Qi Xiangying, Zhang Wenyan, Ge Mingxiu, Sun Qiang, Peng Lei, Cheng Wenke, Li Xuepeng
Department of Obstetrics and Gynecology, Affiliated Hospital of Jining Medical University, Zaozhuang Municipal Hospital, Zaozhuang, China.
Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Shandong University, Jinan, China.
Front Nutr. 2021 Jul 22;8:701860. doi: 10.3389/fnut.2021.701860. eCollection 2021.
Diet lifestyle can influence the risk of endometriosis. Therefore, we conducted a systematic meta-analysis to investigate the association between dairy products and the risk of endometriosis. Besides, we performed a dose-response meta-analysis to evaluate the amount of dairy intake affecting the risk of endometriosis. Relevant studies were searched from Pubmed, Embase databases, Cochrane Library, and Web of Science from the inception to November 6th, 2020. Also, the dose-response meta-analysis was conducted. All the pooled results were performed by risk ratios (RRs). Finally, seven high-quality studies were included in the present meta-analysis. Total dairy intake was inversely associated with the risk of endometriosis, and the risk of endometriosis tended to decrease with a decrease in the risk of endometriosis when dairy products intake was over 21 servings/week (RR 0.87, 95% CI 0.76-1.00; = 0.04). Similarly, people who consumed more than 18 servings of high-fat dairy products per week had a reduced risk of endometriosis (RR 0.86, 95% CI 0.76-0.96). When stratified-analyses were conducted based on specific dairy product categories, it indicated that people with high cheese intake might have a reduced risk of endometriosis (RR 0.86, 95% CI 0.74-1.00). Other specific dairy products such as whole milk (RR 0.90, 95% CI 0.72-1.12), reduced-fat/skim milk (RR 0.83, 95% CI 0.50-1.73), ice cream (RR 0.83, 95% CI 0.50-1.73), and yogurt (RR 0.83, 95% CI 0.62-1.11) have not shown significant evidence of an association with the risk of endometriosis. However, there is a higher risk of endometriosis in the females with high butter intake compared to females with low butter intake (1.27, 95% CI 1.03-1.55). Overall, dairy products intake was associated with a reduction in endometriosis, with significant effects when the average daily intake ≥3 servings. When analyzed according to the specific type of dairy product, it was shown that females with higher high-fat dairy and cheese intake might have a reduced risk of endometriosis. However, high butter intake might be associated to the increased risk of endometriosis. More future studies are needed to validate and add to this finding.
饮食生活方式会影响子宫内膜异位症的风险。因此,我们进行了一项系统的荟萃分析,以研究乳制品与子宫内膜异位症风险之间的关联。此外,我们还进行了剂量反应荟萃分析,以评估乳制品摄入量对子宫内膜异位症风险的影响。从创刊至2020年11月6日,在PubMed、Embase数据库、Cochrane图书馆和科学网中检索了相关研究。同时,进行了剂量反应荟萃分析。所有汇总结果均通过风险比(RRs)进行。最后,本荟萃分析纳入了七项高质量研究。总乳制品摄入量与子宫内膜异位症风险呈负相关,当乳制品摄入量超过21份/周时,子宫内膜异位症风险往往会随着子宫内膜异位症风险的降低而降低(RR 0.87,95%CI 0.76-1.00;P = 0.04)。同样,每周食用超过18份高脂肪乳制品的人患子宫内膜异位症的风险降低(RR 约为0.86,95%CI 0.76-0.96)。当根据特定乳制品类别进行分层分析时,结果表明,高奶酪摄入量的人患子宫内膜异位症的风险可能降低(RR 0.86,95%CI 0.74-1.00)。其他特定乳制品,如全脂牛奶(RR 0.90,95%CI 0.72-1.12)、减脂/脱脂牛奶(RR 0.83,95%CI 0.50-1.73)、冰淇淋(RR 0.83,95%CI 0.50-1.73)和酸奶(RR 0.83,95%CI 0.62-1.11),均未显示出与子宫内膜异位症风险存在显著关联的证据。然而,与低黄油摄入量的女性相比,高黄油摄入量的女性患子宫内膜异位症的风险更高(RR 1.27,95%CI 1.03-1.55)。总体而言,乳制品摄入量与子宫内膜异位症风险降低相关,当平均每日摄入量≥3份时效果显著。根据特定乳制品类型进行分析时,结果显示,高脂肪乳制品和奶酪摄入量较高的女性患子宫内膜异位症的风险可能降低。然而,高黄油摄入量可能与子宫内膜异位症风险增加有关。未来需要更多研究来验证并补充这一发现。