促炎性饮食与结直肠癌患病风险的Meta分析

doi:10.16689/j.cnki.cn11-9349/r.2020.01.019

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (2930 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的通过Meta分析评价促炎性饮食和结直肠癌患病风险的关系，为科学饮食提供参考依据。方法截至2019年7月，系统检索英文数据库PubMed、Embase、Web of Science、Cochrane Library和中文数据库中国知网、万方数据库、维普数据库，筛选出饮食炎症效应与结直肠癌发病风险相关的文献。所纳入文献均采用膳食炎症指数（DII）来评价膳食的炎症效应。采用Revman 5.2软件进行Meta分析，对纳入研究的OR值及95%CI值进行合并，同时根据肿瘤类型和地域进行亚组分析。结果共纳入文献10篇，参与者964 935例。Meta分析结果显示，最高促炎性饮食的个体与最高抗炎性饮食的个体相比较，结直肠癌的患病风险增加（OR=1.43，95％CI=1.28~1.60）。按肿瘤类型进行亚组分析显示，促炎性饮食的结肠癌患病风险增加（OR=1.37，95％CI=1.20~1.57），直肠癌患病风险亦增加（OR=1.33，95％CI=1.11~1.61）。按地域进行亚组分析显示，促炎性饮食的结直肠癌的患病风险在亚洲（OR=2.17，95％CI=1.77~2.68）、欧洲（OR=1.56，95％CI=1.32~1.85）、北美（OR=1.28，95％CI=1.21 ~1.35）。结论促炎性饮食可能会增加结直肠癌的患病风险。亚洲地区促炎性饮食与结直肠癌患病风险的相关性可能高于欧洲和北美洲，这一结论需要更多的研究进一步确认。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	1李晓玲
	1谢颖
	1曹威
	2张瑞国
	1李增宁

关键词 ：促炎性饮食, 膳食炎症指数, 结直肠癌, Meta分析

Abstract：Objective This meta-analysis aimed to evaluate the relationship between pro-inflammatory diet and colorectal cancer (CRC) risk, so as to provide a reference for scientific diet. Methods The PubMed, EM base, Web of Science, Cochrane Library, CNKI, Wanfang Data and VIP Database were retrieved by computer. According to the inclusion criteria, the related studies before July 2019 were collected and evaluated. Dietary inflammation index (DII) was used to evaluate the inflammatory effect of diet. This meta-analysis was carried out by Revman 5.2 software. The odds ratio (OR) value and 95% confidence interval (CI) of the included studies were pooled. At the same time, the subgroup analysis was conducted according to the cancer type and continent. Results A total of ten literatures were included, which enrolled 964 935 cases. Individuals in the highest pro-inflammatory diet category were increased with the incidence of colorectal cancer compared to those in the highest anti-inflammatory diet category (OR=1.43,95％CI=1.28~1.60). Subgroup analysis by cancer type showed that individuals with the highest pro-inflammatory diet category were increased with colon cancer (OR=1.37, 95%CI=1.20~1.57), and rectal cancer (OR=1.33, 95%CI=1.11~1.61). Subgroup analysis by continent showed that：Asia (OR=2.17, 95%CI=1.77~2.68), Europe(OR=1.56, 95%CI=1.32~1.85), North America(OR=1.28, 95％CI=1.21~1.35). Conclusions Dietary patterns with pro-inflammatory diet may increase the risk of colorectal cancer. The correlation between pro-inflammatory diet and colorectal cancer risk in Asia may be higher than that in Europe and North America, but this conclusion needs to be confirmed by further studies.

Key words： Pro-inflammatory diet Dietary inflammatory index Colorectal cancer Meta-analysis

基金资助:河北省重点研发计划项目健康医疗与生物医药专项（182777127D）

通讯作者: 李增宁，电子邮箱：lizengning@126.com

引用本文:

1李晓玲，1谢颖，1曹威，2张瑞国，1李增宁. 促炎性饮食与结直肠癌患病风险的Meta分析[J]. 肿瘤代谢与营养电子杂志, 2020, 7(1): 104-111.
1Li Xiaoling, 1Xie Ying, 1Cao Wei, 2Zhang Ruiguo, 1Li Zengning. Meta-analysis of pro-inflammatory diet and risk of colorectal cancer. Electron J Metab Nutr Cancer, 2020, 7(1): 104-111.

