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生命早期牛奶摄入与后期癌症风险:一项荟萃分析。

Milk Intake in Early Life and Later Cancer Risk: A Meta-Analysis.

机构信息

Department of Food Science and Biotechnology, Dongguk University, Goyang 10326, Korea.

Department of Nutrition, Harvard T.H. Chan School of Public Health, Building 2, 3rd Floor, 665 Huntington Avenue, Boston, MA 02138, USA.

出版信息

Nutrients. 2022 Mar 15;14(6):1233. doi: 10.3390/nu14061233.

Abstract

Dairy consumption in adulthood has been demonstrated to influence cancer risk. Although childhood and adolescence represent critical periods of rapid growth, the relationship between milk intake in early life and later cancer risk is unclear. Thus, we examined this relationship by conducting a meta-analysis of the observational studies. PubMed and Embase were searched for relevant articles that were published throughout December 2021. The summary relative risk (RR) and 95% confidence interval (CI) were estimated using the DerSimonian-Laird random-effects model. The summary RR for the highest vs. lowest milk intake was 0.83 (95% CI = 0.69-1.00; = 0.05; I = 60%; seven studies) for breast cancer, 0.98 (95% CI = 0.72-1.32; = 0.88; I = 51%; four studies) for prostate cancer, and 0.90 (95% CI = 0.42-1.93; = 0.78; I = 83%; three studies) for colorectal cancer. No evidence of an association emerged in subgroup analyses of menopausal status, cancer stage, fat content of milk, life stage of milk intake, or study design. Consistent results were observed in the meta-analyses using total dairy intake. In conclusion, milk intake during childhood and adolescence might not be associated with risks of breast, prostate, and colorectal cancer later in life. Given the small number of studies that were included in our meta-analysis, and the high heterogeneity, more studies are warranted for a definitive conclusion.

摘要

成年人的乳制品摄入量已被证明会影响癌症风险。尽管儿童期和青春期是快速生长的关键时期,但早期生命中牛奶摄入量与以后癌症风险之间的关系尚不清楚。因此,我们通过对观察性研究进行荟萃分析来研究这种关系。检索了截至 2021 年 12 月发表的相关文章的 PubMed 和 Embase。使用 DerSimonian-Laird 随机效应模型估计汇总相对风险 (RR) 和 95%置信区间 (CI)。最高与最低牛奶摄入量的汇总 RR 为乳腺癌 0.83 (95%CI = 0.69-1.00; = 0.05; I = 60%; 7 项研究)、前列腺癌 0.98 (95%CI = 0.72-1.32; = 0.88; I = 51%; 4 项研究)和结直肠癌 0.90 (95%CI = 0.42-1.93; = 0.78; I = 83%; 3 项研究)。在按绝经状态、癌症分期、牛奶脂肪含量、牛奶摄入生命阶段或研究设计进行的亚组分析中,没有发现关联的证据。使用总乳制品摄入量进行的荟萃分析得出了一致的结果。总之,儿童期和青春期的牛奶摄入量可能与以后发生乳腺癌、前列腺癌和结直肠癌的风险无关。鉴于我们荟萃分析中纳入的研究数量较少且存在高度异质性,需要更多的研究来得出明确的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d68/8948718/508b967df2f1/nutrients-14-01233-g001.jpg

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