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Dietary Fiber Intake and Risk of Pancreatic Cancer: Systematic Review and Meta-Analysis of Observational Studies

Author

Listed:
  • Daniele Nucci

    (Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy)

  • Omar Enzo Santangelo

    (Regional Health Care and Social Agency of Lodi, ASST Lodi, 26900 Lodi, Italy)

  • Sandro Provenzano

    (Local Health Unit of Trapani, ASP Trapani, 91100 Trapani, Italy)

  • Cristina Fatigoni

    (Department of Pharmaceutical Sciences, University of Perugia, 06122 Perugia, Italy)

  • Mariateresa Nardi

    (Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy)

  • Pietro Ferrara

    (Center for Public Health Research, University of Milan—Bicocca, 20900 Monza, Italy
    Value-Based Healthcare Unit, IRCCS MultiMedica, 20099 Sesto San Giovanni, Italy)

  • Vincenza Gianfredi

    (School of Medicine, University Vita-Salute San Raffaele, 20132 Milan, Italy
    CAPHRI Care and Public Health Research Institute, Maastricht University, 6211 Maastricht, The Netherlands)

Abstract

The burden of pancreatic cancer varies greatly across countries, with the number of deaths, incident cases, and disability-adjusted life years more than doubling in recent years, and with high-income countries having the highest incidence and mortality rates. We conducted this systematic review with meta-analysis with the goal of summarizing the current evidence on dietary fiber intake and its role in reducing the risk of pancreatic cancer, given the importance of identifying risk factors. This systematic review followed the guidelines of the Cochrane Collaboration and the Meta-analysis of Observational Studies in Epidemiology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020. The structured literature search was conducted on PubMed/Medline and Scopus, combining free text words and medical subject headings. Our review contained 18 records at the end of the process. Our results show that dietary fiber intake reduces the risk of pancreatic cancer. When the analysis was differentiated according to the type of fiber considered, sub-grouped by gender (reduction of around 60% among women), and when case-control studies were conducted, the strength of the association increased. Clinicians and policymakers should improve interventions to raise the population’s awareness regarding the consumption of high-fiber diets, both in practice and in terms of public health policy.

Suggested Citation

  • Daniele Nucci & Omar Enzo Santangelo & Sandro Provenzano & Cristina Fatigoni & Mariateresa Nardi & Pietro Ferrara & Vincenza Gianfredi, 2021. "Dietary Fiber Intake and Risk of Pancreatic Cancer: Systematic Review and Meta-Analysis of Observational Studies," IJERPH, MDPI, vol. 18(21), pages 1-20, November.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11556-:d:671482
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    References listed on IDEAS

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    1. Izquierdo, J.N. & Schoenbach, V.J., 2000. "The potential and limitations of data from population-based state cancer registries," American Journal of Public Health, American Public Health Association, vol. 90(5), pages 695-698.
    2. Vincenza Gianfredi & Lorenzo Blandi & Stefano Cacitti & Mirko Minelli & Carlo Signorelli & Andrea Amerio & Anna Odone, 2020. "Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(10), pages 1-20, May.
    3. Daniele Nucci & Cristina Fatigoni & Tania Salvatori & Mariateresa Nardi & Stefano Realdon & Vincenza Gianfredi, 2021. "Association between Dietary Fibre Intake and Colorectal Adenoma: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(8), pages 1-23, April.
    4. Daniele Nucci & Cristina Fatigoni & Andrea Amerio & Anna Odone & Vincenza Gianfredi, 2020. "Red and Processed Meat Consumption and Risk of Depression: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(18), pages 1-20, September.
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    Cited by:

    1. Vincenza Gianfredi & Pietro Ferrara & Monica Dinu & Mariateresa Nardi & Daniele Nucci, 2022. "Diets, Dietary Patterns, Single Foods and Pancreatic Cancer Risk: An Umbrella Review of Meta-Analyses," IJERPH, MDPI, vol. 19(22), pages 1-19, November.
    2. Daniele Nucci & Vincenza Gianfredi & Pietro Ferrara & Omar Enzo Santangelo & Beatrice Varotto & Alessandra Feltrin & Antonella Galiano & Mariateresa Nardi, 2023. "Association between Malnutrition and Depression in Patients with Cancer: The Importance of Nutritional Status Evaluation in Cancer Care," IJERPH, MDPI, vol. 20(3), pages 1-10, January.
    3. Daniele Nucci & Mariateresa Nardi & Andrea Cinnirella & Emanuela Campagnoli & Manuel Maffeo & Pier Mario Perrone & Viktoriia Shishmintseva & Francesca Maria Grosso & Ambra Castrofino & Silvana Castald, 2023. "Adherence to Mediterranean Diet and Risk of Pancreatic Cancer: Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(3), pages 1-24, January.

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