Guo Jingyu, Wei Wei, Zhan Lixing
Key Laboratory of Food Safety Research, Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, University of Chinese Academy of Sciences, 294 Taiyuan Road, Shanghai, 200031, China.
Breast Cancer Res Treat. 2015 May;151(1):191-8. doi: 10.1007/s10549-015-3380-9. Epub 2015 Apr 19.
Epidemiological studies regarding the association between red and processed meat intake and the risk of breast cancer have yielded inconsistent results. Therefore, we conducted an updated and comprehensive meta-analysis which included 14 prospective studies to evaluate the association of red and processed meat intake with breast cancer risk. Relevant prospective cohort studies were identified by searching PubMed through October 31, 2014, and by reviewing the reference lists of retrieved articles. Study-specific relative risk (RR) estimates were pooled using a random-effects model. Fourteen prospective studies on red meat (involving 31,552 cases) and 12 prospective studies on processed meat were included in the meta-analysis. The summary RRs (95 % CI) of breast cancer for the highest versus the lowest categories were 1.10 (1.02, 1.19) for red meat, and 1.08 (1.01, 1.15) for processed meat. The estimated summary RRs (95 % CI) were 1.11 (1.05, 1.16) for an increase of 120 g/day of red meat, and 1.09 (1.03, 1.16) for an increase of 50 g/day of processed meat. Our findings indicate that increased intake of red and processed meat is associated with an increased risk of breast cancer. Further research with well-designed cohort or interventional studies is needed to confirm the association.
关于红肉和加工肉类摄入量与乳腺癌风险之间关联的流行病学研究结果并不一致。因此,我们进行了一项更新的综合性荟萃分析,纳入了14项前瞻性研究,以评估红肉和加工肉类摄入量与乳腺癌风险之间的关联。通过检索截至2014年10月31日的PubMed并查阅检索文章的参考文献列表,确定了相关的前瞻性队列研究。使用随机效应模型汇总特定研究的相对风险(RR)估计值。荟萃分析纳入了14项关于红肉的前瞻性研究(涉及31552例病例)和12项关于加工肉类的前瞻性研究。红肉摄入量最高组与最低组相比,乳腺癌的汇总RR(95%CI)为1.10(1.02,1.19),加工肉类为1.08(1.01,1.15)。红肉每天增加120克的估计汇总RR(95%CI)为1.11(1.05,1.16),加工肉类每天增加50克的估计汇总RR(95%CI)为1.09(1.03,1.16)。我们的研究结果表明,红肉和加工肉类摄入量的增加与乳腺癌风险的增加有关。需要通过精心设计的队列研究或干预性研究进行进一步研究,以证实这种关联。