Journal
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
Volume 12, Issue 12, Pages 1991-U261Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.cgh.2014.03.019
Keywords
Diet; Cancer Risk Factor; Prevention; Review
Categories
Funding
- Outstanding Young Scientists of the Organization Department
- National High-Tech Research and Development Program of China [2014AA020609]
- Specialized Research Fund for the Doctoral Program of Higher Education [20130142110017]
- National Natural Science Foundation of China [NSCF-81222038]
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BACKGROUND & AIMS: Laboratory studies have provided evidence that allium vegetables and garlic supplements might protect against colorectal cancer (CRC), but epidemiologic studies have produced inconsistent findings. METHODS: We conducted a meta-analysis of prospective studies evaluating the associations between allium vegetables, garlic supplements, and CRC risk. We pooled effect measures using fixed-or random-effect models, assessing the highest vs the lowest intakes. We used a dose-response regression model to evaluate the relationship between allium vegetable intake and CRC risk. RESULTS: Our analysis included 8 studies with 20 reports of the effects of allium vegetables (5458 patients with CRC including 7,125,067 person-years) and 5 studies with 11 reports of the effects of garlic supplements (2685 patients with CRC including 2,304,439 person-years). We found no association between higher intake of allium vegetables and CRC risk (relative risk [RR], 1.06; 95% confidence interval [CI], 0.96-1.17; P = .26). Intake of allium vegetables did not correspond to CRC risk (P for nonlinear = .24, P for linear = .20). In subgroup analysis, a higher consumption of allium vegetables was associated marginally with increased risk of colon cancer among women (RR, 1.23; 95% CI, 1.01-1.50; P = .05). Use of garlic supplements was associated significantly with an increased risk of CRC (RR, 1.18; 95% CI, 1.02-1.36; P = .03). CONCLUSIONS: In a meta-analysis, we found no evidence that higher intake of allium vegetables reduced the risk for CRC. We observed that garlic supplements increased the risk for CRC, but this finding requires external validation.
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