1.Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018：GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.CA Cancer J Clin.2018；68(6)：394-424.
2.Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin.2016；66(2)：115-132.
3.Mantovani A. Molecular pathways linking inflammation and cancer. Curr Mol Med.2010；10(4)：369-373.
4.Laurence Zitvogel, Federico Pietrocola, Guido Kroemer. Nutrition, inflammation and cancer. Nat Immuno. 2017；18(8)：843-850.
5.Detopoulou P, Panagiotakos DB, Antonopoulou S, et al. Dietary choline and betaine intakes in relation to concentrations of inflammatory markers in healthy adults：the ATTICA study. Am J Clin Nutr.2008；87(2)：424-430.
6.Raphael W, Sordillo LM. Dietary polyunsaturated fatty acids and inflammation：the role of phospholipid biosynthesis. Int J Mol Sci. 2013；14(10)：21167-21188.
7.Liu S, Manson JAE, Buring JE, et al. Relation between a diet with a high glycemic load and plasma concentrations of high-sensitivity C-reactive protein in middle-aged women. Am J Clin Nutr.2002；75(3)：492-498.
8.Ahluwalia N, Andreeva VA, Kesse-Guyot E, et al. Dietary patterns, inflammation and the metabolic syndrome. Dlabetes Metab.2013；39(2)：99-110.
9.Esmaillzadeh A, Kimiagar M, Mehrabi Y, et al. Dietary patterns and markers of systemic inflammation among Iranian women. J NUTR.2007；137(4)：992-998.
10.Shivappa N, Steck SE, Hurley TG, et al. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr.2014；17(8)：1689-1696.
11.Wirth MD, Burch J, Shivappa N, et al. Association of a dietary inflammatory index with inflammatory indices and metabolic syndrome among police officers. J Occup Environ Med.2014；56(9)：986-989.
12.Shivappa N, Hébert JR, Reitzachel ER, et al. Associations between dietary inflammatory index and inflammatory markers in the Asklepios study. Br J Nutr.2015；113(4)：665-671.
13.Bergmans RS, Malecki KM. The association of dietary inflammatory potential with depression and mental well-being among U.S. adults. Prev Med.2017；99：313-319.
14.Wirth MD, Shivappa N, Burch JB, et al. The dietary inflammatory index, shift work, and depression：Results from NHANES. Health Psychol. 2017；36(8)：760-769.
15.Wood LG, Shivappa N, Berthon BS, et al. Dietary inflammatory index is related to asthma risk, lung function and systemic inflammation in asthma. Clin Exp Allergy. 2015；45(1)：177-183.
16.Vahid F, Shivappa N, Karamati M, et al. Association between dietary inflammatory index (DII) and risk of prediabetes：a case-control study. Appl Physiol Nutr Metab.2017；42(4)：399-404.
17.Huang WQ, Mo XF, Ye YB，et al. A higher dietary inflammatory index score is associated with a higher risk of breast cancer among Chinese women：a case-control study. Br J Nutr.2017；117(10)：1358-1367.
18.Shivappa N, Hébert JR, Paddock LE, et al. Dietary inflammatory index and ovarian cancer risk in a new Jersey case-control study.Nutrition.2018；46：78-82.
19.Cantero I, Abete I, Babio N, et al. Dietary inflammatory index and liver status in subjects with different adiposity levels within the PREDIMED trial. Clin Nutr.2018；37(5)：1736-1743.
20.Neufcourt L, Assmann KE, Fezeu LK, et al. Prospective association between the dietary inflammatory index and metabolic syndrome：findings from the SU.VI.MAX study. Nutr Metab Cardiovasc Dis.2015；25(11)：988-996.
21.Shivappa N, Bosetti C, Zucchetto A, et al. Association between dietary inflammatory index and prostate cancer among Italian men. Br J Nutr. 2015；113(2)：278-283.
22.Shivappa N, Hébert JR, Rashidkhani B. Dietary inflammatory index and risk of esophageal squamous cell cancer in a case-control study from Iran. Nutr Cancer.2015；67(8)：1253-1259.
