1. Citrus fruit intake and incidence of renal cell carcinoma: A meta‐analysis of observational studies.
- Author
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Sheng, Tao, Shen, Rui‐Lin, Shao, Huan, and Ma, Tian‐Hong
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CITRUS fruits , *SCIENTIFIC observation , *ODDS ratio , *PUBLICATION bias - Abstract
Observational studies on the association between citrus fruit intake and risk of renal cell carcinoma (RCC) have reported inconsistent results. We quantitatively assessed this association by conducting a meta‐analysis. PubMed and Embase databases search was conducted including relevant studies published up to January, 2020. We included epidemiological studies that reported relative risks (RRs) or odds ratios (ORs) with 95% confidence intervals (CIs) for the association between citrus fruit intake and RCC risk. A total of eight epidemiological studies consisting of five cohort and three case‐control studies were included. The overall analysis showed a significantly reduced risk of RCC for high intake of citrus fruit (OR = 0.84, 95% CI 0.73–0.95). No heterogeneity was detected among the included studies (p = 0.497 for heterogeneity; I2 = 0). There was no significant publication bias by Begg's test (p = 0.266) or Egger's test (P = 0.578). A statistically significant association between citrus fruit intake and RCC was observed in case‐control studies (OR = 0.84, 95% CI 0.71–0.98), while no association was observed in cohort studies (OR = 0.84, 95% CI 0.64–1.05). In addition, the dose–response analysis indicated that the RCC risk reduced by 13% (95%CI 1.0%‐27%, p = 0.04 for heterogeneity) for each 100 grams per day increment of citrus fruit intake. In summary, our findings suggest an inverse association between citrus fruit intake and RCC incidence. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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