Meta-analysis2020Open access

Meta-analysis of the association between nut consumption and the risks of cancer incidence and cancer-specific mortality

Zhang D, Dai C, Zhou L, Li Y, Liu K, Deng YJ, Li N, Zheng Y, Hao Q, Yang S, Song D, Wu Y, Zhai Z, Cao S, Dai Z

Aging · 34 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

Based on full-text disclosure statement.

Publication

Published
2020-06-02 · Aging (Albany NY) · vol. 12 · issue 11 · pp. 10772–10794
Publisher
Impact Journals LLC
Cited
45 citations · more than 84% of similar papers · 1.7× the field average
References
58 works
Access
Open access (repository copy) · CC-BY
Research areas
Nuts composition and effects · Nutritional Studies and Diet
Keywords
Nut, Cancer incidence, Medicine, Meta-analysis, Incidence (geometry), Environmental health, Cancer, Consumption (sociology), Demography, Association (psychology), Oncology, Internal medicine, Mathematics, Psychology, Engineering
MeSH
humans, nuts, neoplasms, diet, incidence, mortality

15 authors

From CN

  • Dai ZhangSecond Affiliated Hospital of Xi'an Jiaotong University; Zhejiang University
  • Cong Dai
  • Linghui ZhouSecond Affiliated Hospital of Xi'an Jiaotong University; Zhejiang University
  • Yiche LiHebei Medical University; Fourth Hospital of Hebei Medical University
  • Kang LiuFirst Affiliated Hospital of Xi'an Jiaotong University
  • Yujiao DengSecond Affiliated Hospital of Xi'an Jiaotong University; Zhejiang University

Abstract

Previous studies have indicated a correlation between nut intake and cancer risk in humans. This meta-analysis aimed to determine the relationship between nut consumption and the risks of cancer incidence and mortality. The PubMed, Embase, and Web of Science databases were searched up to August 2019. Relative risks and 95% confidence intervals were calculated using random-effects and fixed-effects models. We included 38 studies on nut consumption and cancer risk and 9 studies on cancer-specific mortality. Compared with no nut intake, nut intake was associated with a lower cancer risk (Relative Risk=0.90; 95% confidence interval, 0.86-0.94). Inverse associations were observed with colorectal cancer, gastric cancer, pancreatic cancer, and lung cancer in subgroup analyses. Tree nut consumption was found to reduce cancer risk (Relative Risk=0.88; 95% confidence interval, 0.79-0.99). Dose-response curves suggested that protective benefits against cancer increased with increased nut intake (P=0.005, P-nonlinearity=0.0414). An inverse correlation with cancer-specific mortality (Odd Ratio=0.90; 95% confidence interval, 0.88-0.92) was observed. In conclusion, nut consumption is inversely associated with the risks of cancer incidence and mortality; a higher intake is significantly associated with a lower cancer risk.

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

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