Department of Complex Genetics and Epidemiology, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, Universiteitssingel 40, 6200 MD Maastricht, The Netherlands, Maastricht University, Maastricht, The Netherlands.
Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Eur J Clin Nutr. 2020 Jan;74(1):28-35. doi: 10.1038/s41430-019-0453-6. Epub 2019 Jun 17.
Inconsistent associations between milk and other dairy product consumption and bladder cancer (BC) have been reported. We aimed to investigate possible associations with BC risk for total and individual dairy products by bringing together the world's data on this topic.
Thirteen cohort studies, included in the BLadder cancer Epidemiology and Nutritional Determinants (BLEND) study, provided data for 3590 BC cases and 593,637 non-cases. Associations between milk and other dairy product consumption and BC risk were investigated using Cox proportional hazard regression analyses stratified by study center and adjusted for potential confounders.
Overall, total 'other' dairy product consumption was not associated with BC risk (HR comparing highest with lowest tertile: 0.97 (95% CI: 0.87-1.07; p = 0.52) and likewise no association was observed for either liquid milk, processed milk, cream, cheese or icecream. However, an inverse association was observed between yoghurt consumption and BC risk when comparing those in the moderate (25-85 g/day) and high categories (>85 g/day) with non-consumers, with multivariate HR of 0.85 (95% CI: 0.75-0.96) and 0.88 (95% CI: 0.78-0.98), respectively.
We found no evidence of association between either total or individual dairy products and BC risk, but suggestive evidence that consumption of yoghurt may be associated with a decreased risk.
牛奶和其他乳制品的摄入与膀胱癌(BC)之间的关联一直存在争议。我们旨在汇集关于这个主题的世界数据,以研究总乳制品和个体乳制品与 BC 风险之间的可能关联。
BLadder cancer Epidemiology and Nutritional Determinants(BLEND)研究纳入了 13 项队列研究,共提供了 3590 例 BC 病例和 593637 名非病例的数据。使用 Cox 比例风险回归分析,按研究中心分层,并调整了潜在混杂因素,研究了牛奶和其他乳制品的摄入量与 BC 风险之间的关系。
总体而言,总“其他”乳制品的摄入与 BC 风险无关(最高与最低三分位相比的 HR:0.97(95%CI:0.87-1.07;p=0.52),液态奶、加工奶、奶油、奶酪和冰淇淋也没有观察到这种关联。然而,与非消费者相比,酸奶的摄入量与 BC 风险呈负相关,当比较中等到高摄入量(25-85 克/天和>85 克/天)时,多变量 HR 为 0.85(95%CI:0.75-0.96)和 0.88(95%CI:0.78-0.98)。
我们没有发现总乳制品或个体乳制品与 BC 风险之间存在关联的证据,但有证据表明酸奶的摄入可能与降低风险有关。