Abstract

Objective:This systematic review and meta-analysis was performed to determine the protective effect of omega-3 fatty acids in fish consumption against breast cancer in Asian patients. Methods:The authors conducted a meta-analysis of published research articles on protective effect of omega-3 fatty acids in fish consumption against breast cancer in Asian patients published between January 2000 and July 2018 in online database of PubMed, ProQuest and EBSCO. Pooled odds ratios (OR) were calculated by using fixed and random-effect models. Publication bias was visually evaluated by using funnel plots and statistically assessed in Egger’s and Begg’s tests. Data were processed by Review Manager 5.3 (RevMan 5.3) and Stata version 14.2 (Stata Corporation). Results:This study reviewed 913 articles. There were 11 studies which conducted systematic review then continued by meta-analysis of relevant data with total number of samples were 130,365 patients. The results showed there was protective effect of omega-3 fatty acids in fish consumption against breast cancer in Asian patients (OR = 0.80 [95% CI 0.73-0.87, p <0.00001]). There was not any study with significant publication bias included.Conclusion:This analysis confirmed the protective effect of omega-3 fatty acids in fish consumption against breast cancer in Asian patients.

Highlights

  • Breast cancer is a major health concern in the world as it is one of the most common malignancies found worldwide

  • The results showed there was protective effect of omega-3 fatty acids in fish consumption against breast cancer in Asian patients (OR = 0.80 [95% confidence intervals (CIs) 0.73-0.87, p

  • There was not any study with significant publication bias included. This analysis confirmed the protective effect of omega-3 fatty acids in fish consumption against breast cancer in Asian patients

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Summary

Introduction

Breast cancer is a major health concern in the world as it is one of the most common malignancies found worldwide. Asian countries has lower incidence rate than Europe and United States, the death rate of breast cancer in Asia is considerable (Jemal et al, 2011). This kind of neoplasm has multifactorial etiology. The breast cancer risk factors are divided into nonmodifiable and modifiable risk factors (Nindrea et al, 2017; Nindrea et al, 2018). One of the dietary factors associated with breast cancer risk is low intake of fish (Nindrea et al, 2017)

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