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Dietary fiber intake and risk of renal cell carcinoma: evidence from a meta-analysis

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Abstract

The aim of this study was to investigate the possible relationships between dietary fiber intake and risk of renal cell carcinoma (RCC). Electronic databases including MEDLINE, EMBASE and Web of Science were searched to find eligible studies. Random-effects relative risk (RR) and its corresponding 95 % confidence interval (CI) were used. Besides, random-effects dose–response analyses were also performed to clarify the dose–response relations. Finally, publication bias was assessed by Egger’s test and Begg’s test. All p values were two tailed. Seven studies, including two cohort studies and five case–control studies, were eligible and included in this meta-analysis. Overall analysis in highest versus lowest level revealed that total dietary fiber intake was associated with reduced RCC risk (RR 0.84, 95 % CI 0.74–0.96). In addition, pooled estimated data showed that risk of RCC was significantly associated with vegetable and legume fiber intake (RR 0.70, RR 0.80, respectively), but not with fruit and cereal fiber intake (RR 0.92, RR 1.04, respectively). However, in dose–response analysis, no significant association was reported. Finally, no publication bias was detected by Egger’s or Begg’s test. The dietary fiber intake, especially vegetable and legume fiber, may be associated with reduced RCC risk. Considering the limitations of the included studies, more well-designed prospective studies will be needed to confirm our findings.

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References

  1. Ljungberg B, Campbell SC, Choi HY, Jacqmin D, Lee JE, Weikert S, et al. The epidemiology of renal cell carcinoma. Eur Urol. 2011;60(4):615–21. doi:10.1016/j.eururo.2011.06.049.

    Article  PubMed  Google Scholar 

  2. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127(12):2893–917. doi:10.1002/ijc.25516.

    Article  CAS  PubMed  Google Scholar 

  3. Askari F, Parizi MK, Jessri M, Rashidkhani B. Dietary patterns in relation to prostate cancer in Iranian men: a case–control study. Asian Pac J Cancer Prev. 2014;15(5):2159–63.

    Article  PubMed  Google Scholar 

  4. Liu X, Wang X, Lin S, Yuan J, Yu IT. Dietary patterns and oesophageal squamous cell carcinoma: a systematic review and meta-analysis. Br J Cancer. 2014;110(11):2785–95. doi:10.1038/bjc.2014.172.

    Article  CAS  PubMed  Google Scholar 

  5. Kumagai Y, Chou WT, Tomata Y, Sugawara Y, Kakizaki M, Nishino Y, et al. Dietary patterns and colorectal cancer risk in Japan: the Ohsaki Cohort Study. Cancer Causes Control. 2014;25(6):727–36. doi:10.1007/s10552-014-0375-5.

    Article  PubMed  Google Scholar 

  6. Fung TT, Brown LS. Dietary patterns and the risk of colorectal cancer. Curr Nutr Rep. 2013;2(1):48–55. doi:10.1007/s13668-012-0031-1.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Deschasaux M, Pouchieu C, His M, Hercberg S, Latino-Martel P, Touvier M. Dietary total and insoluble fiber intakes are inversely associated with prostate cancer risk. J Nutr. 2014;144(4):504–10. doi:10.3945/jn.113.189670.

    Article  CAS  PubMed  Google Scholar 

  8. Drake I, Sonestedt E, Gullberg B, Ahlgren G, Bjartell A, Wallstrom P, et al. Dietary intakes of carbohydrates in relation to prostate cancer risk: a prospective study in the Malmo Diet and Cancer cohort. Am J Clin Nutr. 2012;96(6):1409–18. doi:10.3945/ajcn.112.039438.

    Article  CAS  PubMed  Google Scholar 

  9. Daniel CR, Park Y, Chow WH, Graubard BI, Hollenbeck AR, Sinha R. Intake of fiber and fiber-rich plant foods is associated with a lower risk of renal cell carcinoma in a large US cohort. Am J Clin Nutr. 2013;97(5):1036–43. doi:10.3945/ajcn.112.045351.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Tang JE, Wang RJ, Zhong H, Yu B, Chen Y. Vitamin A and risk of bladder cancer: a meta-analysis of epidemiological studies. World J Surg Oncol. 2014;12(1):130. doi:10.1186/1477-7819-12-130.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Leenders M, Leufkens AM, Siersema PD, van Duijnhoven FJ, Vrieling A, Hulshof PJ, et al. Plasma and dietary carotenoids and vitamins A, C and E and risk of colon and rectal cancer in the European Prospective Investigation into Cancer and Nutrition. Int J Cancer. 2014;. doi:10.1002/ijc.28938.

