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Intake of Cruciferous Vegetables Is Associated with Reduced Risk of Ovarian Cancer: A Meta‐analysis

十字花科蔬菜的摄入可降低卵巢癌的发病风险:基于观察性研究的荟萃分析

摘要


背景:基于流行病学的研究显示,关于十字花科蔬菜的摄入是否能降低卵巢癌发生风险尚存在争议。本研究的目的是通过荟萃分析,探讨十字花科蔬菜摄入与卵巢癌的发生风险的相关性。方法:通过检索Medline(Pubmed)、Embase和Web of science数据库来查找相关研究(截止至2013年10月)。采用随机效应模型来计算整合的相对风险以及其95%置信区间,并评价研究的异质性和发表偏倚。结果:符合入选标准的研究共有8项(4项病例对照研究和4项队列研究)。通过分析发现,十字花科蔬菜高摄入相比于低摄入能显著降低卵巢癌的发生风险(RR: 0.89; 95 CI: 0.81-0.99)。没有发现研究存在显著的异质性或发表偏倚。结论:本研究提示十字花科蔬菜高摄入可降低卵巢癌的发生风险,当然,十字花科蔬菜对卵巢癌的临床效果尚需进一步的研究来证实。

並列摘要


Background: Epidemiological studies on the association between cruciferous vegetable (CV) consumption and the risk of ovarian cancer have demonstrated inconsistent results. We conducted a meta-analysis on CV consumption and ovarian cancer risk. Methods: The relevant studies were identified by searching the Medline (Pubmed), Embase and Web of Science databases. The references of related articles and reviews up to October 2013 were also screened. The pooled relative risks (RRs) with 95% confidence intervals (CIs) for the highest versus the lowest CV consumption levels were calculated using a random-effects model. The heterogeneity and publication bias were also evaluated. Results: Eight studies (4 case-control studies and 4 cohort studies) were identified and included in this meta-analysis. When all studies were pooled together, there was a significantly inverse association between CV consumption and the risk of ovarian cancer (RR: 0.89; 95% CI: 0.81-0.99). No significant heterogeneity or publication bias was found. Conclusions: The findings from this study suggest that the consumption of CVs may reduce the risk of ovarian cancer. Further investigations are needed to confirm the clinical effect of CVs on ovarian cancer.

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