Dipartimento di Testa-Collo ed Organi di Senso, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
UOC Odontoiatria Generale e Ortodonzia, Dipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Nutrients. 2024 Jan 26;16(3):360. doi: 10.3390/nu16030360.
This systematic review and meta-analyses aimed to assess whether malnutrition may increase the incidence of oral cancer. Following the PRISMA statement, the research was conducted on PubMed, Scopus, and MEDLINE via OVID without any time restrictions. The risk of bias was assessed, and the quality of evidence for each performed meta-analysis was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. Sixty-one articles met the inclusion criteria and seven studies underwent quantitative evaluation. For our meta-analysis on hypovitaminosis B, three studies with a total of 90,011 patients were included. An odds ratio of 2.22 was found. Our meta-analysis on the correlation between vitamin C and oral cancer included one study with a total of 866 patients and the derived odds ratio was 1.06. Our meta-analysis on the relationship between vitamin D deficiency and the incidence of oral cancer included three studies with a total of 12,087 patients and the odds ratio was -2.58. The GRADE system showed a moderate strength of evidence due to the presence of studies with a high risk of bias and high indirectness of the data given. The present findings suggest that an inadequate intake of vitamins, particularly vitamin D, poses a risk for the onset of oral cancer.
本系统评价和荟萃分析旨在评估营养不良是否会增加口腔癌的发病率。根据 PRISMA 声明,在没有时间限制的情况下,通过 OVID 在 PubMed、Scopus 和 MEDLINE 上进行了研究。使用推荐评估、制定和评估(GRADE)框架评估了每个进行的荟萃分析的偏倚风险和证据质量。有 61 篇文章符合纳入标准,其中 7 项研究进行了定量评估。对于我们关于维生素 B 缺乏症的荟萃分析,纳入了三项共 90011 名患者的研究,得出的比值比为 2.22。我们关于维生素 C 与口腔癌相关性的荟萃分析纳入了一项共 866 名患者的研究,得出的比值比为 1.06。我们关于维生素 D 缺乏与口腔癌发病率关系的荟萃分析纳入了三项共 12087 名患者的研究,比值比为-2.58。GRADE 系统显示证据强度为中等,因为存在高偏倚风险和数据高度间接性的研究。本研究结果表明,维生素摄入不足,特别是维生素 D,可能增加口腔癌的发病风险。
Evid Rep Technol Assess (Full Rep). 2007-8
Cochrane Database Syst Rev. 2020-10-19
Cochrane Database Syst Rev. 2018-1-29
Cochrane Database Syst Rev. 2016-8-22
Evid Based Dent. 2025-6
Cochrane Database Syst Rev. 2024-9-27
Cochrane Database Syst Rev. 2024-6-11
Antioxidants (Basel). 2025-4-24
Cancers (Basel). 2024-8-29
Nutrients. 2024-8-19
Dis Mon. 2020-6-27
Nutrients. 2017-11-3
World Rev Nutr Diet. 2015
Cancer Epidemiol Biomarkers Prev. 2014-7