Lu Pei-Ying, Shu Long, Shen Shan-Shan, Chen Xu-Jiao, Zhang Xiao-Yan
Department of Geriatrics, Zhejiang Hospital, Xihu District, Hangzhou 310013, China.
Department of Nutrition, Zhejiang Hospital, Xihu District, Hangzhou 310013, China.
Nutrients. 2017 Jan 5;9(1):38. doi: 10.3390/nu9010038.
A number of studies have examined the associations between dietary patterns and pancreatic cancer risk, but the findings have been inconclusive. Herein, we conducted this meta-analysis to assess the associations between dietary patterns and the risk of pancreatic cancer. MEDLINE (provided by the National Library of Medicine) and EBSCO (Elton B. Stephens Company) databases were searched for relevant articles published up to May 2016 that identified common dietary patterns. Thirty-two studies met the inclusion criteria and were finally included in this meta-analysis. A reduced risk of pancreatic cancer was shown for the highest compared with the lowest categories of healthy patterns (odds ratio, OR = 0.86; 95% confidence interval, CI: 0.77-0.95; = 0.004) and light-moderate drinking patterns (OR = 0.90; 95% CI: 0.83-0.98; = 0.02). There was evidence of an increased risk for pancreatic cancer in the highest compared with the lowest categories of western-type pattern (OR = 1.24; 95% CI: 1.06-1.45; = 0.008) and heavy drinking pattern (OR = 1.29; 95% CI: 1.10-1.48; = 0.002). The results of this meta-analysis demonstrate that healthy and light-moderate drinking patterns may decrease the risk of pancreatic cancer, whereas western-type and heavy drinking patterns may increase the risk of pancreatic cancer. Additional prospective studies are needed to confirm these findings.
许多研究已探讨了饮食模式与胰腺癌风险之间的关联,但研究结果尚无定论。在此,我们进行了这项荟萃分析,以评估饮食模式与胰腺癌风险之间的关联。我们检索了MEDLINE(由美国国立医学图书馆提供)和EBSCO(艾尔顿·B·斯蒂芬斯公司)数据库,查找截至2016年5月发表的确定常见饮食模式的相关文章。32项研究符合纳入标准,最终被纳入该荟萃分析。与健康模式最低类别相比,最高类别显示出胰腺癌风险降低(优势比,OR = 0.86;95%置信区间,CI:0.77 - 0.95;P = 0.004),以及轻度至中度饮酒模式(OR = 0.90;95% CI:0.83 - 0.98;P = 0.02)。有证据表明,与西方型模式最低类别相比,最高类别患胰腺癌的风险增加(OR = 1.24;95% CI:1.06 - 1.45;P = 0.008),以及重度饮酒模式(OR = 1.29;95% CI:1.10 - 1.48;P = 0.002)。该荟萃分析的结果表明,健康和轻度至中度饮酒模式可能会降低胰腺癌风险,而西方型和重度饮酒模式可能会增加胰腺癌风险。需要更多前瞻性研究来证实这些发现。