水果和蔬菜摄入量与胃肠道癌症风险之间的关联来自孟德尔的随机化分析
Jinhui Wei1, Yuyao Xiao2, Qiaochu Feng1
1Department of Radiation Oncology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Scientific reports
|November 21, 2024
概括
这项研究发现,水果和蔬菜摄入量与胃肠道癌症之间没有因果关系. 虽然干果显示有保护作用,但考虑到吸烟和BMI等混因素后,它并不显著.
科学领域:
- 营养流行病学 营养流行病学
- 胃肠病学 胃肠病学
- 遗传流行病学遗传流行病学
背景情况:
- 观察性研究表明,水果和蔬菜消费与胃肠道癌症风险降低之间存在联系.
- 然而,由于潜在的混因素,这种关联的因果性仍然不清楚.
研究的目的:
- 调查水果和蔬菜摄入量与胃肠道癌症风险之间的潜在因果关系.
- 使用门德尔随机化 (MR) 来评估因果关系.
主要方法:
- 两个样本的孟德尔随机化 (MR) 分析.
- 利用了来自英国MRC-IEU和其他数据来源的综合统计数据,用于暴露 (水果,蔬菜) 和结果 (胃肠道癌症).
- 采用了各种MR方法 (IVW,MR-Egger,WM,Lasso) 和灵敏度分析 (MR-Egger拦截,Cochran的Q,MR-PRESSO) 来确保稳定性.
主要成果:
- 无变MR表明干果消费对胰腺癌和口腔/喉癌具有保护作用.
- 在调整了吸烟,酒精消耗和BMI等混因素后,这种关联失去了意义.
- 对于新鲜水果或蔬菜 (生,煮熟或沙拉) 和胃肠道癌症的摄入,没有发现显著的因果关系证据.
结论:
- 目前的证据不支持水果和蔬菜消费与胃肠道癌症风险之间的因果关系.
- 需要进一步的研究来澄清这些饮食因素在胃肠道癌症病因学中的作用.
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