{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:17:13Z","timestamp":1762431433722},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>To quantify the association between prediagnosis lifestyles with the risk of second primary cancers (SPCs) and survival of patients with gastric first primary cancer (FPC). We recruited 574 gastric patients from two major public hospitals in North Portugal (2001\u20132006). Smoking, alcohol and dietary habits in the year before FPC diagnosis were evaluated. Patients were followed up to 31 December 2011 for an SPC and to 31 May 2017 for vital status. Cox proportional hazards regression was used to estimate adjusted hazard ratios for incidence of an SPC or death. During follow-up, SPCs were diagnosed in five women and 23 men, and 409 patients died, corresponding to an estimated 10-year cumulative incidence of 5.2% for SPC and an estimated 15-year cumulative mortality of 72.1%. A significantly higher hazard ratio (95% confidence interval) for SPCs was observed in patients reporting a higher consumption of red and processed meat versus the lowest third (4.49: 1.31\u201315.37), and for mortality in those with heavy alcohol intake versus never drinkers (1.73: 1.00\u20132.99) and excess weight versus normal weight (1.31: 1.04\u20131.65); no other significant associations were observed according to prediagnosis lifestyle. Prediagnosis lifestyles may affect the occurrence of an SPC and survival among gastric FPC survivors in the long term.<\/jats:p>","DOI":"10.1097\/cej.0000000000000447","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T19:56:07Z","timestamp":1523994967000},"page":"159-166","source":"Crossref","is-referenced-by-count":8,"title":["Second primary cancers and survival in patients with gastric cancer: association with prediagnosis lifestyles"],"prefix":"10.1097","volume":"28","author":[{"given":"Samantha","family":"Morais","sequence":"first","affiliation":[{"name":"EPIUnit, Instituto de Sa\u00fade P\u00fablica, Universidade do Porto"}]},{"given":"Clara","family":"Castro","sequence":"additional","affiliation":[{"name":"EPIUnit, Instituto de Sa\u00fade P\u00fablica, Universidade do Porto"},{"name":"Registo Oncol\u00f3gico Regional do Norte (RORENO), Instituto Portugu\u00eas de Oncologia do Porto"}]},{"given":"Lu\u00eds","family":"Antunes","sequence":"additional","affiliation":[{"name":"Registo Oncol\u00f3gico Regional do Norte (RORENO), Instituto Portugu\u00eas de Oncologia do Porto"}]},{"given":"B\u00e1rbara","family":"Peleteiro","sequence":"additional","affiliation":[{"name":"EPIUnit, Instituto de Sa\u00fade P\u00fablica, Universidade do Porto"},{"name":"Departamento de Ci\u00eancias da Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"}]},{"given":"Maria J.","family":"Bento","sequence":"additional","affiliation":[{"name":"Registo Oncol\u00f3gico Regional do Norte (RORENO), Instituto Portugu\u00eas de Oncologia do Porto"}]},{"given":"Nuno","family":"Lunet","sequence":"additional","affiliation":[{"name":"EPIUnit, Instituto de Sa\u00fade P\u00fablica, Universidade do Porto"},{"name":"Departamento de Ci\u00eancias da Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"}]}],"member":"276","reference":[{"key":"R1-20230905","doi-asserted-by":"crossref","first-page":"2144","DOI":"10.1016\/j.ejca.2015.07.026","article-title":"Survival for oesophageal, stomach and small intestine cancers in Europe 1999\u20132007: results from EUROCARE-5","volume":"51","author":"Anderson","year":"2015","journal-title":"Eur J Cancer"},{"key":"R2-20230905","doi-asserted-by":"crossref","first-page":"i2156","DOI":"10.1136\/bmj.i2156","article-title":"BMI and all cause mortality: systematic review and non-linear dose-response meta-analysis of 230 cohort studies with 3.74 million deaths among 30.3 million participants","volume":"353","author":"Aune","year":"2016","journal-title":"BMJ"},{"key":"R4-20230905","doi-asserted-by":"crossref","first-page":"246","DOI":"10.5993\/AJHB.27.3.6","article-title":"Do adults change their lifestyle behaviors after a cancer diagnosis?","volume":"27","author":"Blanchard","year":"2003","journal-title":"Am J Health Behav"},{"key":"R5-20230905","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1093\/oxfordjournals.aje.a009709","article-title":"A prospective cohort study on vegetable and fruit consumption and stomach cancer risk in The Netherlands","volume":"148","author":"Botterweck","year":"1998","journal-title":"Am J Epidemiol"},{"key":"R6-20230905","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.ejca.2010.01.019","article-title":"What reasons lie behind long-term survival differences for gastric cancer within Europe?","volume":"46","author":"Bouvier","year":"2010","journal-title":"Eur J Cancer"},{"key":"R7-20230905","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1007\/s10120-015-0482-3","article-title":"Second primary malignancy risk among patients with gastric cancer: a nationwide population-based study in Taiwan","volume":"19","author":"Chen","year":"2016","journal-title":"Gastric Cancer"},{"key":"R9-20230905","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1080\/01635589409514321","article-title":"Dietary factors and second primary cancers: a follow-up of oral and pharyngeal cancer patients","volume":"21","author":"Day","year":"1994","journal-title":"Nutr Cancer"},{"key":"R10-20230905","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1007\/s10549-012-2187-1","article-title":"Excess body weight and second primary cancer risk after breast cancer: a systematic review and meta-analysis of prospective studies","volume":"135","author":"Druesne-Pecollo","year":"2012","journal-title":"Breast Cancer Res Treat"},{"key":"R11-20230905","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1093\/ajcn\/68.4.899","article-title":"Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. 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