Exponent Health Sciences Practice, Wood Dale, IL, USA.
Nutr Res Rev. 2010 Jun;23(1):169-79. doi: 10.1017/S095442241000003X. Epub 2010 Feb 25.
The objective of the present review was to examine the potential association between animal fat intake and breast cancer. We conducted a meta-analysis and review of epidemiological cohort studies, including data reported in the Pooling Project publication of Prospective Studies of Diet and Cancer. Random- and fixed-effects models were utilised to generate summary relative risk estimates (SRRE), and sensitivity and influence analyses were conducted. In the meta-analysis that included data reported in the Pooling Project publication of prospective cohorts (n 8) and subsequent publications of cohort studies (n 3), no significant association was observed comparing the highest category of animal fat intake with the lowest (SRRE 1.03; 95 % CI: 0.76, 1.40). Similarly, no significant association between a 5 % increment of energy from animal fat intake and breast cancer (SRRE 1.02; 95 % CI 0.97, 1.07) was observed in the meta-analysis of these studies. In conclusion, the results of the present quantitative assessment are not supportive of a positive independent association between consumption of animal fat and breast cancer, although findings may be sensitive to the type of dietary instrument used in cohort studies.
本综述的目的是探讨动物脂肪摄入与乳腺癌之间的潜在关联。我们对流行病学队列研究进行了荟萃分析和综述,包括前瞻性癌症饮食研究汇集项目报告的数据。采用随机和固定效应模型生成汇总相对风险估计(SRRE),并进行敏感性和影响分析。在荟萃分析中,包括前瞻性队列研究汇集项目报告的数据(n=8)和随后的队列研究出版物(n=3),最高类别的动物脂肪摄入量与最低摄入量之间没有观察到显著关联(SRRE 1.03;95%CI:0.76,1.40)。同样,在这些研究的荟萃分析中,也没有观察到动物脂肪摄入量增加 5%与乳腺癌之间存在显著关联(SRRE 1.02;95%CI 0.97,1.07)。总之,目前定量评估的结果不支持动物脂肪摄入与乳腺癌之间存在阳性独立关联,尽管研究结果可能对队列研究中使用的膳食仪器类型敏感。