Fallahzadeh Hosein, Cheraghi Maria, Amoori Neda, Alaf Mehrangiz
Department of Biostatistics and Epidemiology, Research Center of Prevention and Epidemiology of Non-Communicable Disease, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran E-mail :
Asian Pac J Cancer Prev. 2014;15(23):10421-5. doi: 10.7314/apjcp.2014.15.23.10421.
While the incidence of non-Hodgkins lymphoma (NHL) has been rising worldwide, the reasons remain undefined. Recent research has focused on effect of red andf processed meat intake as a risk factor, but with inconclusive results. We therefore conducted a meta-analysis of data published to date, to ascertain the overall association between intake and NHL.
A published literature search was performed through Pubmed, Cochrane Library, Medline, and Science Citation Index Expanded databases for articles published in English. Pooled odds ratios (ORs) and 95% confidence intervals (95%CIs) were calculated using random or fixed effects models. Heterogeneity was assessed using Chi-square and I2 statistics. Dissemination bias was evaluated by funnel plot analysis.We performed a formal meta-analysis using summary measures from these studies.
In total, 11 published studies were included in the final analysis. The combined analysis revealed that there was significant association between the red meat and NHL risk (OR=1.10, 95%CI: 1.02 to 1.19, p=0.01). Additionally, there was showed significance association between processed red meat and NHL risk (OR=1.17, 95%CI: 1.06 to 1.29, p=0.001). In subgroup analysis, a statistical significant association was noted between diffuse large B-cell lymphoma (DLBCL) (OR=1.20, 95%CI: 1.04 to 2.37, P=0.01) and red meat intake.
In this meta-Analysis, there was evidence for association between consumption of red meat, or processed meat and risk of NHL, particularly with the DLBCL subtype in the red meat case.
尽管非霍奇金淋巴瘤(NHL)的发病率在全球范围内呈上升趋势,但其原因仍不明确。近期研究聚焦于红肉及加工肉类摄入作为风险因素的影响,但结果尚无定论。因此,我们对迄今发表的数据进行了荟萃分析,以确定摄入量与NHL之间的总体关联。
通过PubMed、Cochrane图书馆、Medline和科学引文索引扩展数据库对以英文发表的文章进行文献检索。使用随机或固定效应模型计算合并优势比(OR)和95%置信区间(95%CI)。使用卡方和I²统计量评估异质性。通过漏斗图分析评估发表偏倚。我们使用这些研究的汇总指标进行了正式的荟萃分析。
最终分析共纳入11项已发表研究。合并分析显示,红肉与NHL风险之间存在显著关联(OR = 1.10,95%CI:1.02至1.19,p = 0.01)。此外,加工红肉与NHL风险之间也存在显著关联(OR = 1.17,95%CI:1.06至1.29,p = 0.001)。在亚组分析中,弥漫性大B细胞淋巴瘤(DLBCL)(OR = 1.20,95%CI:1.04至2.37,P = 0.01)与红肉摄入之间存在统计学显著关联。
在这项荟萃分析中,有证据表明红肉或加工肉类的消费与NHL风险之间存在关联,尤其是在红肉病例中与DLBCL亚型有关。