Faramawi Mohammed F, Johnson Eric, Fry M Whitney, Sall Macodu, Zhou Yi
Epidemiology Department, Tulane University School of Public Health & Tropical Medicine, New Orleans, LA 70112, USA.
Cancer Causes Control. 2007 Mar;18(2):125-33. doi: 10.1007/s10552-006-0104-9. Epub 2007 Jan 22.
Kidney cancers account for almost 2% of all cancers worldwide, with 150,000 new cases and 78,000 deaths from the disease occurring annually. An increase in the incidence of kidney neoplasm in western countries was noticed in the past few years. Between 1988 and 1992, the incidence of renal cancer per 100,000 person-year among males in USA, Norway, and France was 34.1, 9.00, and 16.10, respectively. Among females in the same countries, it was 5.70, 5.00, and 7.30, respectively. Although several individual case-control studies examined the association of meat intake and renal cancer risk, the results were inconsistent because of the insufficient statistical power of the individual studies. Therefore, the following meta-analysis was designed to help in clarifying the association.
Electronic search of MEDLINE, OVID, and PUBMED databases which have articles published between (1966 and 2006) was conducted to select studies for this meta-analysis.
Fixed and random-effects meta-analytical techniques were used to estimate the overall association between meat consumption and kidney cancer.
Thirteen case-control studies were found. This meta-analysis supported a positive relationship between meat consumption and risk of renal cancer. Summary results indicated that there was from 20% to 22% higher risk of renal cancer among those in the highest relative to the lowest category of poultry and processed meat consumption. Consumption of all meat and red meat was associated with 27% and 30% higher risk, respectively. The increased risks were statistically significant.
Increased consumption of all meat, red meat, poultry, and processed meat is associated with an increase risk of kidney cancer. Reduction of meat consumption is an important approach to decreasing the incidence of kidney cancer in the general population.
肾癌占全球所有癌症的近2%,每年有15万新发病例,7.8万人死于该病。过去几年,西方国家肾癌发病率呈上升趋势。1988年至1992年期间,美国、挪威和法国每10万人年男性肾癌发病率分别为34.1、9.00和16.10。在同一国家的女性中,发病率分别为5.70、5.00和7.30。尽管多项个体病例对照研究探讨了肉类摄入量与肾癌风险之间的关联,但由于个体研究的统计效力不足,结果并不一致。因此,进行了以下荟萃分析以阐明这种关联。
通过电子检索MEDLINE、OVID和PUBMED数据库(这些数据库收录了1966年至2006年间发表的文章)来选择纳入该荟萃分析的研究。
采用固定效应和随机效应荟萃分析技术来估计肉类消费与肾癌之间的总体关联。
共找到13项病例对照研究。该荟萃分析支持肉类消费与肾癌风险之间存在正相关关系。汇总结果表明,与家禽和加工肉类消费量最低组相比,最高组患肾癌的风险高出20%至22%。所有肉类和红肉的消费分别与高出27%和30%的风险相关。这些增加的风险具有统计学意义。
所有肉类、红肉、家禽和加工肉类消费量的增加与肾癌风险的增加相关。减少肉类消费是降低普通人群肾癌发病率的重要途径。