Department of Surgical Oncology, Lublin Cancer Centre, 7 Jaczewskiego St., PL-20090 Lublin, Poland.
Cancer Epidemiol. 2012 Feb;36(1):60-7. doi: 10.1016/j.canep.2011.05.004. Epub 2011 Oct 21.
Estimation of the role of main dietary compounds in the risk of developing pancreatic cancer.
Literature published till 2010 was reviewed and selected for further analysis. The used terms were: red meat, minced meat, ham, bacon, sausages, white meat, poultry, vegetables, fish, eggs, fruits, lifestyle, diet, pancreatic cancer and pancreatic neoplasm. The collected data were meta-analysed with calculation of combined relative risk and 95% confidence interval as well as studies heterogeneity.
A meta-analysis of 11 case-control studies indicates that red meat ingestion elevates pancreatic cancer risk by 48% (95% CI=1.25-1.76). The vegetables and fruit reduce the risk by 38% (95% CI=0.54-0.73) and 29% (95% CI=0.59-0.84), respectively. The pooled analyses of 10 cohort studies do not show significant relations between main dietary compound ingestion and pancreatic cancer risk.
The red meat intake is associated with elevated risk of pancreatic cancer in contrast to vegetables and fruit ingestion. The ingestion of red meat, vegetables and fruit in cohort studies was not influenced on pancreatic cancer risk. The role of fish, poultry and eggs was not significant in both case-control and cohort studies, thus further studies were needed.
评估主要膳食化合物在胰腺癌发病风险中的作用。
综述了截至 2010 年发表的文献,并选择进行进一步分析。所用术语为:红肉、肉末、火腿、培根、香肠、白肉、家禽、蔬菜、鱼、蛋、水果、生活方式、饮食、胰腺癌和胰腺肿瘤。对收集的数据进行荟萃分析,计算合并相对风险和 95%置信区间以及研究异质性。
11 项病例对照研究的荟萃分析表明,摄入红肉会使胰腺癌风险增加 48%(95%CI=1.25-1.76)。蔬菜和水果分别使风险降低 38%(95%CI=0.54-0.73)和 29%(95%CI=0.59-0.84)。10 项队列研究的汇总分析表明,主要膳食化合物的摄入与胰腺癌风险之间没有显著关系。
与摄入蔬菜和水果相比,摄入红肉与胰腺癌风险升高有关。在队列研究中,摄入红肉、蔬菜和水果并未影响胰腺癌风险。在病例对照和队列研究中,鱼、家禽和鸡蛋的作用均不显著,因此需要进一步研究。