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Dietary fat intake and risk of bladder cancer: Evidence from a meta-analysis of observational studies
Corresponding Author(s) : Chuanli Wang
Cellular and Molecular Biology,
Vol. 65 No. 7: Issue 7
Abstract
The association between dietary fat intake and bladder cancer had been inconsistent in the previous epidemiological studies. The aim of this study was to investigate the difference between fat intake and bladder cancer risk. Databases of PubMed, Embase, and Web of Science were systematically searched for suitable studies from inception to June 2018. A meta-analysis was performed to analyze the efficacy of dietary fat intake on bladder cancer risk. A Forest plot was prepared to indicate the relationship. Ten citations were used in this study. The Funnel plot suggested highest category of dietary fat intake could increase the risk of bladder cancer (summarized relative risk (RR)= 1.279, 95% confidence interval (CI)= 1.036-1.577, I2= 53.2%, P for heterogeneity = 0.019). A positive association was found among European populations (summarized RR= 1.359, 95%CI= 1.027-1.798), but not in North American populations. The association was not significant in the subgroup analysis by fat type on bladder cancer risk. Egger test (P= 0.239) and Funnel plot showed there was no significant publication bias in the included publications. In conclusions, compared with the lowest category of dietary fat intake, the highest category could significantly increase the bladder cancer risk, especially among European populations. As some limitations existed in our analysis, large scale studies with detailed amount of dietary fat intake are needed to verify our results.
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- Reference
- Babjuk M, Bohle A, Burger M et al. EAU Guidelines on Non-Muscle-invasive Urothelial Carcinoma of the Bladder: Update 2016. European urology 2017; 71:447-461.
- Antoni S, Ferlay J, Soerjomataram I et al. Bladder Cancer Incidence and Mortality: A Global Overview and Recent Trends. European urology 2017; 71:96-108.
- Zhang L, Wang Y, Qin Z et al. TP53 codon 72 Polymorphism and bladder cancer risk: a meta-analysis and emphasis on the role of tumor or smoking status. Journal of Cancer 2018; 9:3522-3531.
- Yin X, Xiong W, Wang Y et al. Association of CYP2E1 gene polymorphisms with bladder cancer risk: A systematic review and meta-analysis. Medicine 2018; 97:e11910.
- Yan H, Ying Y, Xie H et al. Secondhand smoking increases bladder cancer risk in nonsmoking population: a meta-analysis. Cancer management and research 2018; 10:3781-3791.
- Xu Y, Huo R, Chen X et al. Diabetes mellitus and the risk of bladder cancer: A PRISMA-compliant meta-analysis of cohort studies. Medicine 2017; 96:e8588.
- Tang JE, Wang RJ, Zhong H et al. Vitamin A and risk of bladder cancer: a meta-analysis of epidemiological studies. World journal of surgical oncology 2014; 12:130.
- Vieira AR, Vingeliene S, Chan DS et al. Fruits, vegetables, and bladder cancer risk: a systematic review and meta-analysis. Cancer medicine 2015; 4:136-146.
- Tang L, Li G, Song L et al. The principal urinary metabolites of dietary isothiocyanates, N-acetylcysteine conjugates, elicit the same anti-proliferative response as their parent compounds in human bladder cancer cells. Anti-cancer drugs 2006; 17:297-305.
- Qiu W, Lu H, Qi Y et al. Dietary fat intake and ovarian cancer risk: a meta-analysis of epidemiological studies. Oncotarget 2016; 7:37390-37406.
- Cao Y, Hou L, Wang W. Dietary total fat and fatty acids intake, serum fatty acids and risk of breast cancer: A meta-analysis of prospective cohort studies. International journal of cancer Journal international du cancer 2016; 138:1894-1904.
- Yang JJ, Yu D, Takata Y et al. Dietary Fat Intake and Lung Cancer Risk: A Pooled Analysis. Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2017; 35:3055-3064.
- Zhao J, Lyu C, Gao J et al. Dietary fat intake and endometrial cancer risk: A dose response meta-analysis. Medicine 2016; 95:e4121.
- Allen NE, Appleby PN, Key TJ et al. Macronutrient intake and risk of urothelial cell carcinoma in the European prospective investigation into cancer and nutrition. International journal of cancer Journal international du cancer 2013; 132:635-644.
- Brinkman MT, Buntinx F, Kellen E et al. Consumption of animal products, olive oil and dietary fat and results from the Belgian case-control study on bladder cancer risk. European journal of cancer 2011; 47:436-442.
- Brinkman MT, Karagas MR, Zens MS et al. Intake of alpha-linolenic acid and other fatty acids in relation to the risk of bladder cancer: results from the New Hampshire case-control study. The British journal of nutrition 2011; 106:1070-1077.
- Bruemmer B, White E, Vaughan TL et al. Nutrient intake in relation to bladder cancer among middle-aged men and women. American journal of epidemiology 1996; 144:485-495.
- Chyou PH, Nomura AM, Stemmermann GN. A prospective study of diet, smoking, and lower urinary tract cancer. Annals of epidemiology 1993; 3:211-216.
- Riboli E, Gonzalez CA, Lopez-Abente G et al. Diet and bladder cancer in Spain: a multi-centre case-control study. International journal of cancer Journal international du cancer 1991; 49:214-219.
- Vena JE, Graham S, Freudenheim J et al. Diet in the epidemiology of bladder cancer in western New York. Nutrition and cancer 1992; 18:255-264.
- Kunze E, Chang-Claude J, Frentzel-Beyme R. Life style and occupational risk factors for bladder cancer in Germany. A case-control study. Cancer 1992; 69:1776-1790.
