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Does alcohol consumption modify the risk of endometrial cancer? A dose-response meta-analysis of prospective studies.

Abstract：

BACKGROUND:Epidemiological studies have provided controversial evidence of an association between alcohol intake and endometrial cancer (EC) risk. The World Cancer Research Fund/American Institute for Cancer Research classifies alcohol as having a "limited-no conclusion" grade of evidence in the Endometrial Cancer 2013 Report (the latest version). OBJECTIVE:The purpose of this meta-analysis is to systematically analyze the effect of alcohol intake on EC risk. METHODS:We conducted a dose-response meta-analysis of prospective cohort studies identified from the PubMed, Embase, Cochrane Library and China Biological Medicine databases. Categorical and dose-response meta-analyses were conducted to estimate the effects of alcohol on EC risk. RESULTS:A total of 10 studies involving 9766 cases and 1,612,798 participants were included in this meta-analysis. Overall, the relative risk(RR) for alcohol intake on EC was 1.04 (95% CI 0.88-1.22). The RRs for alcohol intake from wine, beer, and liquor were 1.10 (95% CI 0.80-1.51), 0.94 (95% CI 0.72-1.22), and 1.04 (95% CI 0.86-1.27), respectively). When alcohol consumption was stratified by drinking level, the RRs for moderate and heavy alcohol intake were 0.95 (95% CI 0.89-1.01) and 1.00 (95% CI 0.88-1.13), respectively. In the subgroup analyses, this association was not modified by other lifestyle factors or the characteristics of the study design and population. No significant associations were detected in the dose-response meta-analyses. CONCLUSIONS:Alcohol intake is not associated with EC regardless of the beverage choice and alcohol consumption level. More studies are warranted in other populations, such as Asians and Africans.

journal_name

Arch Gynecol Obstet

journal_title

Archives of gynecology and obstetrics

authors

Zhou Q,Guo P,Li H,Chen XD

doi

10.1007/s00404-016-4263-y

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

467-479

issue

2

eissn

0932-0067

issn

1432-0711

pii

10.1007/s00404-016-4263-y

journal_volume

295

pub_type

杂志文章,meta分析

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