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预防医学  2019, Vol. 31 Issue (6): 549-553    DOI: 10.19485/j.cnki.issn2096-5087.2019.06.003
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咖啡摄入与东亚人群恶性肿瘤死亡风险关联的Meta分析
李迎君, 朱家豪, 范佳耀, 范春红
杭州医学院公共卫生系流行病与卫生统计学教研室,浙江 杭州 310053
Meta-analysis of coffee intake and all cancer mortality in East Asian population
LI Ying-jun, ZHU Jia-hao, FAN Jia-yao, FAN Chun-hong
Department of Epidemiology, Health Statistics, School of Public Health, Hangzhou Medical College, Hangzhou, Zhejiang310053, China
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摘要 目的 分析咖啡摄入与东亚人群恶性肿瘤死亡风险的关联。方法 检索中国知网、万方数据知识服务平台、维普中文科技期刊数据库和PubMed,收集建库至2018年12月10日国内外发表的有关亚洲人群咖啡摄入与恶性肿瘤死亡风险关联研究的文献;采用Stata 15.0软件对纳入的文献进行分类Meta分析和剂量-反应Meta分析。结果 共检索到相关文献335篇,最终纳入分析5篇,其中4篇研究日本人群,1篇研究新加坡华人人群,总样本量为361 802人,恶性肿瘤死亡17 664例。咖啡摄入降低东亚人群的恶性肿瘤死亡风险(RR=0.93,95%CI:0.87~0.99);其中咖啡摄入与东亚男性恶性肿瘤死亡风险未见统计学关联(RR=0.94,95%CI:0.77~1.15),但可使东亚女性恶性肿瘤死亡风险下降12%(RR=0.88,95%CI:0.81~0.95)。恶性肿瘤死亡风险总体随咖啡摄入量增加呈降低趋势,每天饮1.5杯咖啡,恶性肿瘤死亡风险最低(RR=0.92,95%CI:0.86~0.98)。结论 咖啡摄入可以降低东亚人群恶性肿瘤死亡风险,这种保护作用对女性更为明显;每天饮1.5杯咖啡,恶性肿瘤的死亡风险最低。
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关键词 咖啡恶性肿瘤死亡风险东亚Meta分析    
AbstractObjective To explore the association between coffee intake and all cancer mortality in East Asian populations. Methods We searched literatures which assessed the relationship between coffee intake and cancer mortality in Asian populations published by December 10th,2018 from China National Knowledge Infrastructure,Wanfang Database,VIP Database and PubMed. We conducted category and dose-response meta-analyses using Stata 15.0. Results A total of 335 relevant articles were retrieved; five articles were finally included in the meta-analyses,of which four were carried out in Japanese population and one in Singaporean Chinese population. The total sample size of the five articles was 361 802,and the number of deaths from cancer was 17 664. The results showed that coffee intake reduced the risk of all cancer mortality in East Asian populations(RR=0.93,95%CI:0.87-0.99). There was no statistical significant association between coffee intake and all cancer mortality in East Asian men(RR=0.94,95%CI:0.77-1.15). Among East Asian women,coffee consumption reduced the risk of all cancer mortality by 12%(RR=0.88,95%CI:0.81-0.95). All cancer mortality risk decreased with the increase of coffee intake,and reached the lowest point at one and a half cups of coffee per day(RR=0.92,95%CI:0.86-0.98). Conclusion Coffee intake reduced the risk of all cancer mortality in East Asian populations,which was obviously found in East Asian women. Drinking one and a half cups of coffee a day had the lowest risk of all cancer mortality.
Key wordsCoffee    Cancer    Mortality risk    East Asia    Meta-analysis
收稿日期: 2018-12-26      出版日期: 2019-06-03
ZTFLH:  R73  
基金资助:国家自然科学基金(81703289)
通信作者: 范春红,E-mail:340076899@qq.com   
作者简介: 李迎君,博士,讲师,主要从事肿瘤流行病学研究工作
引用本文:   
李迎君, 朱家豪, 范佳耀, 范春红. 咖啡摄入与东亚人群恶性肿瘤死亡风险关联的Meta分析[J]. 预防医学, 2019, 31(6): 549-553.
LI Ying-jun, ZHU Jia-hao, FAN Jia-yao, FAN Chun-hong. Meta-analysis of coffee intake and all cancer mortality in East Asian population. Preventive Medicine, 2019, 31(6): 549-553.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2019.06.003      或      http://www.zjyfyxzz.com/CN/Y2019/V31/I6/549
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