2019
DOI: 10.3390/nu11071579
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Rectal Cancer: 20% Risk Reduction Thanks to Dietary Fibre Intake. Systematic Review and Meta-Analysis

Abstract: The aim of this systematic review and meta-analysis was to evaluate the association between dietary fibre intake and rectal cancer (RC) risk. In January 2019, a structured computer search on PubMed/Medline, Excerpta Medica dataBASE (EMBASE) and Scopus was performed for studies reporting the results of primary research evaluating dietary fibre intake in women and men as well as the risk of developing RC. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations were followed. H… Show more

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Cited by 38 publications
(34 citation statements)
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References 44 publications
(95 reference statements)
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“…The TMexD is potentially high in fibre, as it contains grains, legumes, and fruits and vegetables. High fibre intakes have been consistently inversely associated with some obesity- and diabetes-related outcomes (i.e., BMI, body fat, fasting glucose, and fasting insulin) [126], colon cancer [127,128], and cardiovascular disease [129]. The TMexD is also potentially high in antioxidants, provided by fruits, vegetables, and some legumes and seeds [51,125], which have been associated with a reduced risk of developing cardiovascular diseases and cancer [130].…”
Section: Discussionmentioning
confidence: 99%
“…The TMexD is potentially high in fibre, as it contains grains, legumes, and fruits and vegetables. High fibre intakes have been consistently inversely associated with some obesity- and diabetes-related outcomes (i.e., BMI, body fat, fasting glucose, and fasting insulin) [126], colon cancer [127,128], and cardiovascular disease [129]. The TMexD is also potentially high in antioxidants, provided by fruits, vegetables, and some legumes and seeds [51,125], which have been associated with a reduced risk of developing cardiovascular diseases and cancer [130].…”
Section: Discussionmentioning
confidence: 99%
“…11 Moreover, compared with the colon, the rectum is much more exposed to genotoxic and cytotoxic damages due to the longer transit time and to the fecal mass storage before expulsion through defecation. 68 Increasing evidence indicates an intricate interplay between whole grain, fiber, and gut microbiota, and CRC. 19,69 For example, Fusobacterium nucleatum has been known to promote colorectal carcinogenesis through various mechanisms.…”
Section: Dietary Factors and Dietary Patternmentioning
confidence: 99%
“…In order to exclude the potential overlapping effect due to the inclusion of datasets reporting results for different levels of outcome (minor and major depression; depression and subsyndromal depression) using the same pool of subjects, a sensitivity analysis was performed, excluding these data [51,52]. If there were three or more studies with relevant data, subgroup analyses were planned.…”
Section: Subgroup and Sensitivity Analysismentioning
confidence: 99%