叶酸生物标志物,叶酸摄入量和死于所有原因,心血管疾病和癌症的风险:前性队列研究的系统审查和剂量反应元分析
Melika Fallah1, Maryam Karim Dehnavi1,2, Keyhan Lotfi1,2
1Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, 14155-6117, Iran.
Nutrition reviews
|July 1, 2024
概括
饮食中较高的叶酸摄入量与减少全因和心血管疾病死亡风险有关. 然而,叶酸生物标志物在此元分析中没有显示出与死亡率的显著关联.
科学领域:
- 营养流行病学 营养流行病学
- 公共卫生 公共卫生
- 心血管研究研究心血管研究
背景情况:
- 关于叶酸对死亡风险的影响的证据是矛盾的.
- 这项研究通过综合现有研究来解决这一争议.
研究的目的:
- 系统地审查和元分析有关叶酸摄入量和与死亡率相关的生物标志物的队列研究.
- 检查与全因,心血管疾病 (CVD) 和癌症相关死亡率的关联.
主要方法:
- 系统地搜索PubMed,Scopus和Web of Science数据库,直到2023年7月.
- 包括25项前性队列研究,参与者超过423,000人.
- 用随机效应和加权混合效应模型进行剂量反应分析的元分析.
主要成果:
- 叶酸生物标志物与所有原因,心血管疾病或癌症死亡率之间没有显著的关联.
- 饮食中最大的叶酸摄入量与所有原因和心血管疾病死亡率的风险之间存在显著的逆相关性.
- 每增加10nmol/L的叶酸都与减少全因死亡率有微小的联系.
结论:
- 饮食中的叶酸摄入与全因和心血管疾病死亡率相反相关.
- 叶酸生物标志物没有显示出与死亡风险的显著关联.
- 建议进行进一步的前性研究来验证这些发现.
相关概念视频
Cancer Prevention
6.1K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.1K
Cancer Survival Analysis
342
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
342
Mutagenicity and Carcinogenicity
1.2K
Mutagenicity and carcinogenicity refer to the ability of drugs to cause genetic defects and induce cancer, respectively. The International Agency for Research on Cancer (IARC) classifies agents into four groups based on their carcinogenic potential. Group 1 agents are known human carcinogens; group 2A agents are probably carcinogenic to humans; group 3 agents lack data to support their role in carcinogenesis; and group 4 includes agents for which data support that they are not likely to be...
1.2K
Hazard Ratio
110
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
110
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
76
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
76
Observational Studies
8.4K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.4K


