葡萄酒消费和肺癌风险:系统性审查和元分析
Carlotta Bertola1, Camilla Gobbetti1, Gaia Baccarini1
1Section of Hygiene and Public Health, Department of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.
Nutrients
|April 26, 2025
概括
这次元分析发现,葡萄酒消费与肺癌总体风险之间没有显著的联系. 然而,在吸烟者中观察到一种潜在的保护作用,尽管这一发现需要进一步调查.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 营养科学 营养科学
背景情况:
- 肺癌仍然是癌症死亡的主要原因,吸烟是主要的危险因素.
- 肺癌患者中很大一部分是非吸烟者,这凸显了其他因素 (如酒精消费) 的作用.
- 乙醇是第一组致癌物,但葡萄酒中的多可能对健康有好处,这促使人们对其与肺癌的特定关联进行了调查.
研究的目的:
- 进行一项元分析,调查葡萄酒消费与肺癌风险之间的相关性.
- 根据吸烟状态和性别来分层风险.
- 为了比较沉重的葡萄酒消费者和非常偶尔的饮酒者.
主要方法:
- 在PubMed,Scopus和Web of Science数据库中进行系统的文献审查.
- 随机效应元分析比较最高和最低的葡萄酒消费类别.
- 使用纽卡斯尔-太华尺度 (NOS) 进行偏差风险评估;使用ProMeta 3.0软件进行统计分析.
主要成果:
- 总体而言,葡萄酒消费显示,肺癌风险降低了11% (OR = 0.89),但不显著.
- 在吸烟者中,葡萄酒消费与肺癌风险显著降低22%有关 (OR = 0.78).
- 当分析按研究设计分层时,在吸烟者中没有一致观察到这种显著效应.
结论:
- 葡萄酒消费与肺癌发病率之间没有明确的相关性,既没有保护性,也没有增加风险.
- 需要进一步的研究来准确评估这种关系,特别是在非吸烟者群体中.
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