Department of Forensic Pathology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Int J Cancer. 2019 May 1;144(9):2099-2108. doi: 10.1002/ijc.31959. Epub 2018 Dec 3.
Fermented dairy foods are known to be nutrient-rich and probiotic content, which gather optimism due to their potential in prevention and management of cancer. We searched the PubMed, Embase and CNKI databases for all available studies through July 2018 on the association between fermented dairy foods intake and cancer risk. The odds ratio (OR) corresponding to the 95% confidence interval (95% CI) was used to assess the association using a random-effect meta-analysis. Finally, 61 studies met the inclusion criteria for our study, with 1,962,774 participants and 38,358 cancer cases. Overall, statistical evidence of significantly decreased cancer risk was found to be associated with fermented dairy foods intake (OR = 0.86, 95% CI = 0.80-0.92) in cohort studies. Yogurt consumption was significantly with decreased cancer risk in the overall comparison (OR = 0.87, 95% CI = 0.80-0.95) and in the cohort studies (OR = 0.81, 95% CI = 0.74-0.88). In terms of subgroup analyses by cancer type, fermented dairy foods intake significantly decreased bladder cancer, colorectal cancer and esophageal cancer risk. In stratified analyses, significantly decreased colorectal cancer risk was found to be associated with cheese intake. Yogurt consumption was significantly decreased bladder cancer and colorectal cancer risk. Our meta-analysis indicated that fermented dairy foods intake was associated with an overall decrease in cancer risk.
发酵乳制品富含营养成分和益生菌,由于其在癌症预防和治疗方面的潜力,引起了人们的关注。我们检索了 PubMed、Embase 和中国知网(CNKI)数据库,截至 2018 年 7 月,所有关于发酵乳制品摄入与癌症风险之间关联的可用研究都纳入了分析。使用随机效应荟萃分析,采用相应的比值比(OR)及其 95%置信区间(95%CI)来评估关联。最终,有 61 项研究符合我们研究的纳入标准,共纳入 1962774 名参与者和 38358 例癌症病例。总体而言,队列研究的统计证据表明,发酵乳制品摄入与癌症风险显著降低相关(OR=0.86,95%CI=0.80-0.92)。在总体比较和队列研究中,酸奶摄入与癌症风险显著降低相关(OR=0.87,95%CI=0.80-0.95;OR=0.81,95%CI=0.74-0.88)。按癌症类型进行亚组分析时,发酵乳制品摄入可显著降低膀胱癌、结直肠癌和食管癌的发病风险。分层分析显示,奶酪摄入与结直肠癌风险的显著降低相关。酸奶摄入可显著降低膀胱癌和结直肠癌的发病风险。本荟萃分析表明,发酵乳制品摄入与癌症风险总体降低相关。