Abstract
BackgroundThere have been inconsistent results about the association between consumption of fruits and vegetables and renal cell carcinoma (RCC) risk. We conducted a meta-analysis of the published observational studies to explore this association.ResultsNineteen observational studies (4 cohort, 1 pooled and 14 case-control studies), involving 10,215 subjects with RCC were part of this meta-analysis. The SRR for the highest vs. the lowest intake of vegetables was 0.73 (95% CI: 0.63–0.85; Pheterogeneity = 0.004, I2 = 53.5%), whereas for fruits it was 0.86 (95% CI: 0.75–0.98; Pheterogeneity = 0.012, I2 = 47.4%). Linear dose-response analysis also showed similar results, e.g., for per 1 serving/day increment of vegetables, the SRR was 0.90 (95% CI: 0.84–0.96) and for fruits it was 0.97 (95% CI: 0.93–1.01). Nonlinear association was only observed for vegetables (Pnonlinearity = 0.001), but not for fruits (Pnonlinearity = 0.221).Materials and MethodsEligible studies up to August 31, 2016 were identified and retrieved by searching MEDLINE and EMBASE databases along with manual review of the reference list from the retrieved studies. Quality of included studies was evaluated using Newcastle-Ottawa Quality Assessment Scale (NOS). Random-effects model was used to calculate summary relative risk (SRR) and corresponding 95% confidence interval (CI).ConclusionsThis meta-analysis indicated a protective effect of consumption of vegetables and fruits on RCC risk. Further studies are warranted with prospective designs that use validated questionnaires and control for important confounders.
Highlights
In the United States, kidney cancer is estimated as the tenth-and seventh-highest incident cancers among women and men, respectively [1], with annual increments of 1.7 and 1.6 % in white women and white men
The summary relative risk (SRR) for the highest vs. the lowest intake of vegetables was 0.73, whereas for fruits it was 0.86
Linear dose-response analysis showed similar results, e.g., for per 1 serving/day increment of vegetables, the SRR was 0.90 and for fruits it was 0.97
Summary
In the United States, kidney cancer is estimated as the tenth-and seventh-highest incident cancers among women and men, respectively [1], with annual increments of 1.7 and 1.6 % in white women and white men. Results from several large prospective cohort [11, 12, 19, 31] and case-control studies [21, 23, 25,26,27, 30] have shown no associations between VFs intake and RCC risk. In www.impactjournals.com/oncotarget contrast, data from a pooled analysis of 13 cohort studies [15] observed that high fruit and vegetable consumption was associated with a decreased risk of RCC. Since this pool analysis was published, additional two large cohort studies [11, 12] have been available. We conducted a meta-analysis of the published observational studies to explore this association
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