ]pyridine), are shown in Fig. 1.HCAs are absorbed and metabolised by humans; urinary metabolites of HCAs have...