Long-term dietary sodium, potassium and fluid intake; exploring potential novel risk factors for renal cell cancer in the Netherlands Cohort Study on diet and cancer

Br J Cancer. 2014 Feb 4;110(3):797-801. doi: 10.1038/bjc.2013.771. Epub 2013 Dec 10.

Abstract

Background: As sodium, potassium and fluid intake are related to hypertension, an established risk factor for renal cell cancer (RCC), they may be independent risk factors for RCC.

Methods: The Netherlands Cohort Study (NLCS) with case-cohort design included 120,852 participants aged 55-69 years. At baseline, diet and lifestyle were assessed with questionnaires. After 17.3 years of follow-up, 485 RCC cases and 4438 subcohort members were available for analyses.

Results: Sodium intake increased RCC risk (P-trend=0.03), whereas fluid and potassium intake did not. For high sodium and low fluid intake, the RCC risk additionally increased (P-interaction=0.02).

Conclusion: Sodium intake is a potential risk factor for RCC, particularly if fluid consumption is low.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Carcinoma, Renal Cell / epidemiology
  • Carcinoma, Renal Cell / pathology*
  • Cohort Studies
  • Diet*
  • Feeding Behavior
  • Female
  • Humans
  • Kidney Neoplasms / diet therapy*
  • Kidney Neoplasms / pathology
  • Male
  • Middle Aged
  • Netherlands
  • Potassium, Dietary / administration & dosage*
  • Risk Factors
  • Sodium, Dietary / administration & dosage*
  • Surveys and Questionnaires

Substances

  • Potassium, Dietary
  • Sodium, Dietary