Meta-analysis2013

Cruciferous vegetable consumption and gastric cancer risk: a meta-analysis of epidemiological studies

Wu QJ, Yang Y, Wang J, Han LH, Xiang YB

Cancer science · 67 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
National Mega Project on Major Infectious Disease Prevention

Based on 1 listed funder(s).

Publication

Published
2013-05-16 · Cancer Sci · vol. 104 · issue 8 · pp. 1067–1073
Publisher
Wiley
Cited
108 citations · more than 98% of similar papers · 9.0× the field average
Impact
Top 10% most cited in its field
References
61 works
Access
Free to read
Research areas
Helicobacter pylori-related gastroenterology studies · Genomics, phytochemicals, and oxidative stress · Gastric Cancer Management and Outcomes
Keywords
Medicine, Meta-analysis, Cruciferous vegetables, Cancer, Publication bias, Confidence interval, Relative risk, Study heterogeneity, Internal medicine, Epidemiology, Prospective cohort study, Stomach cancer, Gastroenterology, Oncology
MeSH
humans, brassica, vegetables, stomach neoplasms, diet, risk, epidemiologic studies, case-control studies, prospective studies, female, male

5 authors

From CN

  • Qi‐Jun WuRenji Hospital; Shanghai Cancer Institute; State Key Laboratory of Oncogene and Related Genes
  • Yang YangRenji Hospital; Shanghai Cancer Institute; State Key Laboratory of Oncogene and Related Genes
  • Jing WangRenji Hospital; Shanghai Cancer Institute; State Key Laboratory of Oncogene and Related Genes
  • Li‐Hua HanRenji Hospital; Shanghai Cancer Institute; State Key Laboratory of Oncogene and Related Genes
  • Yong‐Bing Xiang · correspondingRenji Hospital; Shanghai Cancer Institute; State Key Laboratory of Oncogene and Related Genes

Abstract

The relationship between consumption of cruciferous vegetables (CV) and risk of gastric cancer has been investigated by many studies, but remains controversial. We carried out a meta-analysis to summarize available evidence from epidemiological studies on this point. Relevant published reports of CV intake and gastric cancer were identified using MEDLINE (PubMed), EMBASE, and Web of Science databases through to the end of September 2012. We pooled the relative risk from individual studies using a fixed- or random-effects model and carried out heterogeneity and publication bias analyses. Sixteen case-control and six prospective studies were included in our analysis. When all studies were pooled, we yielded a significantly inverse association between CV (relative risk = 0.81; 95% confidence interval, 0.75-0.88) intake and gastric cancer risk, with little heterogeneity (Q = 27.27, P = 0.292, I(2) = 12.0%). Specific analysis for cabbage intake yielded similar result. When separately analyzed, case-control studies of CV intake yielded significant results and the results of prospective studies showed borderline statistical significance. Moreover, significant results were consistent for high-quality studies, for North American, European, and Asian studies, for studies on males, and for studies on non-cardia gastric cancer. Findings from this meta-analysis provide evidence that high intake of CV was inversely associated with the risk of gastric cancer and non-cardia gastric cancer in humans. Further studies on other specific CV, food preparation methods, and stratified results by anatomic cancer site and histological type should be extended in the future.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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