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Asia Pac J Clin Nutr · Mar 2017
Meta AnalysisAssociation of dietary vitamin E intake with risk of lung cancer: a dose-response meta-analysis.
- Yong-Jian Zhu, Ya-Cong Bo, Xin-Xin Liu, and Chun-Guang Qiu.
- Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
- Asia Pac J Clin Nutr. 2017 Mar 1; 26 (2): 271-277.
Background And ObjectivesSeveral epidemiological studies investigating the association between dietary vitamin E intake and the risk of lung cancer have demonstrated inconsistent results. Hence, a meta-analysis was conducted to summarise evidence of the association of dietary vitamin E intake with the risk of lung cancer.Methods And Study DesignIn this meta-analysis, a systematic literature search of PubMed and Web of Science was conducted to identify relevant studies published from 1955 to April 2015. If p<0.05 or I2 >50%, a random effect model was used to estimate overall relative risks (RRs) and 95% confidence intervals (CIs). Otherwise, a fixed effect model was applied. Publication bias was estimated using the funnel plot and Egger's test. The doseresponse relationship was assessed using the method of restricted cubic splines with 4 knots at percentiles 5, 35, 65, and 95 of the distribution.ResultsThe pooled RR of lung cancer for the highest versus lowest categories of dietary vitamin E intake was 0.84 (95% CI=0.76-0.93). With every 2 mg/d increase in dietary vitamin E intake, the risk of lung cancer statistically decreased by 5% (RR=0.95, 95% CI =0.91-0.99, plinearity=0.0237).ConclusionsOur analysis suggests that higher dietary vitamin E intake exerts a protective effect against lung cancer.
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