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Consumption of Fish and omega-3 Fatty Acids and Cancer Risk: An Umbrella Review of Meta-Analyses of Observational Studies

Lee, Keum Hwa (författare)
Yonsei Univ, South Korea
Seong, Hyo Jin (författare)
Yonsei Univ, South Korea
Kim, Gaeun (författare)
Keimyung Univ, South Korea
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Jeong, Gwang Hun (författare)
Gyeongsang Natl Univ, South Korea
Kim, Jong Yeob (författare)
Yonsei Univ, South Korea
Park, Hyunbong (författare)
Yonsei Univ, South Korea
Jung, Eunyoung (författare)
Yonsei Univ, South Korea
Kronbichler, Andreas (författare)
Med Univ Innsbruck, Austria
Eisenhut, Michael (författare)
Luton & Dunstable Univ Hosp NHS Fdn Trust, England
Stubbs, Brendon (författare)
Kings Coll London, England; South London & Maudsley NHS Fdn Trust, England; Anglia Ruskin Univ, England
Solmi, Marco (författare)
Univ Padua, Italy
Koyanagi, Ai (författare)
Univ Barcelona, Spain; ICREA, Spain
Hong, Sung Hwi (författare)
Yonsei Univ, South Korea; Harvard TH Chan Sch Publ Hlth, MA USA
Dragioti, Elena (författare)
Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
Machado de Rezende, Leandro Fornias (författare)
Univ Fed Sao Paulo, Brazil
Jacob, Louis (författare)
Univ Barcelona, Spain; Univ Versailles St Quentin En Yvelines, France
Keum, NaNa (författare)
Harvard TH Chan Sch Publ Hlth, MA USA; Dongguk Univ, South Korea
van der Vliet, Hans J. (författare)
Vrije Univ Amsterdam, Netherlands
Cho, Eunyoung (författare)
Brown Univ, RI 02912 USA; Brigham & Womens Hosp, MA 02115 USA; Harvard Med Sch, MA 02115 USA
Veronese, Nicola (författare)
CNR, Italy
Grosso, Giuseppe (författare)
Univ Catania, Italy
Ogino, Shuji (författare)
Harvard Med Sch, MA 02115 USA; Dana Farber Harvard Canc Ctr, MA USA; Harvard TH Chan Sch Publ Hlth, MA USA; Brigham & Womens Hosp, MA 02115 USA; Broad Inst MIT & Harvard, MA 02142 USA
Song, Mingyang (författare)
Harvard TH Chan Sch Publ Hlth, MA USA; Harvard Med Sch, MA 02115 USA; Harvard TH Chan Sch Publ Hlth, MA USA; Massachusetts Gen Hosp, MA 02114 USA; Massachusetts Gen Hosp, MA 02114 USA
Radua, Joaquim (författare)
Karolinska Institutet
Jung, Sun Jae (författare)
Harvard TH Chan Sch Publ Hlth, MA USA; Yonsei Univ, South Korea
Thompson, Trevor (författare)
Univ Greenwich, England
Jackson, Sarah E. (författare)
UCL, England
Smith, Lee (författare)
Anglia Ruskin Univ, England
Yang, Lin (författare)
Alberta Hlth Serv, Canada; Univ Calgary, Canada; Univ Calgary, Canada
Oh, Hans (författare)
Univ South Carolina, SC 29208 USA
Choi, Eun Kyoung (författare)
Yonsei Univ, South Korea
Shin, Jae Il (författare)
Yonsei Univ, South Korea
Giovannucci, Edward L. (författare)
Harvard TH Chan Sch Publ Hlth, MA USA; Brigham & Womens Hosp, MA 02115 USA; Harvard Med Sch, MA 02115 USA
Gamerith, Gabriele (författare)
Med Univ Innsbruck, Austria
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 (creator_code:org_t)
OXFORD UNIV PRESS, 2020
2020
Engelska.
Ingår i: ADVANCES IN NUTRITION. - : OXFORD UNIV PRESS. - 2161-8313 .- 2156-5376. ; 11:5, s. 1134-1149
Relaterad länk:
https://academic.oup...
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https://urn.kb.se/re...
https://doi.org/10.1...
http://kipublication...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
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  • Multiple studies have suggested that omega-3 fatty acid intake may have a protective effect on cancer risk; however, its true association with cancer risk remains controversial. We performed an umbrella review of meta-analyses to summarize and evaluate the evidence for the association between omega-3 fatty acid intake and cancer outcomes. We searched PubMed, Embase, and the Cochrane Database of Systematic Reviews from inception to December 1, 2018. We included meta-analyses of observational studies that examined associations between intake of fish or omega-3 fatty acid and cancer risk (gastrointestinal, liver, breast, gynecologic, prostate, brain, lung, and skin) and determined the level of evidence of associations. In addition, we appraised the quality of the evidence of significant meta-analyses by using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. We initially screened 598 articles, and 15 articles, including 57 meta-analyses, were eligible. Among 57 meta-analyses, 15 reported statistically significant results. We found that 12 meta-analyses showed weak evidence of an association between omega-3 fatty acid intake and risk of the following types of cancer: liver cancer (n = 4 of 6), breast cancer (n = 3 of 14), prostate cancer (n = 3 of 11), and brain tumor (n = 2 of 2). In the other 3 meta-analyses, studies of endometrial cancer and skin cancer, there were no assessable data for determining the evidence levels. No meta-analysis showed convincing, highly suggestive, or suggestive evidence of an association. In the sensitivity analysis of meta analyses by study design, we found weak associations between omega-3 fatty acid intake and breast cancer risk in cohort studies, but no statistically significant association in case-control studies. However, the opposite results were found in case of brain tumor risk. Although omega-3 fatty acids have been studied in several meta-analyses with regard to a wide range of cancer outcomes, only weak associations were identified in some cancer types, with several limitations. Considering the nonsignificant or weak evidence level, clinicians and researchers should cautiously interpret reported associations between omega-3 fatty acid consumption and cancer risks.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

omega-3 fatty acid; fish; cancer; umbrella review; meta-analysis

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