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碳水化合物摄入量与前列腺癌风险。

Carbohydrate intake and the risk of prostate cancer.

机构信息

Department of Urology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, China.

Department of Nursing, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, China.

出版信息

Clin Chim Acta. 2018 Sep;484:60-71. doi: 10.1016/j.cca.2018.05.032. Epub 2018 May 17.

Abstract

BACKGROUND

Prostate cancer (PCa) is one of the leading cause cancer among men worldwide. Many epidemiologic studies have reported an association between carbohydrate intake and PCa. However, the evidence from epidemiologic studies is inconsistent. We conducted a comprehensive meta-analysis to explore the associations between carbohydrate intake and PCa risk and to investigate potential dose-response relationships.

METHODS

We searched PubMed and EMBASE for studies published from 1980 to 2018. 21 studies were included with 98,739 participants and 11,573 cases. Multivariate-adjusted odds ratios (ORs) were pooled using random-effect models. Potential dose-response relationships were evaluated for PCa risk.

RESULTS

We did not detect an association about higher carbohydrate intake and PCa risk (OR:1.11, 95% confidence interval [CI]: 0.98-1. 26, I = 62.7%), nor association was detected about higher carbohydrate intake with advanced PCa risk (OR:0.95, 95% CI: 0.78-1.16, I = 14.1%) or non-advanced Pca risk (OR:1.01, 95% CI: 0.79-1.29, I = 64.4%). There was not a significant dose-response association observed for carbohydrate intake with PCa risk and advanced PCa risk.

CONCLUSIONS

Our meta-analysis shows no association between carbohydrate intake and prostate cancer risk. Nor is association detected about carbohydrate intake with advanced or non-advanced Pca risk. More studies are needed for a further dose-response meta-analysis.

摘要

背景

前列腺癌(PCa)是全球男性癌症死亡的主要原因之一。许多流行病学研究报道了碳水化合物摄入量与 PCa 之间的关联。然而,来自流行病学研究的证据并不一致。我们进行了一项综合荟萃分析,以探讨碳水化合物摄入量与 PCa 风险之间的关联,并研究潜在的剂量反应关系。

方法

我们检索了 PubMed 和 EMBASE 数据库,以获取 1980 年至 2018 年发表的研究。共纳入 21 项研究,涉及 98739 名参与者和 11573 例病例。使用随机效应模型汇总多变量校正的比值比(ORs)。评估了 PCa 风险与潜在剂量反应关系。

结果

我们未发现较高的碳水化合物摄入量与 PCa 风险(OR:1.11,95%置信区间[CI]:0.98-1.26,I²=62.7%)之间存在关联,也未发现较高的碳水化合物摄入量与晚期 PCa 风险(OR:0.95,95%CI:0.78-1.16,I²=14.1%)或非晚期 PCa 风险(OR:1.01,95%CI:0.79-1.29,I²=64.4%)之间存在关联。碳水化合物摄入量与 PCa 风险和晚期 PCa 风险之间没有观察到显著的剂量反应关系。

结论

我们的荟萃分析表明,碳水化合物摄入量与前列腺癌风险之间没有关联。也未发现碳水化合物摄入量与晚期或非晚期 PCa 风险之间存在关联。需要进一步进行剂量反应荟萃分析以获得更多研究。

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