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Index-based dietary patterns in relation to gastric cancer risk: a systematic review and meta-analysis

Published online by Cambridge University Press:  26 November 2019

Shihao Du
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Yuan Li
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Zeqi Su
Affiliation:
Institue of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China
Xiaoguang Shi
Affiliation:
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Nadia L. Johnson
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China
Ping Li
Affiliation:
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Yin Zhang
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China
Qi Zhang
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China
Lingzi Wen
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China BUCM Center for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China
Kexin Li
Affiliation:
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Yan Chen
Affiliation:
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Xiaoyu Zhang
Affiliation:
Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Yutong Fei
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China BUCM Center for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China
Xia Ding
Affiliation:
Beijing University of Chinese Medicine, Beijing, 100029, People’s Republic of China Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, 100700, People’s Republic of China
Corresponding

Abstract

Dietary indices are widely used in diet quality measurement, and the index-based dietary patterns are related to gastric cancer risk. To evaluate the relationship between different kinds of index-based dietary patterns and gastric cancer risk, we systematically searched four English-language databases and four Chinese-language databases. The quality of studies was assessed by the Newcastle–Ottawa Scale. Meta-analyses were performed to estimate the association between gastric cancer incidence and different types of index-based dietary patterns. The OR and hazard ratios (HR) of gastric cancer incidence were calculated by regression models in case–control studies and prospective cohort studies, respectively. The studies were pooled in the random effects model to calculate the summarised risk estimate of the highest quantile interval of dietary indices, taking the lowest as the referent. The dietary indices included different versions of Mediterranean diet score (MDS) and dietary inflammatory index (DII), healthy eating index, Chinese Food Pagoda score and food index score. The meta-analysis was carried out for studies on MDS and DII. The combined OR of gastric cancer for the highest MDS v. the referent was 0·42 (95 % CI 0·2, 0·86), and the combined HR was 0·89 (95 % CI 0·68, 1·17). The combined OR for DII was 2·11 (95 % CI 1·41, 3·15). Higher Mediterranean dietary pattern consumption might reduce gastric cancer risk, while higher inflammatory diet pattern consumption might increase gastric cancer risk.

Type
Review-Systematic with Meta-Analysis
Copyright
© The Authors 2019

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Footnotes

These authors share co-first authorship.

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