- Radosavljevic V, Jankovic S, Marinkovic J et al. Diet and bladder cancer: a case-control study. International urology and nephrology 2005; 37:283-289.
- Steineck G, Hagman U, Gerhardsson M et al. Vitamin A supplements, fried foods, fat and urothelial cancer. A case-referent study in Stockholm in 1985-87. International journal of cancer Journal international du cancer 1990; 45:1006-1011.
- Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Statistics in medicine 2002; 21:1539-1558.
- Egger M, Davey Smith G, Schneider M et al. Bias in meta-analysis detected by a simple, graphical test. Bmj 1997; 315:629-634.
- Munafo MR, Flint J. Meta-analysis of genetic association studies. Trends in genetics : TIG 2004; 20:439-444.
References
Reference
Babjuk M, Bohle A, Burger M et al. EAU Guidelines on Non-Muscle-invasive Urothelial Carcinoma of the Bladder: Update 2016. European urology 2017; 71:447-461.
Antoni S, Ferlay J, Soerjomataram I et al. Bladder Cancer Incidence and Mortality: A Global Overview and Recent Trends. European urology 2017; 71:96-108.
Zhang L, Wang Y, Qin Z et al. TP53 codon 72 Polymorphism and bladder cancer risk: a meta-analysis and emphasis on the role of tumor or smoking status. Journal of Cancer 2018; 9:3522-3531.
Yin X, Xiong W, Wang Y et al. Association of CYP2E1 gene polymorphisms with bladder cancer risk: A systematic review and meta-analysis. Medicine 2018; 97:e11910.
Yan H, Ying Y, Xie H et al. Secondhand smoking increases bladder cancer risk in nonsmoking population: a meta-analysis. Cancer management and research 2018; 10:3781-3791.
Xu Y, Huo R, Chen X et al. Diabetes mellitus and the risk of bladder cancer: A PRISMA-compliant meta-analysis of cohort studies. Medicine 2017; 96:e8588.
Tang JE, Wang RJ, Zhong H et al. Vitamin A and risk of bladder cancer: a meta-analysis of epidemiological studies. World journal of surgical oncology 2014; 12:130.
Vieira AR, Vingeliene S, Chan DS et al. Fruits, vegetables, and bladder cancer risk: a systematic review and meta-analysis. Cancer medicine 2015; 4:136-146.
Tang L, Li G, Song L et al. The principal urinary metabolites of dietary isothiocyanates, N-acetylcysteine conjugates, elicit the same anti-proliferative response as their parent compounds in human bladder cancer cells. Anti-cancer drugs 2006; 17:297-305.
Qiu W, Lu H, Qi Y et al. Dietary fat intake and ovarian cancer risk: a meta-analysis of epidemiological studies. Oncotarget 2016; 7:37390-37406.
Cao Y, Hou L, Wang W. Dietary total fat and fatty acids intake, serum fatty acids and risk of breast cancer: A meta-analysis of prospective cohort studies. International journal of cancer Journal international du cancer 2016; 138:1894-1904.
Yang JJ, Yu D, Takata Y et al. Dietary Fat Intake and Lung Cancer Risk: A Pooled Analysis. Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2017; 35:3055-3064.
Zhao J, Lyu C, Gao J et al. Dietary fat intake and endometrial cancer risk: A dose response meta-analysis. Medicine 2016; 95:e4121.
Allen NE, Appleby PN, Key TJ et al. Macronutrient intake and risk of urothelial cell carcinoma in the European prospective investigation into cancer and nutrition. International journal of cancer Journal international du cancer 2013; 132:635-644.
Brinkman MT, Buntinx F, Kellen E et al. Consumption of animal products, olive oil and dietary fat and results from the Belgian case-control study on bladder cancer risk. European journal of cancer 2011; 47:436-442.
Brinkman MT, Karagas MR, Zens MS et al. Intake of alpha-linolenic acid and other fatty acids in relation to the risk of bladder cancer: results from the New Hampshire case-control study. The British journal of nutrition 2011; 106:1070-1077.
Bruemmer B, White E, Vaughan TL et al. Nutrient intake in relation to bladder cancer among middle-aged men and women. American journal of epidemiology 1996; 144:485-495.
Chyou PH, Nomura AM, Stemmermann GN. A prospective study of diet, smoking, and lower urinary tract cancer. Annals of epidemiology 1993; 3:211-216.
Riboli E, Gonzalez CA, Lopez-Abente G et al. Diet and bladder cancer in Spain: a multi-centre case-control study. International journal of cancer Journal international du cancer 1991; 49:214-219.
Vena JE, Graham S, Freudenheim J et al. Diet in the epidemiology of bladder cancer in western New York. Nutrition and cancer 1992; 18:255-264.
Kunze E, Chang-Claude J, Frentzel-Beyme R. Life style and occupational risk factors for bladder cancer in Germany. A case-control study. Cancer 1992; 69:1776-1790.
Radosavljevic V, Jankovic S, Marinkovic J et al. Diet and bladder cancer: a case-control study. International urology and nephrology 2005; 37:283-289.
Steineck G, Hagman U, Gerhardsson M et al. Vitamin A supplements, fried foods, fat and urothelial cancer. A case-referent study in Stockholm in 1985-87. International journal of cancer Journal international du cancer 1990; 45:1006-1011.
Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Statistics in medicine 2002; 21:1539-1558.
Egger M, Davey Smith G, Schneider M et al. Bias in meta-analysis detected by a simple, graphical test. Bmj 1997; 315:629-634.
Munafo MR, Flint J. Meta-analysis of genetic association studies. Trends in genetics : TIG 2004; 20:439-444.