Flavonols intake and the risk of coronary heart disease: a meta-analysis of cohort studies

Flavonols intake and the risk of coronary heart disease: a meta-analysis of cohort studies
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黄酮醇摄入量与冠心病风险:队列研究的荟萃分析

DOI:
10.1016/j.atherosclerosis.2012.02.026
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发表时间:
2012-05-01
期刊:
影响因子:
5.3
通讯作者:
Yang, Zhi-Jian
Yang, Zhi-Jian
中科院分区:
医学2区
文献类型:
--
作者:
Wang, Ze-Mu;Nie, Zhen-Lin;Yang, Zhi-Jian

文献摘要

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目的:前瞻性队列关于黄酮醇摄入量与冠心病 (CHD) 风险之间的关系不一致。目的是进行荟萃分析,以确定观察性研究中它们之间是否存在关联。方法:我们检索了 PUBMED 和 EMBASE 数据库,查找从 1966 年到 2012 年 1 月进行的研究。数据由 2 位研究人员使用标准化方案独立提取。使用随机效应模型结合研究特定风险估计。结果:荟萃分析中纳入了总共 9 个一般人群队列,共有 216,908 名参与者和超过 5249 例 CHD 病例。总结相对风险 (RR) 并未表明最高黄酮醇摄入量与降低 CHD 风险之间存在显着关联(总结 RR:0.91;95% CI:0.83,1.01)。此外,通过剂量反应分析未发现显着关联(增加 20 毫克/天,总结 RR:0.96;95% CI:0.90,1.03)。结论:我们的结果不支持黄酮醇摄入对 CHD 的保护作用。 (C) 2012 Elsevier Ireland Ltd. 保留所有权利。
Objective: Prospective cohort are inconsistent regarding the association between flavonols intake and the risk of coronary heart disease (CHD). The aim was to perform a meta-analysis to determine whether an association exists between them in observational studies.Methods: We searched PUBMED and EMBASE databases for studies conducted from 1966 through January 2012. Data were independently abstracted by 2 investigators using a standardized protocol. Study-specific risk estimates were combined by using a random-effects model.Results: A total of nine general population cohorts with 216,908 participants and more than 5249 CHD cases were included in the meta-analysis. The summary relative risk (RR) did not indicate a significant association between the highest flavonols intake and reduced risk of CHD (summary RR: 0.91; 95% CI: 0.83, 1.01). Furthermore, no significant association was found through the dose-response analysis (an increment of 20 mg/day, summary RR: 0.96; 95% CI: 0.90, 1.03).Conclusions: Our results do not support a protective role of flavonols intake against CHD. (C) 2012 Elsevier Ireland Ltd. All rights reserved.