阳光,维生素D,维生素D受体多态性和多发性骨髓瘤风险:系统性审查
Simon Cheah1, Dallas R English1, Simon J Harrison2
1Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Parkville, Victoria 3010, Australia; Cancer Epidemiology Division, Cancer Council Victoria, 200 Victoria Parade, East Melbourne, Victoria 3002, Australia.
这次审查发现,没有足够的证据将阳光或维生素D与多发性骨髓瘤 (MM) 风险联系起来. 需要更多高质量的研究来理解这些潜在的关联.
科学领域:
- 流行病学 流行病学
- 遗传学 遗传学 是一个
- 营养科学 营养科学
背景情况:
- 多发性骨髓瘤 (MM) 是血细胞的癌症.
- 假设阳光和维生素D会影响MM风险.
- 维生素D受体 (VDR) 基因多态性也可能起作用.
研究的目的:
- 系统地审查有关阳光和维生素D相关暴露的证据,以及它们与多发性骨髓瘤风险的关联.
- 评估现有研究中的质量和偏差风险.
主要方法:
- 搜索了主要的数据库 (MEDLINE,EMBASE,科学网,Cochrane CENTRAL) 进行相关研究.
- 包括随机对照试验,队列研究,病例控制研究和元分析.
- 使用标准化工具 (RoB 2.0,ROBINS-E,Q-Genie) 评估研究质量和偏差风险.
主要成果:
- 确定了13项具有显著异质性的合格研究.
- 发现没有足够的证据支持阳光/维生素D暴露与MM风险之间的联系.
- 在欧洲祖先种群中,VDR多态和MM风险之间没有发现强烈的关联.
结论:
- 目前的证据是有限的,因为高质量的研究很少.
- 需要进一步的研究来澄清维生素D和阳光对多发性骨髓瘤风险的影响.
- 许多纳入的研究显示存在偏差或质量低下的高风险.
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