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No evidence of decreased risk of colorectal adenomas with white meat, poultry, and fish intake: a meta-analysis of observational studies.
Ann Epidemiol 2013; 23(4):215-22AE

Abstract

PURPOSE

Observational studies on the association between white meat (including fish and poultry) intake and the risk of colorectal adenoma (CRA), the precursor of colorectal cancer, have reported mixed results. To provide a quantitative assessment of this association, we summarized the evidence from observational studies.

METHODS

Relevant studies published on or before April 30, 2012 were identified from MEDLINE and EMBASE. Summary effect size estimates with 95% confidence intervals (CIs) were calculated with a random-effects model. Between-study heterogeneity was assessed using the Cochran Q and I(2) statistics.

RESULTS

A total of 23 publications from 21 independent studies (16 case-control and 5 cohort studies) were included in this meta-analysis. Based on high versus low analysis, the summary effect size estimate of CRA was 0.96 (95% CI, 0.84-1.09) for white meat intake, 0.98 (95% CI, 0.80-1.19) for fish intake, and 0.98 (95% CI, 0.80-1.18) for poultry intake. Subgroup analyses revealed that the null associations of CRA with intake of white meat (fish/poultry) were independent of geographic locations, study design, type of food frequency questionnaire, number of cases, and adjustments for confounders, such as body mass index, use of nonsteroidal anti-inflammatory drugs, dietary energy intake, smoking, and physical activity.

CONCLUSIONS

Intake of white meat (fish/poultry) is not associated with the risk of CRA.

Authors+Show Affiliations

Department of Gastroenterology, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, People's Republic of China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis

Language

eng

PubMed ID

23375344

Citation

Xu, Bin, et al. "No Evidence of Decreased Risk of Colorectal Adenomas With White Meat, Poultry, and Fish Intake: a Meta-analysis of Observational Studies." Annals of Epidemiology, vol. 23, no. 4, 2013, pp. 215-22.
Xu B, Sun J, Sun Y, et al. No evidence of decreased risk of colorectal adenomas with white meat, poultry, and fish intake: a meta-analysis of observational studies. Ann Epidemiol. 2013;23(4):215-22.
Xu, B., Sun, J., Sun, Y., Huang, L., Tang, Y., & Yuan, Y. (2013). No evidence of decreased risk of colorectal adenomas with white meat, poultry, and fish intake: a meta-analysis of observational studies. Annals of Epidemiology, 23(4), pp. 215-22. doi:10.1016/j.annepidem.2012.12.016.
Xu B, et al. No Evidence of Decreased Risk of Colorectal Adenomas With White Meat, Poultry, and Fish Intake: a Meta-analysis of Observational Studies. Ann Epidemiol. 2013;23(4):215-22. PubMed PMID: 23375344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - No evidence of decreased risk of colorectal adenomas with white meat, poultry, and fish intake: a meta-analysis of observational studies. AU - Xu,Bin, AU - Sun,Jing, AU - Sun,Yunwei, AU - Huang,Liya, AU - Tang,Yuming, AU - Yuan,Yaozong, Y1 - 2013/01/29/ PY - 2012/08/08/received PY - 2012/12/13/revised PY - 2012/12/26/accepted PY - 2013/2/5/entrez PY - 2013/2/5/pubmed PY - 2013/9/11/medline SP - 215 EP - 22 JF - Annals of epidemiology JO - Ann Epidemiol VL - 23 IS - 4 N2 - PURPOSE: Observational studies on the association between white meat (including fish and poultry) intake and the risk of colorectal adenoma (CRA), the precursor of colorectal cancer, have reported mixed results. To provide a quantitative assessment of this association, we summarized the evidence from observational studies. METHODS: Relevant studies published on or before April 30, 2012 were identified from MEDLINE and EMBASE. Summary effect size estimates with 95% confidence intervals (CIs) were calculated with a random-effects model. Between-study heterogeneity was assessed using the Cochran Q and I(2) statistics. RESULTS: A total of 23 publications from 21 independent studies (16 case-control and 5 cohort studies) were included in this meta-analysis. Based on high versus low analysis, the summary effect size estimate of CRA was 0.96 (95% CI, 0.84-1.09) for white meat intake, 0.98 (95% CI, 0.80-1.19) for fish intake, and 0.98 (95% CI, 0.80-1.18) for poultry intake. Subgroup analyses revealed that the null associations of CRA with intake of white meat (fish/poultry) were independent of geographic locations, study design, type of food frequency questionnaire, number of cases, and adjustments for confounders, such as body mass index, use of nonsteroidal anti-inflammatory drugs, dietary energy intake, smoking, and physical activity. CONCLUSIONS: Intake of white meat (fish/poultry) is not associated with the risk of CRA. SN - 1873-2585 UR - https://www.unboundmedicine.com/medline/citation/23375344/No_evidence_of_decreased_risk_of_colorectal_adenomas_with_white_meat_poultry_and_fish_intake:_a_meta_analysis_of_observational_studies_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1047-2797(13)00005-7 DB - PRIME DP - Unbound Medicine ER -