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饮食因素与乳腺癌风险之间的因果关系:孟德尔的随机化研究
Chengdong Yu1, Jiawei Xu1, Siyi Xu1
1Department of breast surgery, Affiliated Cancer Hospital of Nanchang University, Jiangxi cancer hospital, The Second Affiliated Hospital of Nanchang Medical College, 330029, China.
Heliyon
|October 23, 2023
概括
干果摄入量显著降低了乳腺癌的风险,包括雌激素受体阳性和雌激素受体阴性类型. 新鲜水果摄入量也显示出对雌激素受体阴性乳腺癌的保护作用.
科学领域:
- 营养流行病学 营养流行病学
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
背景情况:
- 饮食与乳腺癌风险之间确立的关联.
- 使用孟德尔随机化 (MR) 来确定因果关系的有限研究.
- 需要强大的方法来调查饮食对乳腺癌的影响.
研究的目的:
- 研究各种饮食因素对乳腺癌的潜在因果关系.
- 为了区分饮食成分对不同乳腺癌亚型的影响.
- 采用孟德尔的随机化来进行强大的因果推理.
主要方法:
- 使用英国生物库和BCAC数据进行双样本孟德尔随机化 (MR) 分析.
- 作为主要分析方法的逆方差加权 (IVW) 方法.
- 异质性,水平性和多变量MR分析用于结果验证.
主要成果:
- 干果的摄入量显示出对整体乳腺癌的显著保护作用 (OR:0.549,P = 1.75 × 10−6).
- 干果摄入量与ER+ (OR:0.669,P = 0.003) 和ER-乳腺癌 (OR:0.559,P = 0.004) 两种情况相反相关.
- 新鲜水果摄入与ER乳腺癌相反相关 (OR:0.510,P = 0.009).
结论:
- 干果的消费可能会降低ER+和ER-乳腺癌的风险.
- 新鲜水果的消费可能会降低ER乳腺癌的风险.
- 对于其他调查的饮食因素,没有发现显著的因果关系.
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