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Meta-Analysis
. 2016 May 12:6:25939.
doi: 10.1038/srep25939.

Soy isoflavone consumption and colorectal cancer risk: a systematic review and meta-analysis

Affiliations
Meta-Analysis

Soy isoflavone consumption and colorectal cancer risk: a systematic review and meta-analysis

Yi Yu et al. Sci Rep. .

Abstract

Colorectal cancer (CRC) is one of the most predominant solid carcinomas in Western countries. However, there is conflicting information on the effects of soy isoflavone on CRC risk. Therefore, we performed a meta-analysis to assess the association between soy isoflavone consumption and CRC risk in humans using PubMed, Embase, Web of Science, and Cochrane Library databases. A total of 17 epidemiologic studies, which consisted of thirteen case-control and four prospective cohort studies, met the inclusion criteria. Our research findings revealed that soy isoflavone consumption reduced CRC risk (relative risk, RR: 0.78, 95% CI: 0.72-0.85; I(2) = 34.1%, P = 0.024). Based on subgroup analyses, a significant protective effect was observed with soy foods/products (RR: 0.79; 95% CI: 0.69-0.89), in Asian populations (RR: 0.79; 95% CI: 0.72-0.87), and in case-control studies (RR: 0.76; 95% CI: 0.68-0.84). Therefore, soy isoflavone consumption was significantly associated with a reduced risk of CRC risk, particularly with soy foods/products, in Asian populations, and in case-control studies. However, due to the limited number of studies, other factors may affect this association.

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Figures

Figure 1
Figure 1. Search strategy and selection of studies.
Figure 2
Figure 2. Sensitivity analysis of soy isoflavone consumption and risk of colorectal cancer excluding the study of Ravasco et al..
Figure 3
Figure 3. Forest plot of studies evaluating the association between soy isoflavone consumption and risk of colorectal cancer.
Figure 4
Figure 4. Sensitivity analysis of soy isoflavone consumption and risk of colorectal cancer.
Figure 5
Figure 5. Meta regulation of isoflavone consumption and risk of colorectal cancer.
Figure 6
Figure 6. Egger’s funnel plot assessing publication bias among the studies.
Figure 7
Figure 7. Begger’s funnel plot assessing publication bias among the studies.

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