Chen Haichao, Shao Faming, Zhang Fei, Miao Qilong
Department of Urology, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, Zhejiang, China.
Medicine (Baltimore). 2018 Sep;97(37):e12164. doi: 10.1097/MD.0000000000012164.
We aimed to estimate the association between dietary carrot intake and risk of breast cancer by conducting a meta-analysis of epidemiologic studies.
Relevant studies were identified by searching databases through September 2017. We included studies that reported risk estimates with 95% confidence intervals for the association between dietary carrot intake and breast cancer risk. Random-effects models were used to calculate the summary risk estimates. Publication bias was estimated using Begg's funnel plot and Egger's regression asymmetry test.
A total of 10 articles met the eligibility criteria and were included in the meta-analysis involving 13,747 cases. The combined odds ratios (ORs) of breast cancer for the highest compared with the lowest dietary carrot intake was 0.79 (95% CI: 0.68, 0.90), and a significant heterogeneity was observed. In the subgroup analyses separated by study design, the inverse associations were more pronounced in the case-control studies than in the cohort studies, while the associations did not significantly differ by geographical region, study quality, exposure assessment. Omission of any single study had little effect on the combined risk estimate.
The overall current literatures suggested that dietary carrot intake was associated with decreased risk of breast cancer.
我们旨在通过对流行病学研究进行荟萃分析,评估膳食胡萝卜摄入量与乳腺癌风险之间的关联。
通过检索截至2017年9月的数据库来识别相关研究。我们纳入了报告膳食胡萝卜摄入量与乳腺癌风险之间关联的风险估计值及95%置信区间的研究。采用随机效应模型计算汇总风险估计值。使用Begg漏斗图和Egger回归不对称检验评估发表偏倚。
共有10篇文章符合纳入标准并被纳入涉及13747例病例的荟萃分析。与最低膳食胡萝卜摄入量相比,最高摄入量时乳腺癌的合并比值比(OR)为0.79(95%CI:0.68,0.90),并观察到显著的异质性。在按研究设计进行的亚组分析中,病例对照研究中的反向关联比队列研究中更明显,而关联在地理区域、研究质量、暴露评估方面无显著差异。遗漏任何一项研究对合并风险估计值影响不大。
当前总体文献表明,膳食胡萝卜摄入量与降低乳腺癌风险相关。