    PubMed  Google Scholar 

  12. Coleman HG, Murray LJ, Hicks B, Bhat SK, Kubo A, Corley DA, et al. Dietary fiber and the risk of precancerous lesions and cancer of the esophagus: a systematic review and meta-analysis. Nutr Rev. 2013;71(7):474–82. doi:10.1111/nure.12032.

    Article  PubMed  Google Scholar 

  13. Ben Q, Sun Y, Chai R, Qian A, Xu B, Yuan Y. Dietary fiber intake reduces risk for colorectal adenoma: a meta-analysis. Gastroenterology. 2014;146(3):689–99 e6. doi:10.1053/j.gastro.2013.11.003.

  14. Aune D, Chan DS, Lau R, Vieira R, Greenwood DC, Kampman E, et al. Dietary fibre, whole grains, and risk of colorectal cancer: systematic review and dose-response meta-analysis of prospective studies. BMJ. 2011;343:d6617. doi:10.1136/bmj.d6617.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Ananthakrishnan AN, Khalili H, Konijeti GG, Higuchi LM, de Silva P, Korzenik JR, et al. A prospective study of long-term intake of dietary fiber and risk of Crohn’s disease and ulcerative colitis. Gastroenterology. 2013;145(5):970–7. doi:10.1053/j.gastro.2013.07.050.

    Article  CAS  PubMed  Google Scholar 

  16. Threapleton DE, Greenwood DC, Evans CE, Cleghorn CL, Nykjaer C, Woodhead C, et al. Dietary fibre intake and risk of cardiovascular disease: systematic review and meta-analysis. BMJ. 2013;347:f6879. doi:10.1136/bmj.f6879.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Wolk A, Gridley G, Niwa S, Lindblad P, McCredie M, Mellemgaard A, et al. International renal cell cancer study. VII. Role of diet. Int J Cancer. 1996;65(1):67–73. doi:10.1002/(SICI)1097-0215(19960103)65:1<67::AID-IJC12>3.0.CO;2-F.

    Article  CAS  PubMed  Google Scholar 

  18. Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA. 2000;283(15):2008–12. doi:10.1001/jama.283.15.2008.

    Article  CAS  PubMed  Google Scholar 

  19. Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M et al. The Newcastle–Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. http://www.ohrica/programs/clinical_epidemiology/oxfordasp.

  20. Greenland S. Quantitative methods in the review of epidemiologic literature. Epidemiol Rev. 1987;9:1–30.

    CAS  PubMed  Google Scholar 

  21. Greenland S, Longnecker MP. Methods for trend estimation from summarized dose-response data, with applications to meta-analysis. Am J Epidemiol. 1992;135(11):1301–9.

    CAS  PubMed  Google Scholar 

  22. Aune D, Greenwood DC, Chan DS, Vieira R, Vieira AR, Navarro Rosenblatt DA et al. Body mass index, abdominal fatness and pancreatic cancer risk: a systematic review and non-linear dose-response meta-analysis of prospective studies. Ann Oncol. 2012;23(4):843–52. doi:10.1093/annonc/mdr398.

  23. Moskal A, Norat T, Ferrari P, Riboli E. Alcohol intake and colorectal cancer risk: a dose–response meta-analysis of published cohort studies. Int J Cancer. 2007;120(3):664–71. doi:10.1002/ijc.22299.

    Article  CAS  PubMed  Google Scholar 

  24. Lindblad P, Wolk A, Bergstrom R, Adami HO. Diet and risk of renal cell cancer: a population-based case-control study. Cancer Epidemiol Biomarkers Prev. 1997;6(4):215–23.

    CAS  PubMed  Google Scholar 

  25. Allen NE, Roddam AW, Sieri S, Boeing H, Jakobsen MU, Overvad K, et al. A prospective analysis of the association between macronutrient intake and renal cell carcinoma in the European Prospective Investigation into Cancer and Nutrition. Int J Cancer. 2009;125(4):982–7. doi:10.1002/ijc.24447.

