Meta-analysis2016Open access

Association between dietary nitrate and nitrite intake and sitespecific cancer risk: evidence from observational studies

Xie L, Mo M, Jia HX, Liang F, Yuan J, Zhu J

Oncotarget · 59 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

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
Funding not disclosed

Publication

Published
2016-07-29 · Oncotarget · vol. 7 · issue 35 · pp. 56915–56932
Publisher
Impact Journals LLC
Cited
85 citations · more than 95% of similar papers · 4.4× the field average
Impact
Top 10% most cited in its field
References
89 works
Access
Open access (free to publish) · CC-BY
Research areas
Nutritional Studies and Diet · Folate and B Vitamins Research · Sulfur Compounds in Biology
Keywords
Observational study, Medicine, Nitrite, Dietary Nitrate, Nitrate, Internal medicine, Environmental health, Oncology, Physiology, Biology, Ecology
MeSH
humans, neoplasms, nitrates, nitrites, diet, risk, algorithms, female, male, observational studies as topic

6 authors

From CN

  • Li Xie · correspondingShanghai Medical College of Fudan University; Fudan University Shanghai Cancer Center
  • Miao Mo · correspondingShanghai Medical College of Fudan University; Fudan University Shanghai Cancer Center
  • Huixun JiaShanghai Medical College of Fudan University; Fudan University Shanghai Cancer Center
  • Fei LiangShanghai Medical College of Fudan University; Fudan University Shanghai Cancer Center
  • Jing YuanShanghai Medical College of Fudan University; Fudan University Shanghai Cancer Center
  • Ji Ye ZhuShanghai Medical College of Fudan University; Fudan University Shanghai Cancer Center

Abstract

Epidemiological studies have reported inconsistent findings on the association between dietary nitrate and nitrite intake and cancer risk. We performed a meta-analysis of epidemiological studies to summarize available evidence on the association between dietary nitrate and nitrite intake and cancer risk from published prospective and case-control studies. PubMed database was searched to identify eligible publications through April 30th, 2016. Study-specific relative risks (RRs) with corresponding 95% confidence interval (CI) from individual studies were pooled by using random- or fixed- model, and heterogeneity and publication bias analyses were conducted. Data from 62 observational studies, 49 studies for nitrates and 51 studies for nitrites, including a total of 60,627 cancer cases were analyzed. Comparing the highest vs. lowest levels, dietary nitrate intake was inversely associated with gastric cancer risk (RR = 0.78; 95%CI = 0.67-0.91) with moderate heterogeneity (I2 = 42.3%). In contrast, dietary nitrite intake was positively associated with adult glioma and thyroid cancer risk with pooled RR of 1.21 (95%CI = 1.03-1.42) and 1.52 (95%CI = 1.12-2.05), respectively. No significant associations were found between dietary nitrate/nitrite and cancers of the breast, bladder, colorectal, esophagus, renal cell, non-Hodgkin lymphoma, ovarian, and pancreas. The present meta-analysis provided modest evidence that positive associations of dietary nitrate and negative associations of dietary nitrite with certain cancers.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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