23.Hodge AM, Bassett JK, Shivappa N, et al. Dietary inflammatory index, Mediterranean diet score, and lung cancer：a prospective study. Cancer Causes & Control.2016；27(7)：907-917.
24.Garcia-Arellano A, Ramallal R, Ruiz-Canela M, et al. Dietary inflammatory index and incidence of cardiovascular disease in the PREDIMED Study. Nutrients.2015；7(6)：4124-4138.
25.Shivappa N, Tavani A, Hébert JR, et al. Dietary inflammatory index and acute myocardial infarction in a large Italian case-control study. Eur J Public Health.2018；28(1)：161-166.
26.ONeil A, Shivappa N, Jacka FN, et al. Pro-inflammatory dietary intake as a risk factor for CVD in men：a 5-year longitudinal study. Br J Nutr.2015；114(12)：2074-2082.
27.McCullough LE, Miller EE, Calderwood LE, et al. Maternal inflammatory diet and adverse pregnancy outcomes：Circulating cytokines and genomic imprinting as potential regulators. Epigenetics.2017；12(8)：688-697.
28.Sen S, Rifas-Shiman SL, Shivappa N, et al. Dietary inflammatory potential during pregnancy is associated with lower fetal growth and breastfeeding failure：results from project viva. J Nutr. 2016；146(4)：728-736.
29.Hayden KM, Beavers DP, Steck SE, et al. The association between an inflammatory diet and global cognitive function and incident dementia in older women：The Womens Health Initiative Memory Study. Alzheimers Dement.2017；13(11)：1187-1196.
30.Shivappa N, Hébert JR, Steck SE, et al. Dietary inflammatory index and odds of colorectal cancer in a case-control study from Jordan. Appl Physiol Nutr Metab.2017；42(7)：744-749.
31.Shivappa N, Hébert JR, Steck SE, et al. Dietary inflammatory index and odds of colorectal cancer in a case-control study from Iran. Asian Pac J Cancer Prev.2018；19(7)：1999-2006.
32.Shivappa N, Prizment AE, Blair CK, et al. Dietary inflammatory index and risk of colorectal cancer in the Iowa Womens Health Study. Cancer Epidemiol Biomarkers Prev. 2014；23(11)：2383-2392.
33.Shivappa N, Zucchetto A, Montella M, et al. Inflammatory potential of diet and risk of colorectal cancer：a case-control study from Italy. Br J Nutr.2015；114(1)：152-158.
34.Tabung FK, Steck SE, Ma Y, et al. The association between dietary inflammatory index and risk of colorectal cancer among postmenopausal women：results from the Womens Health Initiative. Cancer Cause Control.2015；26(3)：399-408.
35.Tabung FK, Steck SE, Ma Y, et al. Changes in the inflammatory potential of diet over time and risk of colorectal cancer in postmenopausal women. Am J Epidemiol.2017；186(5)：514-523.
36.Wirth MD, Shivappa N, Steck SE, et al. The dietary inflammatory index is associated with colorectal cancer in the National Institutes of Health-American Association of Retired Persons Diet and Health Study. Br J Nutr.2015；113(11)：1819-1827.
37.Zamora-Ros R, Shivappa N, Steck SE, et al. Dietary inflammatory index and inflammatory gene interactions in relation to colorectal cancer risk in the Bellvitge colorectal cancer case-control study. Genes Nutr.2015；10(1)：447.
38.Cho YA, Lee J, Oh JH, et al. Dietary inflammatory index and risk of colorectal cancer：a case-control study in korea. Nutrients.2016；8(8)：469.
39.Harmon BE, Wirth MD, Boushey CJ, et al. The dietary inflammatory index is associated with colorectal cancer risk in the multiethnic cohort. J Nutr.2017；147(3)：430-438.
40.Bruce WR, Giacca A, Medline A. Possible mechanisms relating diet and risk of colon cancer. Cancer Epidemiol Biomarkers Prev.2000；9(12)：1271-1279.
41.Chan AT, Giovannucci EL. Primary prevention of colorectal cancer. Gastroenterology. 2010；138(6)：2029-2043.