Dissecting the causal association of diet with thyroid cancer: a systematic review with meta-analysis and mendelian randomization analysis.

IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS
Frontiers in Nutrition Pub Date : 2025-09-17 eCollection Date: 2025-01-01 DOI:10.3389/fnut.2025.1664129
Chao Kang, Yongyao Du, Jiaxin Li, Yi Yang, Jingping Li, Manping Zhou, Jiaojiao Shi, Ning Lin, Xin Ma, Xiaoli Peng
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Abstract

Background: Diet is a recognized risk factor for cancer. Recently, the role of improving thyroid-related functions through diet has been questioned. This systematic review investigates the relationship between food groups/dietary patterns and thyroid cancer.

Methods: We conducted a systematic search of the literature through April 2025 in the PubMed, Scopus, Web of Science, and Embase database following PRISMA guidelines. ORs, HRs or RRs with 95% CIs were extracted as effect sizes and publication bias was assessed using funnel plots. Additionally, we conducted mendelian randomization (MR) analysis by selecting dietary factors (including nutrients) associated with thyroid cancer as exposure data to complement the results of meta-analysis.

Results: We collected data from 16 cohort and 21 case-control studies that met the collection criteria. Meta-analysis found that high consumption of fish and alcohol-containing beverages was associated with a reduced risk of thyroid cancer, whereas consumption of high amounts of refined cereal and nitrates increased thyroid cancer risk (P < 0.05). Our MR analysis data showed that some specific food items, especially seafood (like oily fish) might be the protective factors for thyroid cancer, which strengthen the previous meta-analysis results.

Conclusion: This comprehensive study investigated the relationships between dietary factors and thyroid cancer risk, synthesizing findings from a meta-analysis of observational studies and MR analysis to estimate causal associations. Consistently, both the meta-analysis and MR analysis revealed that consumption of certain types of fish may be linked to a decreased risk of thyroid cancer.

Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD420251101506.

剖析饮食与甲状腺癌的因果关系:荟萃分析和孟德尔随机化分析的系统综述。
背景:饮食是公认的癌症危险因素。最近,通过饮食改善甲状腺相关功能的作用受到质疑。本系统综述调查了食物组/饮食模式与甲状腺癌之间的关系。方法:我们按照PRISMA指南,对PubMed、Scopus、Web of Science和Embase数据库中截至2025年4月的文献进行了系统检索。提取95% ci的or、hr或rr作为效应量,并使用漏斗图评估发表偏倚。此外,我们通过选择与甲状腺癌相关的饮食因素(包括营养素)作为暴露数据进行孟德尔随机化(MR)分析,以补充meta分析的结果。结果:我们收集了符合收集标准的16项队列研究和21项病例对照研究的数据。荟萃分析发现,大量食用鱼类和含酒精饮料与患甲状腺癌的风险降低有关,而大量食用精制谷物和硝酸盐则会增加患甲状腺癌的风险(P < 0.05)。我们的MR分析数据显示,某些特定的食物,特别是海鲜(如油性鱼)可能是甲状腺癌的保护因素,这加强了之前的荟萃分析结果。结论:这项综合性研究调查了饮食因素与甲状腺癌风险之间的关系,综合了观察性研究的荟萃分析和磁共振分析的结果,以估计因果关系。荟萃分析和磁共振分析一致显示,食用某些类型的鱼可能与降低患甲状腺癌的风险有关。系统综述注册:https://www.crd.york.ac.uk/PROSPERO/,标识符CRD420251101506。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Nutrition
Frontiers in Nutrition Agricultural and Biological Sciences-Food Science
CiteScore
5.20
自引率
8.00%
发文量
2891
审稿时长
12 weeks
期刊介绍: No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health. Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.
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