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Review
Dietary intakes of citrus fruit and risk of gastric cancer incidence: an adaptive meta-analysis of cohort studies
Jong-Myon Bae, Eun Hee Kim
Epidemiol Health. 2016;38:e2016034.   Published online July 25, 2016
DOI: https://doi.org/10.4178/epih.e2016034
  • 22,853 View
  • 303 Download
  • 21 Web of Science
  • 26 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
In the context of supplementary antioxidants having no anticancer effect, it is important to update the meta-analysis to evaluate whether there is an association between intake of citrus fruit and gastric cancer risk.
METHODS
The list of articles to be searched was established using citation discovery tools provided by PubMed and Scopus. The effect size of each article to be used in meta-analysis was calculated using the interval-collapse method. Summary effect size (sES) and 95% confidence intervals (CI) were obtained by conducting this meta-analysis. Random effect dose–response meta-regression (DRMR) was performed to investigate the dose–response relationship.
RESULTS
A total of five cohort studies were selected. The result was 13% reduction of gastric cancer according to the intake of citrus fruit (sES, 0.87; 95% CI, 0.76 to 0.99; I-squared=69.6%). In subgroup analysis, it was found that the intake of citrus fruit inhibited cardia gastric cancer (CGC) (sES, 0.67; 95% CI, 0.55 to 0.81; I-squared=46.1%) and as a result of DRMR, 100 g of citrus fruit intake per day inhibits CGC by 40% (relative risk, 0.60; 95% CI, 0.44 to 0.83).
CONCLUSIONS
It is suggested that the intake of citrus fruit inhibits the development of CGC. This conclusion can be used as a primary prevention measure in the future when the incidence of CGC may be on the rise.
Summary
Korean summary
항산화제 첨가제가 항암효과가 없다는 결론이 난 상황에서, 감귤섭취가 위암발생을 억제한다는 기존의 체계적 고찰연구에 대한 갱신 메타연구를 수행하였다. PubMed와 Scopus에서 제공하는 citation discovery tools를 활용하여 총 5편의 코호트 연구 논문을 선정하였다. 감귤섭취에 따라 위암발생을 13% 억제하며 (sES=0.87, 95% CI: 0.76-0.99, I-squared: 69.6%), 특히 위문부 위암을 억제한다고 나왔다 (sES= 0.67, 95% CI: 0.55-0.81, I-squared=46.1%), 또한, 하루 100 gram 감귤섭취를 하면 CGC 를 40% 억제하는 것으로 나왔다 (RR=0.60, 95% CI: 0.44-0.83).

Citations

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  • Ultrasonic-assisted extraction and UHPLC determination of ascorbic acid, polyphenols, and half-maximum effective concentration in Citrus medica and Ziziphus spina-christi fruits using multivariate experimental design
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    Codey Pham, Theresa Nguyen Wenker, Hashem B El-Serag
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Hypothesis
The necessity of an observational study on the interactions between allergic history and citrus fruit intake for the prevention of pancreatic cancer
Jong-Myon Bae
Epidemiol Health. 2015;37:e2015028.   Published online June 16, 2015
DOI: https://doi.org/10.4178/epih/e2015028
  • 17,883 View
  • 165 Download
  • 1 Web of Science
  • 4 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
While the main product of Jeju Island is citrus fruit and the prevalence of atopic dermatitis among the students who live there is relatively high, the incidence of pancreatic cancer is lowest in Korea. Systematic reviews reporting allergic history and intake of citrus fruit as protective factors against pancreatic cancer (PCC) were published in 2005 and 2008, respectively. Although there were discrepancies in the results of the subgroup analyses between case-control and cohort studies, it is necessary to evaluate an interaction effect between allergic history and intake of citrus fruits on PCC risk.
Summary
Korean summary
췌장암 발생과 관련한 요인들의 규명이 절실한 상황에서, 알레르기 질환과 감귤섭취 각각이 발생억제 효과가 있다는 체계적 고찰연구가 있다. 그러나 코호트 연구들만으로 메타분석을 하였을 때는 두 억제 요인 모두 통계적 유의성이 없는 것으로 나왔다. 한편 지역별 췌장암 발생률에서 낮은 수준을 보이는 제주도는 주요 감귤생산지이면서, 초중고등학생의 아토피 유병률이 상대적으로 높은 것으로 알려져 있다. 이런 사실들에 근거할 때 췌장암 발생에 있어 알레르기질환과 감귤섭취의 상호작용을 규명하는 코호트 연구를 제안한다.

Citations

Citations to this article as recorded by  
  • Citation Discovery Tools for Conducting Adaptive Meta-analyses to Update Systematic Reviews
    Jong-Myon Bae, Eun Hee Kim
    Journal of Preventive Medicine and Public Health.2016; 49(2): 129.     CrossRef
  • Hormonal Replacement Therapy and the Risk of Lung Cancer in Women: An Adaptive Meta-analysis of Cohort Studies
    Jong-Myon Bae, Eun Hee Kim
    Journal of Preventive Medicine and Public Health.2015; 48(6): 280.     CrossRef
  • Human papillomavirus infection and risk of lung cancer in never-smokers and women: an ‘adaptive’ meta-analysis
    Jong-Myon Bae, Eun Hee Kim
    Epidemiology and Health.2015; 37: e2015052.     CrossRef
  • Hormone Replacement Therapy and Risk of Breast Cancer in Korean Women: A Quantitative Systematic Review
    Jong-Myon Bae, Eun Hee Kim
    Journal of Preventive Medicine and Public Health.2015; 48(5): 225.     CrossRef
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