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营养不良作为口腔癌发展的风险因素:系统文献回顾和荟萃分析。

Malnutrition as a Risk Factor in the Development of Oral Cancer: A Systematic Literature Review and Meta-Analyses.

机构信息

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.

出版信息

Nutrients. 2024 Jan 26;16(3):360. doi: 10.3390/nu16030360.


DOI:10.3390/nu16030360
PMID:38337645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10856873/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/33af40a21e0d/nutrients-16-00360-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/b93a365e281b/nutrients-16-00360-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/0b67360cfe73/nutrients-16-00360-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/875b0454fba8/nutrients-16-00360-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/dd4c0811dd69/nutrients-16-00360-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/c01a65f48c4e/nutrients-16-00360-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/33af40a21e0d/nutrients-16-00360-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/b93a365e281b/nutrients-16-00360-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/0b67360cfe73/nutrients-16-00360-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/875b0454fba8/nutrients-16-00360-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/dd4c0811dd69/nutrients-16-00360-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/c01a65f48c4e/nutrients-16-00360-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/667b/10856873/33af40a21e0d/nutrients-16-00360-g006.jpg

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引用本文的文献

[1]
Oxidative Stress and Dietary Antioxidants in Head and Neck Cancer.

Antioxidants (Basel). 2025-4-24

[2]
N6-methyladenosine RNA modification in head and neck squamous cell carcinoma (HNSCC): current status and future insights.

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[3]
A Narrative Review: Repurposing Metformin as a Potential Therapeutic Agent for Oral Cancer.

Cancers (Basel). 2024-8-29

[4]
Role of Vitamin D in Oral Lichen Planus: A Case Control Study.

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本文引用的文献

[1]
The Role of Vitamins in Oral Potentially Malignant Disorders and Oral Cancer: A Systematic Review.

J Pers Med. 2023-10-23

[2]
Causal associations between dietary antioxidant vitamin intake and lung cancer: A Mendelian randomization study.

Front Nutr. 2022-9-2

[3]
Sarcopenia, Malnutrition, and Cachexia: Adapting Definitions and Terminology of Nutritional Disorders in Older People with Cancer.

Nutrients. 2021-2-26

[4]
Difference between kwashiorkor and marasmus: Comparative meta-analysis of pathogenic characteristics and implications for treatment.

Microb Pathog. 2021-1

[5]
Epidemiologic aspects of oral cancer.

Dis Mon. 2020-6-27

[6]
Vitamin C and Immune Function.

Nutrients. 2017-11-3

[7]
Association between folate intake and risk of head and neck squamous cell carcinoma: An overall and dose-response PRISMA meta-analysis.

Medicine (Baltimore). 2017-10

[8]
Circulating vitamin D in relation to cancer incidence and survival of the head and neck and oesophagus in the EPIC cohort.

Sci Rep. 2016-11-4

[9]
3.1 Primary and secondary malnutrition.

World Rev Nutr Diet. 2015

[10]
Prospective population-based study of the association between serum 25-hydroxyvitamin-D levels and the incidence of specific types of cancer.

Cancer Epidemiol Biomarkers Prev. 2014-7

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