Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China.
Nutr Cancer. 2013;65(4):538-46. doi: 10.1080/01635581.2013.770041.
The findings of epidemiologic studies on the association between egg consumption and bladder cancer risk remain conflicting. We conducted a meta-analysis to clarify the potential association between egg consumption and bladder cancer risk. Four cohort studies and 9 case-control studies in the PubMed database through February 2012 were identified on egg consumption and risk of bladder cancer involving 2715 cases and 184,727 participants. Random-effects models were used to calculate the summary relative risk estimates (SRRE) based on the highest compared with the lowest category of egg consumption. In addition, we performed stratified analyses and sensitivity and dose-response analyses to examine the association. Overall, no significant association was observed between egg consumption and bladder cancer (SRRE = 1.11 95% CI: 0.90-1.35). However, increased risk of bladder cancer was detected in North/South America (SRRE = 1.40 95% CI: 1.05-1.86) and, moreover, fried egg intake positively associated with bladder cancer as well (SRRE = 2.04, 95% CI: 1.41-2.95). In conclusion, our findings suggest no significant association between egg consumption and bladder cancer risk, except for a possible positive relationship with the intake of fried eggs based on the limited number of studies. Additional studies, especially large prospective cohort studies, are warranted to confirm these findings.
流行病学研究关于鸡蛋摄入量与膀胱癌风险之间的关联的结果仍然存在争议。我们进行了一项荟萃分析,以阐明鸡蛋摄入量与膀胱癌风险之间的潜在关联。通过 2012 年 2 月在 PubMed 数据库中确定了四项队列研究和九项病例对照研究,涉及 2715 例病例和 184727 名参与者,研究内容为鸡蛋摄入量与膀胱癌风险。基于最高与最低鸡蛋摄入量类别,使用随机效应模型计算了汇总相对风险估计值(SRRE)。此外,我们进行了分层分析和敏感性及剂量-反应分析,以检查相关性。总体而言,鸡蛋摄入量与膀胱癌之间没有显著关联(SRRE=1.11,95%CI:0.90-1.35)。然而,在北美/南美地区发现膀胱癌风险增加(SRRE=1.40,95%CI:1.05-1.86),此外,煎蛋摄入量与膀胱癌也呈正相关(SRRE=2.04,95%CI:1.41-2.95)。总之,我们的研究结果表明,鸡蛋摄入量与膀胱癌风险之间没有显著关联,但基于有限数量的研究,煎蛋摄入量可能与膀胱癌呈正相关。需要进行更多研究,特别是大型前瞻性队列研究,以证实这些发现。