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Association between Dietary Fibre Intake and Colorectal Adenoma: A Systematic Review and Meta-Analysis

Author

Listed:
  • Daniele Nucci

    (Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, Via Gattamelata 64, 35128 Padua, Italy)

  • Cristina Fatigoni

    (Department of Pharmaceutical Sciences, University of Perugia, Via del Giochetto, 06122 Perugia, Italy)

  • Tania Salvatori

    (Department of Pharmaceutical Sciences, University of Perugia, Via del Giochetto, 06122 Perugia, Italy)

  • Mariateresa Nardi

    (Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, Via Gattamelata 64, 35128 Padua, Italy)

  • Stefano Realdon

    (Digestive Endoscopy Unit, Veneto Institute of Oncology IOV-IRCCS, Via Gattamelata 64, 35128 Padua, 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

PubMed/Medline, Excerpta Medica dataBASE (EMBASE) and Scopus were searched in January 2021 in order to retrieve evidence assessing the association between dietary fibre intake and the risk of colorectal adenoma in adults. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used for the reporting of results. Only primary observational studies were included. Publication bias was estimated through the Egger’s test and the visual inspection of the funnel plot. Heterogeneity between studies was calculated with I 2 statistics. The search strategy identified 683 papers, 21 of which were included in our meta-analysis. Having evaluated a total of 157,725 subjects, the results suggest a protective effect of dietary fibre intake against colorectal adenoma. Effect Size (ES) was [0.71 (95% CI = 0.68–0.75), p = 0.000)]. Moderate statistical heterogeneity (Chi 2 = 61.68, df = 23, I 2 = 62.71%, p = 0.000) was found. Findings show a statistically significant ( p = 0.000) and robust association between a higher intake of dietary fibre and a lower risk of colorectal adenoma, considering both the prevalent and incident risk. Moreover, the meta-regression analysis showed a borderline significant negative linear correlation between the amount of dietary fibre intake and colorectal adenoma. Lastly, we performed a subgroup analysis by sex, showing a higher protective effect for men.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4168-:d:536500
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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    Cited by:

    1. 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.
    2. Vincenza Gianfredi & Pietro Ferrara & Flavia Pennisi & Giulia Casu & Andrea Amerio & Anna Odone & Daniele Nucci & Monica Dinu, 2022. "Association between Daily Pattern of Physical Activity and Depression: A Systematic Review," IJERPH, MDPI, vol. 19(11), pages 1-12, May.
    3. Daniele Nucci & Omar Enzo Santangelo & Sandro Provenzano & Mariateresa Nardi & Alberto Firenze & Vincenza Gianfredi, 2022. "Altered Food Behavior and Cancer: A Systematic Review of the Literature," IJERPH, MDPI, vol. 19(16), pages 1-15, August.
    4. Hania M. Taha & Alexander N. Slade & Betty Schwartz & Anna E. Arthur, 2022. "A Case–Control Study Examining the Association of Fiber, Fruit, and Vegetable Intake and the Risk of Colorectal Cancer in a Palestinian Population," IJERPH, MDPI, vol. 19(12), pages 1-11, June.
    5. 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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