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维生素摄入与结直肠癌的关联:来自 NHANES 数据的证据。

Association Between Vitamin Intake and Colorectal Cancer: Evidence from NHANES Data.

机构信息

Department of Oncology, Wuhan No. 1 Hospital, Wuhan, China.

Department of Dermatology, The Central Hospital of Wuhan, Wuhan, 430000, China.

出版信息

J Gastrointest Cancer. 2024 Dec;55(4):1581-1587. doi: 10.1007/s12029-024-01107-6. Epub 2024 Aug 26.

Abstract

PURPOSE

This study aims to investigate the associations between vitamins and colorectal cancer (CRC) based on a national sample of US adults.

METHODS

A total of 6200 samples were collected from the National Health and Nutrition Examination Survey to explore the relationship between vitamins (specifically, A, C, and D) and CRC. Logistic regression models were employed to assess the associations between dietary vitamin intake and CRC.

RESULTS

Our findings indicate a negative association between vitamin C intake and CRC. However, the associations of vitamin A and vitamin D with CRC were not statistically significant. For vitamin C, compared to the first tertile, the odds ratios (ORs) and 95% confidence intervals (CIs) were 0.91 (0.76-0.97) for the second tertile and 0.81 (0.64-0.95) for the third tertile (P < 0.01). Conversely, for vitamin A, compared to the first tertile, the odds ratios (ORs) and 95% confidence intervals (CIs) were 1.02 (0.82-1.22) for the second tertile and 1.04 (0.75-1.25) for the third tertile (P < 0.01). For vitamin D, compared to the first tertile, the odds ratios (ORs) and 95% confidence intervals (CIs) were 0.96 (0.84-1.06) for the second tertile and 1.01 (0.83-1.15) for the third tertile (P < 0.01). Additionally, the negative association between vitamin C and CRC was more pronounced among females (0.76, 0.67-0.92), individuals aged 60 and above (0.75, 0.69-0.95), and those with a BMI > 30 (0.78, 0.67-0.93).

CONCLUSION

Our findings suggest that higher vitamin C intake is associated with a reduced prevalence of CRC. However, further large-scale prospective cohort studies are warranted to validate our results.

摘要

目的

本研究旨在基于美国成年人的全国样本,探讨维生素与结直肠癌(CRC)之间的关联。

方法

从国家健康与营养调查中收集了 6200 个样本,以探讨维生素(具体为 A、C 和 D)与 CRC 之间的关系。采用 logistic 回归模型评估膳食维生素摄入与 CRC 之间的关联。

结果

我们的研究结果表明,维生素 C 摄入量与 CRC 呈负相关。然而,维生素 A 和维生素 D 与 CRC 的关联没有统计学意义。对于维生素 C,与第一 tertile 相比,第二 tertile 的比值比(OR)和 95%置信区间(CI)为 0.91(0.76-0.97),第三 tertile 的 OR 和 95%CI 为 0.81(0.64-0.95)(P<0.01)。相反,对于维生素 A,与第一 tertile 相比,第二 tertile 的 OR 和 95%CI 为 1.02(0.82-1.22),第三 tertile 的 OR 和 95%CI 为 1.04(0.75-1.25)(P<0.01)。对于维生素 D,与第一 tertile 相比,第二 tertile 的 OR 和 95%CI 为 0.96(0.84-1.06),第三 tertile 的 OR 和 95%CI 为 1.01(0.83-1.15)(P<0.01)。此外,维生素 C 与 CRC 之间的负相关在女性(0.76,0.67-0.92)、60 岁及以上人群(0.75,0.69-0.95)和 BMI>30(0.78,0.67-0.93)中更为明显。

结论

我们的研究结果表明,较高的维生素 C 摄入量与 CRC 患病率降低有关。然而,需要进一步的大规模前瞻性队列研究来验证我们的结果。

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