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膳食纤维对亚洲结直肠癌患者的保护作用:一项荟萃分析。

Dietary Fibre Protective against Colorectal Cancer Patients in Asia: A Meta-Analysis.

作者信息

Masrul Masrul, Nindrea Ricvan Dana

机构信息

Department of Nutrition, Faculty of Medicine, Universitas Andalas, Padang City, Indonesia.

Doctoral Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta City, Indonesia.

出版信息

Open Access Maced J Med Sci. 2019 May 30;7(10):1723-1727. doi: 10.3889/oamjms.2019.265. eCollection 2019 May 31.

Abstract

BACKGROUND

The association between dietary fibre and colorectal cancer risk is controversial.

AIM

This systematic review and meta-analysis were performed to determine the dietary fibre protective against colorectal cancer patients in Asia.

METHODS

The authors conducted a meta-analysis of published research articles on dietary fibre protective against colorectal cancer patients in Asia published between January 2000 and March 2019 in the online article databases of PubMed, ProQuest and EBSCO. Pooled odds ratios (OR) were calculated with fixed and random-effect models. Publication bias was visually evaluated by using funnel plots and statistically assessed through Egger's and Begg's tests. Data were processed using Review Manager 5.3 (RevMan 5.3) and Stata version 14.2 (Stata Corporation).

RESULTS

This study reviewed 405 articles. There are 10 studies conducted a systematic review and continued with Meta-analysis of relevant data with several sample 49,964 patients. The results showed dietary fibre protective against colorectal cancer patients in Asia (OR = 0.66 [95% CI 0.56-0.77, p=0.008]). There was significant publication bias for studies included in dietary fibre protective against colorectal cancer patients in Asia.

CONCLUSION

This analysis confirmed dietary fibre protective against colorectal cancer patients in Asia.

摘要

背景

膳食纤维与结直肠癌风险之间的关联存在争议。

目的

进行这项系统评价和荟萃分析,以确定亚洲人群中膳食纤维对结直肠癌患者的保护作用。

方法

作者对2000年1月至2019年3月期间发表在PubMed、ProQuest和EBSCO在线文章数据库中的关于亚洲结直肠癌患者膳食纤维保护作用的已发表研究文章进行了荟萃分析。采用固定效应模型和随机效应模型计算合并比值比(OR)。通过漏斗图直观评估发表偏倚,并通过Egger检验和Begg检验进行统计学评估。使用Review Manager 5.3(RevMan 5.3)和Stata 14.2版本(Stata公司)处理数据。

结果

本研究共检索到405篇文章。有10项研究进行了系统评价,并对相关数据进行了荟萃分析,样本量达49964例患者。结果显示,膳食纤维对亚洲结直肠癌患者具有保护作用(OR = 0.66 [95% CI 0.56 - 0.77,p = 0.008])。纳入的关于亚洲结直肠癌患者膳食纤维保护作用的研究存在显著的发表偏倚。

结论

该分析证实膳食纤维对亚洲结直肠癌患者具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df0b/6560290/f0440ba659d6/OAMJMS-7-1723-g001.jpg

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