Gerash University of Medical Sciences, Gerash, Iran.
Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Nutr Cancer. 2020;72(1):5-14. doi: 10.1080/01635581.2019.1621356. Epub 2019 Jun 11.
A meta-analysis in 2015 revealed no significant association between glycemic index (GI), glycemic load (GL), and prostate cancer. Moreover, until now, no study has examined the dose-response association of GI, GL, and prostate cancer yet. The online databases were searched by two independent researchers for relevant publications up to Jan. 2019, using relevant keywords. Nine studies including five prospective and four case-control studies were included in the current systematic review and meta-analysis. These studies have included 290,911 individuals. We found a significant positive dose-response association between dietary GI and prostate cancer ( = 0.03). Comparing individuals in the highest category of GI with those in the lowest category, no significant association was found between GI and prostate cancer (combined effect size: 1.08, 95% CI: 0.97-1.19, 0.17). Furthermore, no significant association was seen between dietary GL and prostate cancer in both dose-response analysis and when comparing the highest versus lowest categories of GL (combined effect size: 1.03, 95% CI: 0.91-1.16, 0.65). In conclusion, we found a significant positive dose-response association between dietary GI and prostate cancer. However, significant association was not seen for dietary GL.
2015 年的一项荟萃分析显示,血糖指数(GI)、血糖负荷(GL)与前列腺癌之间没有显著关联。此外,到目前为止,还没有研究检测 GI、GL 与前列腺癌之间的剂量反应关联。两位独立研究员在线数据库中使用相关关键词搜索了相关出版物,截至 2019 年 1 月。本系统评价和荟萃分析共纳入 9 项研究,包括 5 项前瞻性研究和 4 项病例对照研究。这些研究共纳入 290911 人。我们发现膳食 GI 与前列腺癌之间存在显著的正剂量反应关联( = 0.03)。与 GI 最低组相比,GI 最高组的个体与前列腺癌之间无显著关联(综合效应大小:1.08,95%CI:0.97-1.19, 0.17)。此外,在剂量反应分析和比较 GL 最高组与最低组时,膳食 GL 与前列腺癌之间也无显著关联(综合效应大小:1.03,95%CI:0.91-1.16, 0.65)。总之,我们发现膳食 GI 与前列腺癌之间存在显著的正剂量反应关联,但膳食 GL 与前列腺癌之间无显著关联。