Kim Y, Je Y
Department of Food and Nutrition, Kyung Hee University, Seoul, South Korea.
Diabet Med. 2016 Apr;33(4):428-40. doi: 10.1111/dme.12970. Epub 2015 Oct 27.
To conduct a systematic review and meta-analysis of epidemiological studies in order to assess quantitatively the effect of dairy consumption on risk of metabolic syndrome.
We searched for eligible studies published up to March 2015 through the PubMed and Embase databases and reviewed the references of relevant articles. Random-effects models were used to calculate the pooled relative risks with 95% CIs after adjusting for several confounders.
We identified nine prospective cohort studies including a total of 35 379 subjects and 7322 incident cases of metabolic syndrome, and 12 cross-sectional studies including 37 706 subjects. In the meta-analysis of prospective cohort studies, the pooled relative risk of incidence of metabolic syndrome for the highest vs. the lowest category of dairy consumption was 0.85 (95% CI 0.73-0.98), and for a 1-serving/day increment of dairy consumption, the pooled relative risk was 0.88 (95% CI 0.82-0.95). In the meta-analysis of cross-sectional studies, the pooled relative risk of prevalence of metabolic syndrome for the highest vs. the lowest category of dairy consumption was 0.73 (95% CI 0.63-0.86). The association was not significantly different by geographical region, follow-up time and adjustment factors.
Our findings indicate that dairy consumption is inversely associated with the incidence and prevalence of metabolic syndrome. Further well-designed cohort studies and randomized controlled trials are warranted to provide definitive evidence.
进行一项流行病学研究的系统评价和荟萃分析,以便定量评估乳制品消费对代谢综合征风险的影响。
我们通过PubMed和Embase数据库检索截至2015年3月发表的符合条件的研究,并查阅相关文章的参考文献。在对多个混杂因素进行调整后,使用随机效应模型计算合并相对风险及95%置信区间。
我们确定了9项前瞻性队列研究,共纳入35379名受试者和7322例代谢综合征发病病例,以及12项横断面研究,共纳入37706名受试者。在前瞻性队列研究的荟萃分析中,乳制品消费最高组与最低组相比,代谢综合征发病的合并相对风险为0.85(95%置信区间0.73 - 0.98),乳制品消费每天增加一份,合并相对风险为0.88(95%置信区间0.82 - 0.95)。在横断面研究的荟萃分析中,乳制品消费最高组与最低组相比,代谢综合征患病率的合并相对风险为0.73(95%置信区间0.63 - 0.86)。该关联在地理区域、随访时间和调整因素方面无显著差异。
我们的研究结果表明,乳制品消费与代谢综合征的发病率和患病率呈负相关。需要进一步设计良好的队列研究和随机对照试验来提供确凿证据。