背景:关注饮食异黄酮摄入量与乳腺癌风险之间关系的流行病学研究仍然导致不一致的结论。在这里,为了探讨这一问题,我们对最新研究进行了荟萃分析.
方法:我们使用WebofScience进行了系统的搜索,PubMed,和Embase从成立到2021年8月。采用稳健误差元回归(REMR)模型和广义最小二乘趋势(GLST)模型建立异黄酮与乳腺癌风险的剂量-反应关系。
结果:7项队列研究和17项病例对照研究纳入荟萃分析,当比较最高和最低的异黄酮摄入量时,乳腺癌的总OR为0.71(95%CI0.72-0.81)。亚组分析进一步显示,绝经状态和ER状态对异黄酮摄入量和乳腺癌风险之间的关联都没有显著影响。而异黄酮的摄入剂量和研究设计。当异黄酮暴露量低于10毫克/天时,未检测到对乳腺癌风险的影响.在病例对照研究中,负相关是显著的,但在队列研究中不显著。在队列研究的剂量反应荟萃分析中,我们观察到异黄酮摄入量与乳腺癌之间呈负相关:使用REMR和GLST时,异黄酮摄入量增加10mg/天与乳腺癌风险降低6.8%(OR=0.932,95%CI0.90-0.96)和3.2%(OR=0.968,95%CI0.94-0.99)相关,分别。在病例对照研究的剂量反应荟萃分析中,异黄酮每10mg/天摄入与乳腺癌风险降低11.7%呈负相关.
结论:目前的证据表明,摄入异黄酮有助于降低乳腺癌的风险。
BACKGROUND: Epidemiological studies that focus on the relationship between dietary
isoflavone intake and the risk of breast cancer still lead to inconsistent conclusions. Herein, we conducted a meta-analysis of the latest studies to explore this issue.
METHODS: We performed a systematic search using Web of Science, PubMed, and Embase from inception to August 2021. The robust error meta-regression (REMR) model and generalized least squares trend (GLST) model were used to establish dose-response relationships between isoflavones and breast cancer risk.
RESULTS: Seven cohort studies and 17 case-control studies were included in the meta-analysis, and the summary OR for breast cancer was 0.71 (95% CI 0.72-0.81) when comparing the highest to the lowest isoflavone intake. A subgroup analysis further showed that neither menopausal status nor ER status has a significant influence on the association between
isoflavone intake and breast cancer risk, while the
isoflavone intake doses and study design does. When the isoflavones exposure was less than 10 mg/day, no effects on breast cancer risk were detected. The inverse association was significant in the case-control studies but not in the cohort studies. In the dose-response meta-analysis of the cohort studies, we observed an inverse association between isoflavone intake and breast cancer: a 10 mg/day increase in
isoflavone intake was related to reductions of 6.8% (OR = 0.932, 95% CI 0.90-0.96) and 3.2% (OR = 0.968, 95% CI 0.94-0.99) in breast cancer risk when using REMR and GLST, respectively. In the dose-response meta-analysis of the case-control studies, the inverse association for every 10 mg/day isoflavone intake was associated with breast cancer risk reductions by 11.7%.
CONCLUSIONS: present evidence demonstrated that taking in dietary
isoflavone is helpful in reducing the breast cancer risk.