水果摄入量与肺癌风险之间的三角关系:来自GBD估计,门德尔随机化和现实世界验证的证据
Mengqing Liu1,2, Qilin Hu1, Xinyue Zhang1
1Department of Medical Oncology, the First Hospital of China Medical University, Shenyang 110001, China.
The oncologist
|February 28, 2026
概括
不足够的水果摄入可能会增加肺癌的风险. 这项研究结合了全球数据,遗传分析和医院队列,以证实水果消费对肺癌的保护作用.
科学领域:
- 营养流行病学 营养流行病学
- 癌症研究 癌症研究
- 公共卫生 公共卫生
背景情况:
- 肺癌是全球癌症死亡的主要原因之一.
- 饮食因素,包括低水果摄入量,可能导致肺癌差异.
- 确立水果摄入量与肺癌风险之间的因果关系是具有挑战性的.
研究的目的:
- 调查水果摄入量与肺癌风险之间的关联.
- 采用三角化方法,结合全球疾病负担 (GBD) 数据,门德尔随机化 (MR) 和基于医院的队列.
主要方法:
- 使用年龄周期队列模型和ARIMA预测分析GBD 2021数据 (1990-2021年).
- 使用英国生物库数据和肺癌的欧洲全基因组关联研究 (GWAS) 的双样本孟德尔随机化 (MR).
- 在中国医院队列中使用食物频率问卷和多变量逻辑回归进行验证.
主要成果:
- 在2021年,低水果饮食与大约66000例肺癌死亡和144万残疾调整寿命年 (DALYs) 相关.
- 门德尔的随机化表明,基因预测的水果摄入量具有保护作用.
- 在中国队列中,较高的水果摄入量显著地保护了肺癌,即使在调整了混因素之后.
结论:
- 这项多方法研究提供了强有力的证据,证明不足的水果摄入量与增加的肺癌风险有关.
- 结果在人口层面,遗传和临床数据中一致,加强了相关性.
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