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植物性饮食与癌症风险:有何证据?

Plant-Based Diets and Cancer Risk: What is the Evidence?

机构信息

Department of Pharmacology, Dalhousie University, Room 5-D Tupper Medical Building, 5850 College Street, Halifax, NS, B3H 4R2, Canada.

Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada.

出版信息

Curr Nutr Rep. 2022 Jun;11(2):354-369. doi: 10.1007/s13668-022-00409-0. Epub 2022 Mar 25.

Abstract

PURPOSE OF REVIEW

The purpose of this review is to summarize the recent (past 5 years) available evidence regarding the association between plant-based diets on cancer risk from clinical trials and observational studies. Biological mechanisms and gaps in the current literature will also be discussed.

RECENT FINDINGS

There is a lack of intervention studies but there are abundant observational studies assessing the association between plant-based diets and cancer risk, including multiple longitudinal cohort studies and similar data from case-control studies that demonstrate a decreased overall cancer risk with plant-based diets. Case-control studies support a decreased risk of colorectal and breast cancers with plant-based diets, but results for specific cancers remain inconsistent in cohort studies. Current evidence from observational studies indicates an inverse association between plant-based diets and overall cancer risk. Future research should include intervention studies, address inconsistencies in dietary assessment methods and provide greater detail on underrepresented groups.

摘要

目的综述

本综述旨在总结过去 5 年有关临床试验和观察性研究中植物性饮食与癌症风险之间关联的最新证据。还将讨论生物学机制和当前文献中的空白。

最近的发现

干预研究很少,但有大量观察性研究评估了植物性饮食与癌症风险之间的关系,包括多项纵向队列研究和来自病例对照研究的类似数据,这些研究表明植物性饮食可降低整体癌症风险。病例对照研究支持植物性饮食可降低结直肠癌和乳腺癌的风险,但队列研究中特定癌症的结果仍不一致。来自观察性研究的现有证据表明植物性饮食与整体癌症风险呈负相关。未来的研究应包括干预研究,解决饮食评估方法中的不一致性,并为代表性不足的群体提供更详细的信息。

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