4.4 Review

Physical Activity and the Risk of Liver Cancer: A Systematic Review and Meta-Analysis of Prospective Studies and a Bias Analysis

期刊

JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE
卷 111, 期 11, 页码 1142-1151

出版社

OXFORD UNIV PRESS INC
DOI: 10.1093/jnci/djz111

关键词

-

类别

向作者/读者索取更多资源

Background Physical inactivity is an established risk factor for several cancers of the digestive system and female reproductive organs, but the evidence for liver cancers is less conclusive. Methods The aim of this study was to synthesize prospective observational studies on the association of physical activity and liver cancer risk by means of a systematic review and meta-analysis. We searched Medline, Embase, and Scopus from inception to January 2019 for prospective studies investigating the association of physical activity and liver cancer risk. We calculated mean hazard ratios (HRs) and 95% confidence intervals (CIs) using a random-effects model. We quantified the extent to which an unmeasured confounder or an unaccounted selection variable could shift the mean hazard ratio to the null. Results Fourteen prospective studies, including 6,440 liver cancers, were included in the systematic review and meta-analysis. The mean hazard ratio for high compared with low physical activity was 0.75 (95% CI=0.63 to 0.89; 95% prediction interval=0.52 to 1.07; I-2=64.2%). We estimated that 67.6% (95% CI=56.6% to 78.5%) of all true effect estimates would have a hazard ratio less than 0.8. Bias analysis suggested than an unobserved confounder would have to be associated with a 1.99-fold increase in the risk of physical activity or liver cancer to explain away the observed mean hazard ratio. An unaccounted for selection variable would have to be related to exposure and endpoint with a relative risk of 1.58 to explain away the mean hazard ratio. Conclusions Physical activity is inversely related to the risk of liver cancer. Further studies with objectively measured physical activity and quasi-experimental designs addressing confounding are needed.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Review Food Science & Technology

Evidence of a vegan diet for health benefits and risks - an umbrella review of meta-analyses of observational and clinical studies

Eliska Selinger, Manuela Neuenschwander, Alina Koller, Jan Gojda, Tilman Kuehn, Lukas Schwingshackl, Janett Barbaresko, Sabrina Schlesinger

Summary: This study conducted an umbrella review of systematic reviews and meta-analyses to evaluate the health impact of a vegan diet. The findings suggest that a vegan diet is effective in reducing body weight and has further health benefits, such as a lower risk of cancer incidence and all-cause mortality, as well as lower ApoB levels. However, a vegan diet may be associated with an increased risk of fractures. For individuals with diabetes or at high cardiovascular disease risk, a vegan diet improves measures of adiposity, cholesterol levels, LDL, and glycemic control.

CRITICAL REVIEWS IN FOOD SCIENCE AND NUTRITION (2023)

Editorial Material Endocrinology & Metabolism

Diet and Diabetes Prevention: Is a Plant-Based Diet the Solution?

Sabrina Schlesinger

DIABETES CARE (2023)

Article Virology

Subjective and Objective Cognitive Impairments in Non-Hospitalized Persons 9 Months after SARS-CoV-2 Infection

Inge Kirchberger, Daniela Peilstoecker, Tobias D. Warm, Jakob Linseisen, Alexander Hyhlik-Duerr, Christine Meisinger, Yvonne Gosslau

Summary: Studies have shown that a significant proportion of non-hospitalized COVID-19 patients experience cognitive problems, including difficulties with memory and concentration. Factors such as level of education, age, and depression have been found to be associated with these cognitive impairments. Early identification of mild cognitive impairment is crucial in providing effective interventions for these patients.

VIRUSES-BASEL (2023)

Article Nutrition & Dietetics

Subclinical Cardiovascular Disease Markers in Relation to Serum and Dietary Magnesium in Individuals from the General Population: The KORA-MRI Study

Nuha Shugaa Addin, Christopher L. L. Schlett, Fabian Bamberg, Barbara Thorand, Jakob Linseisen, Jochen Seissler, Annette Peters, Susanne Rospleszcz

Summary: This study investigated the association of serum and dietary magnesium with markers of subclinical CVD. The results showed that serum magnesium was associated with carotid plaque, while dietary magnesium was associated with left ventricular structure and function.

NUTRIENTS (2022)

Article Biology

Long-Term Predictors of Hospitalized Reinfarction after an Incident Acute Myocardial Infarction

Timo Schmitz, Eva Harmel, Margit Heier, Annette Peters, Jakob Linseisen, Christa Meisinger

Summary: This study aimed to compare characteristics of incident acute myocardial infarction (AMI) and first and second-time reinfarctions and identify predictors for an increased risk of hospitalized reinfarction. It found major differences in comorbidities, laboratory values, ECG presentation, and therapy between myocardial reinfarctions and incident events. Typical comorbidities and risk factors were associated with an increased risk of hospitalized reinfarction, while certain factors like STEMI ECG and bypass surgery were predictors for a lower risk.

LIFE-BASEL (2022)

Review Endocrinology & Metabolism

Risk phenotypes of diabetes and association with COVID-19 severity and death: an update of a living systematic review and meta-analysis

Sabrina Schlesinger, Alexander Lang, Nikoletta Christodoulou, Philipp Linnerz, Kalliopi Pafili, Oliver Kuss, Christian Herder, Manuela Neuenschwander, Janett Barbaresko, Michael Roden

Summary: This study aimed to provide a systematic overview of the current evidence on high-risk phenotypes of diabetes associated with COVID-19 severity and death. Observational studies investigating phenotypes in individuals with diabetes and confirmed SARS-CoV-2 infection were included. The findings strengthened the associations between male sex, older age, blood glucose level at admission, chronic insulin use, chronic metformin use, and pre-existing comorbidities and COVID-19-related death, and identified new factors such as obesity, HbA(1c) level, chronic glucagon-like peptide-1 receptor agonist use, and pre-existing heart failure associated with COVID-19-related death.

