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牛奶/乳制品消费、半乳糖代谢与卵巢癌:流行病学研究的荟萃分析

Milk/dairy products consumption, galactose metabolism and ovarian cancer: meta-analysis of epidemiological studies.

作者信息

Qin L-Q, Xu J-Y, Wang P-Y, Hashi A, Hoshi K, Sato A

机构信息

Department of Obstetrics and Gynecology, School of Medicine, University of Yamanashi, Tamaho, Shimokato 1110, Yamanashi 409-3898, Japan.

出版信息

Eur J Cancer Prev. 2005 Feb;14(1):13-9. doi: 10.1097/00008469-200502000-00003.

Abstract

Ovarian cancer is the fifth most common cause of cancer death among women and the leading cause of gynaecological cancer death in the United States. Milk/dairy products consumption was considered to be a risk factor for ovarian cancer mainly because milk carbohydrate-lactose and galactose metabolism is toxic to oocytes. However, recent evidence does not support this hypothesis completely. We collected epidemiological studies related to the association between milk/dairy products consumption or galactose metabolism (lactose, galactose, galactose-1-phosphate uridyltransferase, lactose/transferase) and ovarian cancer published between January 1966 and August 2003 and found 27 items from 22 independent studies. Twenty studies were case-control studies and the other two were cohort studies. A meta-analysis method was conducted to estimate relative risk combining all relative data. In general, we did not find any association between milk/dairy products or galactose metabolism and ovarian cancer risk in this meta-analysis. The consumption of whole milk and butter, which contain relatively high amounts of fat, was positively (relative risk > 1.2), but not significantly, associated with an increased risk.

摘要

卵巢癌是美国女性癌症死亡的第五大常见原因,也是妇科癌症死亡的首要原因。食用牛奶/乳制品被认为是卵巢癌的一个风险因素,主要是因为牛奶中的碳水化合物——乳糖和半乳糖代谢对卵母细胞有毒性。然而,最近的证据并不完全支持这一假设。我们收集了1966年1月至2003年8月间发表的与食用牛奶/乳制品或半乳糖代谢(乳糖、半乳糖、1-磷酸半乳糖尿苷转移酶、乳糖/转移酶)与卵巢癌之间关联的流行病学研究,从22项独立研究中找出了27项。20项为病例对照研究,另外两项为队列研究。采用荟萃分析方法,结合所有相关数据来估计相对风险。总体而言,在这项荟萃分析中,我们未发现牛奶/乳制品或半乳糖代谢与卵巢癌风险之间存在任何关联。全脂牛奶和黄油的脂肪含量相对较高,其食用量与风险增加呈正相关(相对风险>1.2),但不显著。

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