Systematic review2022Open access

Association Between Red and Processed Meat Consumption and Risk of Prostate Cancer: A Systematic Review and Meta-Analysis

Nouri-Majd S, Salari-Moghaddam A, Aminianfar A, Larijani B, Esmaillzadeh A

Frontiers in nutrition · 28 citations

How it was studied

Design
Systematic review (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
2022-02-07 · Front Nutr · vol. 9 · p. 801722
Publisher
Frontiers Media
Cited
49 citations · more than 91% of similar papers · 2.7× the field average
Impact
Top 10% most cited in its field
References
64 works
Access
Open access (journal) · CC-BY
Research areas
Nutritional Studies and Diet · Prostate Cancer Diagnosis and Treatment · Antioxidant Activity and Oxidative Stress
Keywords
Prostate cancer, Meta-analysis, Funnel plot, Medicine, Publication bias, Relative risk, Random effects model, Prospective cohort study, Prostate, Cancer, Oncology, Internal medicine, Confidence interval

5 authors

From IR

  • Saeedeh Nouri-MajdTehran University of Medical Sciences
  • Asma Salari-MoghaddamTehran University of Medical Sciences
  • Azadeh AminianfarKashan University of Medical Sciences
  • Bagher A. LarijaniObesity and Eating Habits Research Center; Tehran University of Medical Sciences
  • Ahmad Esmaillzadeh · correspondingIsfahan University of Medical Sciences; Obesity and Eating Habits Research Center; Tehran University of Medical Sciences

Abstract

Background

Debate on the potential carcinogenic effects of meat intake is open and the relationship between meat consumption and risk of prostate cancer remains uncertain. This meta-analysis was conducted to summarize earlier prospective studies on the association of meat consumption with risk of prostate cancer.

Methods

Relevant studies were identified by exploring PubMed/Medline, Scopus, Web of Science, EMBASE, and Google Scholar databases up to December 2020. Fixed-effects and random-effects meta-analyses were used for pooling the relative risks (RRs). Heterogeneity across studies was evaluated using the Q-statistic and I-square (I 2). A funnel plot and Egger's test was used to detect publication bias. Linear and non-linear dose-response analyses were performed to estimate the dose-response relations between meat intake and risk of prostate cancer.

Results

Twenty-five prospective studies were included in this meta-analysis. Totally, 1,900,910 participants with 35,326 incident cases of prostate cancer were investigated. Pooling the eligible effect sizes, we observed that high consumption of processed meat might be associated with an increased risk of "total prostate cancer" (RR: 1.06; 95% CI: 1.01, 1.10; I 2 = 1.5%, P = 0.43) and "advanced prostate cancer" (1.17; 1.09, 1.26; I 2 = 58.8%, P = 0.01). However, the association between processed meat and "advanced prostate cancer" was not significant in the random-effects model: 1.12 (95% CI: 0.98, 1.29). A linear dose-response analysis indicated that an increment of 50 grams per day of processed meat intake might be related to a 4% greater risk of "total prostate cancer" (1.04; 1.00, 1.08; I 2 = 0.0%, P = 0.51). "Total meat intake" was marginally associated with all outcomes of prostate cancer risk (1.04; 1.01, 1.07; I 2 = 58.4%, P < 0.001).

Conclusions

This systematic review and meta-analysis of prospective studies indicated that increased consumption of "total meat" and "processed meat" might be associated with a higher risk of prostate cancer.

Systematic review registration

https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=230824, identifier: CRD42021230824.

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

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