Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, 110022, China.
The First Clinical College, China Medical University, Shenyang, Liaoning Province, 110022, China.
Eur J Nutr. 2024 Oct;63(7):2421-2435. doi: 10.1007/s00394-024-03472-1. Epub 2024 Jul 30.
The escalating disease burden associated with pancreatic cancer has led to its inclusion as a target of public health efforts. The relationship between the consumption of cruciferous vegetables and the incidence of pancreatic cancer has generated conflicting findings in various epidemiological studies.
Eligible studies were cohort or case-control studies reporting on the association between consumption of cruciferous vegetables and pancreatic cancer. PubMed, Cochrane, and Embase were systematically searched for potential studies before 27 July2022. These databases were finally searched again on 1 February 2023. The meta-analysis was conducted using random-effects models, and Stata 17 was employed for the statistical analyses.
Sixteen studies, encompassing 1,135,281 participants from 1989 to 2021, met the inclusion criteria. An inverse association of statistical significance was observed (RR 0.83, 95% CI 0.72-0.96). The sensitivity analysis indicates that this result is robust. We conducted subgroup analyses based on region, gender, study design, quality, exclusivity to endocrine tumors, adjustment for smoking, alcohol consumption, diabetes, and BMI.
This review provided support for the inclusion of cruciferous vegetables in the diet as a cost-effective and readily available prevention.
胰腺癌相关疾病负担不断加重,已将其纳入公共卫生工作的目标。十字花科蔬菜的消费与胰腺癌发病率之间的关系在各种流行病学研究中得出了相互矛盾的结果。
合格的研究是队列或病例对照研究,报告了十字花科蔬菜消费与胰腺癌之间的关联。在 2022 年 7 月 27 日之前,系统地在 PubMed、Cochrane 和 Embase 中搜索了潜在的研究。最后,于 2023 年 2 月 1 日再次对这些数据库进行了搜索。使用随机效应模型进行荟萃分析,并使用 Stata 17 进行统计分析。
纳入了 1989 年至 2021 年间来自 16 项研究的 1135281 名参与者,这些研究符合纳入标准。观察到具有统计学意义的负相关(RR 0.83,95%CI 0.72-0.96)。敏感性分析表明,该结果是稳健的。我们根据地区、性别、研究设计、质量、是否专门针对内分泌肿瘤、是否调整吸烟、饮酒、糖尿病和 BMI 进行了亚组分析。
本综述支持将十字花科蔬菜纳入饮食中,作为一种具有成本效益且易于获得的预防措施。