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乳制品摄入与胰腺癌风险:日本癌症协作队列研究(JACC 研究)和前瞻性队列研究的荟萃分析。

Dairy intake and the risk of pancreatic cancer: the Japan Collaborative Cohort Study (JACC Study) and meta-analysis of prospective cohort studies.

机构信息

Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Suita, Japan.

Department of Public Health, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.

出版信息

Br J Nutr. 2022 Sep 28;128(6):1147-1155. doi: 10.1017/S0007114521004232. Epub 2021 Oct 20.

Abstract

Dairy product intake was suggested to reduce the risk of gastrointestinal cancers. This study investigated the association between dairy product intake and the risk of pancreatic cancer (PAC) using a prospective cohort study and meta-analysis of prospective cohort studies. First, we included 59 774 people aged 40-79 years from the Japan Collaborative Cohort Study (JACC Study). The Cox regression was used to compute the hazard ratios (HR) and 95 % CI of incident PAC for individuals who reported the highest intakes of milk, cheese and yogurt compared with not consuming the corresponding dairy products. Then, we combined our results with those from other four prospective cohort studies that were eligible after searching several databases, in a meta-analysis, using the fixed-effects model before evaluating publication bias and heterogeneity across studies. In the JACC Study, the highest . no intakes of milk, cheese and yogurt were not associated with the reduced risk of PAC after a median follow-up of 13·4 years: HR (95 % CI) = 0·93 (0·64, 1·33), 0·91 (0·51, 1·62) and 0·68 (0·38, 1·21), respectively. The results did not significantly change in the meta-analysis: 0·95 (0·82, 1·11) for milk, 1·16 (0·87, 1·55) for cheese and 0·91 (0·79, 1·05) for yogurt. The meta-analysis showed no signs of publication bias or heterogeneity across studies. To conclude, consumption of milk, cheese and yogurt was not associated with the risk of PAC either in the JACC Study or the meta-analysis.

摘要

乳制品摄入被认为可以降低胃肠道癌症的风险。本研究通过前瞻性队列研究和荟萃分析前瞻性队列研究,调查了乳制品摄入与胰腺癌(PAC)风险之间的关系。首先,我们纳入了来自日本癌症协作队列研究(JACC 研究)的 59774 名年龄在 40-79 岁的人群。使用 Cox 回归计算报告摄入最高量牛奶、奶酪和酸奶与不食用相应乳制品的个体患 PAC 的风险比(HR)和 95%CI。然后,我们在几个数据库中搜索后,选择了另外四项符合条件的前瞻性队列研究,在荟萃分析中使用固定效应模型合并我们的结果和其他四项前瞻性队列研究的结果,在评估研究间发表偏倚和异质性之前。在 JACC 研究中,在中位随访 13.4 年后,最高. 不摄入牛奶、奶酪和酸奶与 PAC 风险降低无关:HR(95%CI)=0.93(0.64, 1.33),0.91(0.51, 1.62)和 0.68(0.38, 1.21)。荟萃分析结果没有显著变化:牛奶为 0.95(0.82, 1.11),奶酪为 1.16(0.87, 1.55),酸奶为 0.91(0.79, 1.05)。荟萃分析表明研究间不存在发表偏倚或异质性。总之,无论是在 JACC 研究还是荟萃分析中,摄入牛奶、奶酪和酸奶与 PAC 风险均无关联。

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