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食物类别与泌尿系统癌症风险:前瞻性研究的系统评价与荟萃分析

Food groups and urologic cancers risk: a systematic review and meta-analysis of prospective studies.

作者信息

Qi Jingyi, An Peng, Jin Dekui, Ji Yuting, Wan Sitong, Zhang Xu, Luo Yongting, Luo Junjie, Zhang Chengying

机构信息

Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China.

Department of General Practice, The Third Medical Center of Chinese PLA General Hospital, Beijing, China.

出版信息

Front Nutr. 2023 May 17;10:1154996. doi: 10.3389/fnut.2023.1154996. eCollection 2023.

Abstract

BACKGROUND

To assess the association between 12 food groups intake and the risk of urologic cancers.

METHODS

We scanned PubMed and Web of Science databases up to April 1st, 2023, and 73 publications met the inclusion criteria in the meta-analysis. We used a random effects model to estimate the summary risk ratios (RRs) and 95% confidence intervals (95% CI).

RESULTS

In the linear dose-response meta-analysis, an inverse association was found between each additional daily 100 g of fruits [RR: 0.89, 95%CI = (0.83, 0.97)], 100 g of vegetables [RR: 0.92, 95%CI = (0.85, 0.99)], 12 g of alcohol [RR: 0.91, 95%CI = (0.88, 0.94)] and 1 cup of coffee [RR: 0.95, 95%CI = (0.83, 0.97)] intake and the risk of renal cell carcinoma. Conversely, each additional daily 100 g of red meat intake was positively associated with renal cell carcinoma [RR: 1.41, 95%CI = (1.03, 2.10)]. Inverse associations were observed between each additional daily 50 g of egg [RR: 0.73, 95%CI = (0.62, 0.87)] and each additional daily 1 cup of tea consumption and bladder cancer risk [RR: 0.97, 95%CI = (0.94, 0.99)]. There were no significant associations for nonlinear dose-response relationships between 12 food groups and urological cancers.

CONCLUSION

Our meta-analysis strengthens the evidence that appropriate intake of specific food groups, such as fruits, vegetables, alcohol, tea, and coffee, is associated with the risk of renal cell carcinoma or bladder cancer. More studies are required to fill the knowledge gap on the links between various food groups and urologic cancers because the evidence was less credible in this meta-analysis.

SYSTEMATIC REVIEW REGISTRATION

This study was registered on PROSPERO (CRD42022340336).

摘要

背景

评估12种食物组的摄入量与泌尿系统癌症风险之间的关联。

方法

我们检索了截至2023年4月1日的PubMed和Web of Science数据库,73篇出版物符合荟萃分析的纳入标准。我们使用随机效应模型来估计汇总风险比(RRs)和95%置信区间(95%CI)。

结果

在线性剂量反应荟萃分析中,每天每增加100克水果[RR:0.89,95%CI =(0.83,0.97)]、100克蔬菜[RR:0.92,95%CI =(0.85,0.99)]、12克酒精[RR:0.91,95%CI =(0.88,0.94)]和1杯咖啡[RR:0.95,95%CI =(0.83,0.97)]的摄入量与肾细胞癌风险呈负相关。相反,每天每增加100克红肉摄入量与肾细胞癌呈正相关[RR:1.41,95%CI =(1.03,2.10)]。每天每增加50克鸡蛋[RR:0.73,95%CI =(0.62,0.87)]和每天每增加1杯茶的摄入量与膀胱癌风险呈负相关[RR:0.97,95%CI =(0.94,0.99)]。12种食物组与泌尿系统癌症之间的非线性剂量反应关系无显著关联。

结论

我们的荟萃分析强化了这样的证据,即适当摄入特定食物组,如水果、蔬菜、酒精、茶和咖啡,与肾细胞癌或膀胱癌风险相关。由于本荟萃分析中的证据可信度较低,需要更多研究来填补各种食物组与泌尿系统癌症之间联系的知识空白。

系统评价注册

本研究在PROSPERO(CRD42022340336)上注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a4/10231388/7bb62fd29a4d/fnut-10-1154996-g006.jpg

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