Department of Urology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou City, Zhejiang, China.
Nutr Cancer. 2013;65(5):668-76. doi: 10.1080/01635581.2013.795980.
Previous cohort and case-control studies on the association between cruciferous vegetables consumption and risk of renal cell carcinoma have illustrated conflicting results so far. To demonstrate the potential association between them, a meta-analysis was performed. Eligible studies were retrieved via both computerized searches and review of references. The summary relative risks (RRs) with 95% confidence interval (CI) for the highest vs. the lowest consumption of cruciferous vegetables were calculated. Heterogeneity and publication bias were also evaluated. Stratified analyses were performed as well. Three cohort and 7 case-control studies were included. A significantly decreased risk with renal cell carcinoma was observed in overall cruciferous vegetables consumption group (RR = 0.73; 95% CI, 0.63-0.83) and subgroup of case-control studies (RR = 0.69; 95% CI, 0.60-0.78), but not in cohort studies (RR = 0.96; 95% CI, 0.71-1.21). No heterogeneity and publication bias were detected across studies. Our findings supported that cruciferous vegetables consumption was related to the decreased risk of renal cell carcinoma. Because of the limited number of studies, further well-designed prospective studies and researches need to be conducted to better clarify the protective effect of cruciferous vegetables on renal cell carcinoma and potential mechanism.
先前有关十字花科蔬菜摄入与肾细胞癌风险之间关联的队列研究和病例对照研究结果相互矛盾。为了证明它们之间的潜在关联,进行了荟萃分析。通过计算机检索和参考文献复习,检索了符合条件的研究。计算了最高与最低十字花科蔬菜摄入量的汇总相对风险(RR)及其 95%置信区间(CI)。还评估了异质性和发表偏倚。也进行了分层分析。纳入了 3 项队列研究和 7 项病例对照研究。十字花科蔬菜总摄入量组(RR=0.73;95%CI,0.63-0.83)和病例对照研究亚组(RR=0.69;95%CI,0.60-0.78)观察到肾细胞癌风险显著降低,但队列研究中未见此关联(RR=0.96;95%CI,0.71-1.21)。各研究间无异质性和发表偏倚。我们的研究结果表明,十字花科蔬菜的摄入与肾细胞癌风险降低有关。由于研究数量有限,需要进一步进行精心设计的前瞻性研究和研究,以更好地阐明十字花科蔬菜对肾细胞癌的保护作用及其潜在机制。