DIABETOLOGIA (2023)

Article Endocrinology & Metabolism

How amenable is type 2 diabetes treatment for precision diabetology? A meta-regression of glycaemic control data from 174 randomised trials

Oliver Kuss, Marie Elisabeth Opitz, Lea Verena Brandstetter, Sabrina Schlesinger, Michael Roden, Annika Hoyer

Summary: Treatment heterogeneity and identification of clinical predictors are prerequisites for the application of precision medicine. This study utilized meta-regression analysis on placebo-controlled randomized trials of type 2 diabetes treatment and found that there is an increase in the variability of glycaemic control after treatment, with GLP-1 receptor agonists showing the most pronounced effect.

DIABETOLOGIA (2023)

Article Virology

Post-COVID-19 Syndrome in Non-Hospitalized Individuals: Healthcare Situation 2 Years after SARS-CoV-2 Infection

Inge Kirchberger, Christine Meisinger, Tobias D. Warm, Alexander Hyhlik-Duerr, Jakob Linseisen, Yvonne Gosslau

Summary: This study investigated the symptoms, healthcare needs, utilization, and satisfaction of healthcare services in a German sample of non-hospitalized individuals with post-COVID-19 syndrome (PCS) two years after SARS-CoV-2 infection. The results showed that a majority of participants experienced various symptoms, increased healthcare utilization, lack of understanding about persistent symptoms, and difficulties in finding competent healthcare providers.

VIRUSES-BASEL (2023)

Article Clinical Neurology

Inflammation biomarkers in acute ischemic stroke according to different etiologies

Christa Meisinger, Dennis Freuer, Timo Schmitz, Michael Ertl, Philipp Zickler, Markus Naumann, Jakob Linseisen

Summary: This cross-sectional study aimed to evaluate potential associations between the etiologic subtypes of ischemic stroke and blood-based proteins. The study found that stromal-cell-derived-factor 1 alpha (SDF-1a) showed significantly higher serum levels in cardioembolic stroke compared with large vessel atherosclerotic stroke, while interleukin-6 (IL-6) and macrophage migration inhibitory factor (MIF) levels were significantly lower in the small vessel stroke subtype compared to the large vessel stroke subtype.

EUROPEAN JOURNAL OF NEUROLOGY (2023)

Article Nutrition & Dietetics

Perspective: A Conceptual Framework for Adaptive Personalized Nutrition Advice Systems (APNASs)

Britta Renner, Anette E. Buyken, Kurt Gedrich, Stefan Lorkowski, Bernhard Watzl, Jakob Linseisen, Hannelore Daniel

Summary: Research on personalized nutrition has shown limited effectiveness and there are concerns about its impact on health inequality. To address these issues, a new approach called adaptive personalized nutrition advice systems (APNASs) is proposed. This approach aims to tailor personalized advice to individual needs, capacities, and receptivity in real-life food environments, encompassing broadened goals and personalized behavior change processes. Digital nutrition ecosystems enable continuous monitoring and support in food environments.

ADVANCES IN NUTRITION (2023)

Article Endocrinology & Metabolism

The mediating role of obesity on the prospective association between urinary sucrose and diabetes incidence in a sub-cohort of the EPIC-Norfolk

Alexander Lang, Oliver Kuss, Tim Filla, Gunter Kuhnle, Sabrina Schlesinger

Summary: This study investigated the association between sucrose intake and the development of diabetes. The results showed that urinary sucrose, an objective biomarker, was more accurate in assessing this association compared to self-reports. The study found an inverse association between self-reported sucrose intake and incident diabetes, while urinary sucrose indicated a positive association. Obesity partially mediated this association.

NUTRITION & DIABETES (2023)

Article Medicine, General & Internal

Body Mass Index and Waist Circumference as Determinants of Hemostatic Factors in Participants of a Population-Based Study

Maximilian Iglesias Morcillo, Dennis Freuer, Annette Peters, Margit Heier, Christine Meisinger, Jakob Linseisen

Summary: This study investigated the relationship between BMI and waist circumference with plasma concentrations of coagulation factors in the general population. The results showed significant associations between BMI and waist circumference with various coagulation factors, suggesting that the modification of the coagulation profile could be a potential target for primary prevention in obese individuals.

MEDICINA-LITHUANIA (2023)

Article Medicine, General & Internal

Substitution of animal-based with plant-based foods on cardiometabolic health and all-cause mortality: a systematic review and meta-analysis of prospective studies

Manuela Neuenschwander, Julia Stadelmaier, Julian Eble, Kathrin Grummich, Edyta Szczerba, Eva Kiesswetter, Sabrina Schlesinger, Lukas Schwingshackl

Summary: Research suggests that substituting animal-based foods (e.g. red and processed meat, eggs, dairy, poultry, butter) with plant-based foods (e.g. nuts, legumes, whole grains, olive oil) is beneficially associated with cardiometabolic health and reduced risk of all-cause mortality.

BMC MEDICINE (2023)

Review Nutrition & Dietetics

Plant-Based Diets and Cancer Prognosis: a Review of Recent Research

Luisa Hardt, Yahya Mahamat-Saleh, Dagfinn Aune, Sabrina Schlesinger

Summary: This systematic review aims to summarize the association between postdiagnosis plant-based diets and prognosis in cancer survivors. The findings suggest that higher intake of plant-based foods may be associated with improved prognosis in cancer survivors. However, further research considering clinical and methodological factors is needed due to the heterogeneity between studies.

CURRENT NUTRITION REPORTS (2022)

暂无数据