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膳食 β-胡萝卜素和维生素 A 摄入与食管癌风险的关系:荟萃分析。

The association of dietary β-carotene and vitamin A intake on the risk of esophageal cancer: a meta-analysis.

机构信息

Gastroenterology, Hexian Memorial Affiliated Hospital of Southern Medical University, China.

Oncology, Hexian Memorial Affiliated Hospital of Southern Medical University, China.

出版信息

Rev Esp Enferm Dig. 2020 Aug;112(8):620-626. doi: 10.17235/reed.2020.6699/2019.

Abstract

BACKGROUND AND PURPOSE

dietary β-carotene and vitamin A intake have shown some potential effect in the development of esophageal cancer. This meta-analysis was performed to investigate the association of β-carotene and vitamin A intake on the risk of esophageal cancer.

METHODS

the PubMed, Embase, Web of Science and Wanfang Med online databases were systematically searched to collect the relevant articles regarding the impact of β-carotene and vitamin A intake on esophageal cancer risk. Pooled odds ratios (OR) with 95 % confidence intervals (CI) were combined using the Review Manager Version 5.3 software.

RESULTS

this meta-analysis included 14 articles. The highest category of β-carotene intake may significantly reduce the risk of esophageal cancer compared with the lowest category (OR = 0.62, 95 % CI = 0.50-0.77). Similar significant results were found in American and European populations but not in other populations with β-carotene intake. An inverse association was found between vitamin A intake and esophageal cancer risk (OR = 0.79, 95 % CI = 0.63-0.99). No potential publication bias was detected.

CONCLUSIONS

our study suggested that dietary β-carotene and vitamin A intake may reduce the risk of esophageal cancer. More relevant studies are needed to further explore this association, as there were some limitations in our analysis.

摘要

背景与目的

饮食中β-胡萝卜素和维生素 A 的摄入与食管癌的发生有一定的相关性。本荟萃分析旨在研究β-胡萝卜素和维生素 A 摄入与食管癌风险之间的关系。

方法

通过检索 PubMed、Embase、Web of Science 和万方医学在线数据库,收集关于β-胡萝卜素和维生素 A 摄入对食管癌风险影响的相关文章。采用 Review Manager Version 5.3 软件合并汇总比值比(OR)及其 95 %置信区间(CI)。

结果

本荟萃分析共纳入 14 篇文章。与最低摄入量相比,β-胡萝卜素摄入量最高组食管癌发病风险显著降低(OR = 0.62,95 % CI = 0.50-0.77)。这种相关性在美国和欧洲人群中存在,但在其他人群中并不存在。维生素 A 摄入量与食管癌风险呈负相关(OR = 0.79,95 % CI = 0.63-0.99)。未发现潜在的发表偏倚。

结论

本研究表明,饮食中β-胡萝卜素和维生素 A 的摄入可能降低食管癌的发病风险。由于我们的分析存在一些局限性,需要更多的相关研究来进一步探讨这种相关性。

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