Vegetable, Fruit Consumption and Risk of Biliary Cancer: Evidence from a Meta-Analysis
A partir d'une revue de la littérature publiée jusqu'en mai 2020 (14 études), cette méta-analyse évalue l'association entre la quantité de fruits et légumes consommés et le risque de cancer des voies biliaires
Résumé en anglais
Background and objective: This meta-analysis was performed to assess the association between vegetable and fruit (VF) consumption and biliary cancer risk.
Method: Relevant studies were identified by a search of MEDLINE and Embase databases. The summary relative risks (RRs) with 95% confidence intervals (CIs) for the highest vs. lowest consumption and dose-response analyses were assessed.
Results: Fourteen studies were eligible. The summary RRs associated with the risk of biliary cancer for the highest vs. lowest were 0.48 (n?=?10; 95% CI: 0.22-0.74; Q?=?68.27, P heterogeneity < 0.001, I2 = 86.8%) for vegetable consumption and 0.47 (n?=?13; 95% CI: 0.32-0.61; Q?=?32.68, P heterogeneity = 0.001, I2 = 63.3%) for fruit consumption. Dose-response associations were analyzed for every 100 gram/day increment: for vegetable (n?=?8; RR = 0.31, 95%CI: 0.20?0.47; P non-linearity = 0.35) and for fruit (n?=?8; RR = 0.89, 95%CI: 0.66?1.18; P non-linearity = 0.20). There was no publication bias among studies (P Begg = 0.53, P Egger = 0.84 for vegetable; P Begg = 0.95, P Egger = 0.64 for fruit).
Conclusion: This meta-analysis indicated that VF consumption may significantly reduce the risk of biliary cancer. Further well-designed prospective studies are warranted to confirm our findings.