    Article  CAS  PubMed  Google Scholar 

  26. Brock KE, Ke L, Gridley G, Chiu BC, Ershow AG, Lynch CF, et al. Fruit, vegetables, fibre and micronutrients and risk of US renal cell carcinoma. Br J Nutr. 2012;108(6):1077–85. doi:10.1017/s0007114511006489.

    Article  CAS  PubMed  Google Scholar 

  27. Hu J, La Vecchia C, DesMeules M, Negri E, Mery L. Nutrient and fiber intake and risk of renal cell carcinoma. Nutr Cancer. 2008;60(6):720–8. doi:10.1080/01635580802283335.

    Article  CAS  PubMed  Google Scholar 

  28. Galeone C, Pelucchi C, Talamini R, Negri E, Montella M, Ramazzotti V, et al. Fibre intake and renal cell carcinoma: a case–control study from Italy. Int J Cancer. 2007;121(8):1869–72. doi:10.1002/ijc.22913.

    Article  CAS  PubMed  Google Scholar 

  29. Mahabir S, Leitzmann MF, Pietinen P, Albanes D, Virtamo J, Taylor PR. Physical activity and renal cell cancer risk in a cohort of male smokers. Int J Cancer. 2004;108(4):600–5. doi:10.1002/ijc.11580.

    Article  CAS  PubMed  Google Scholar 

  30. Sormunen J, Backmand HM, Sarna S, Kujala UM, Kaprio J, Dyba T, et al. Lifetime physical activity and cancer incidence—a cohort study of male former elite athletes in Finland. J Sci Med Sport. 2013;. doi:10.1016/j.jsams.2013.10.239.

    PubMed  Google Scholar 

  31. Parent ME, Rousseau MC, El-Zein M, Latreille B, Desy M, Siemiatycki J. Occupational and recreational physical activity during adult life and the risk of cancer among men. Cancer Epidemiol. 2011;35(2):151–9. doi:10.1016/j.canep.2010.09.004.

    Article  PubMed  Google Scholar 

  32. Murthy NS, Mukherjee S, Ray G, Ray A. Dietary factors and cancer chemoprevention: an overview of obesity-related malignancies. J Postgrad Med. 2009;55(1):45–54.

    Article  CAS  PubMed  Google Scholar 

  33. Wang F, Xu Y. Body mass index and risk of renal cell cancer: a dose-response meta-analysis of published cohort studies. Int J Cancer. 2014;. doi:10.1002/ijc.28813.

    Google Scholar 

  34. Slavin J. Fiber and prebiotics: mechanisms and health benefits. Nutrients. 2013;5(4):1417–35. doi:10.3390/nu5041417.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  35. Bao C, Yang X, Xu W, Luo H, Xu Z, Su C, et al. Diabetes mellitus and incidence and mortality of kidney cancer: a meta-analysis. J Diabetes Complicat. 2013;27(4):357–64. doi:10.1016/j.jdiacomp.2013.01.004.

    Article  PubMed  Google Scholar 

  36. McIntyre A, Gibson PR, Young GP. Butyrate production from dietary fibre and protection against large bowel cancer in a rat model. Gut. 1993;34(3):386–91.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  37. King DE, Egan BM, Woolson RF, Mainous AG 3rd, Al-Solaiman Y, Jesri A. Effect of a high-fiber diet vs a fiber-supplemented diet on C-reactive protein level. Arch Intern Med. 2007;167(5):502–6. doi:10.1001/archinte.167.5.502.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

Tian-bao Huang, Pei-pei Ding, Jian-feng Cheng, Xu-dong Yao and Huan Liu were responsible for the initial plan, data collection, statistic analysis and for conducting the study. Tian-bao Huang, Long Zhang, Yang Yan, Peng-cheng Liu and Jun-hua Zheng contributed to data collection, data extraction, data interpretation and manuscript drafting. Xu-dong Yao was the guarantor for this paper and has full responsibility for this study. Besides, we thank Lu Feng for manuscript proofreading.

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Author’s disclosures of potential conflicts of interest: none for all authors.

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Correspondence to Xu-dong Yao.

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Tian-bao Huang and Pei-pei Ding have contributed equally to this work.

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Huang, Tb., Ding, Pp., Chen, Jf. et al. Dietary fiber intake and risk of renal cell carcinoma: evidence from a meta-analysis. Med Oncol 31, 125 (2014). https://doi.org/10.1007/s12032-014-0125-2

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