PMID- 31356099 OWN - NLM STAT- MEDLINE DCOM- 20200922 LR - 20200922 IS - 1735-3947 (Electronic) IS - 1029-2977 (Linking) VI - 22 IP - 6 DP - 2019 Jun 1 TI - Dietary Total Antioxidant Capacity and Risk of Gastrointestinal Cancers: A Systematic Review and Meta-analysis of Observational Studies. PG - 328-335 AB - BACKGROUND: Gastrointestinal (GI) cancers are common types of cancers. Among different factors that affect the etiology of GI cancers, diet has an important contribution. Dietary antioxidants decrease oxidative stress which plays a pivotal role in carcinogenesis. Several studies assessed the relation between dietary total antioxidant capacity (TAC) and risk of GI cancers. Dietary TAC was measured by three indices including FRAP (ferric ion reducing antioxidant power), TRAP (total radical-trapping antioxidant parameter), and TEAC (trolox equivalent antioxidant capacity). We performed a systematic review and meta-analysis of published studies to determine the association between dietary TAC and GI cancers risk. METHODS: Eligible studies were selected from PubMed, ISI Web of Science and Scopus databases from inception until May 2018. Case-control and cohort studies that reported GI cancer risk estimates for dietary TAC were included. We ignored the distinction between case-control and cohort studies. We applied random-effects to estimate pooled relative risks. Subgroup analysis was done based on study design. RESULTS: Among the seven observational studies that were included, four were cohort studies and three were case-control studies. Dietary FRAP, TRAP, and TEAC reduced GI cancer risk: FRAP; 0.71; 95% CI: 0.58-0.85, TRAP; 0.65; 95% CI: 0.57-0.75, TEAC; 0.70; 95% CI: 0.59-0.83, respectively. CONCLUSION: This study indicated that dietary TAC significantly decreased the risk of GI cancers. Nevertheless, further prospective studies are required to clarify the association between dietary TAC and risk of GI cancers. CI - (c) 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. FAU - Zamani, Behzad AU - Zamani B AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. AD - Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS), Tehran, Iran. FAU - Daneshzad, Elnaz AU - Daneshzad E AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Azadbakht, Leila AU - Azadbakht L AUID- ORCID: 0000-0002-5955-6818 AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. AD - Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. AD - Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20190601 PL - Iran TA - Arch Iran Med JT - Archives of Iranian medicine JID - 100889644 RN - 0 (Antioxidants) SB - IM MH - Antioxidants/*administration & dosage MH - *Diet MH - Gastrointestinal Neoplasms/*epidemiology MH - Humans MH - Observational Studies as Topic MH - Risk OTO - NOTNLM OT - Cancer risk OT - Dietary total antioxidant capacity OT - FRAP OT - Gastrointestinal cancers OT - TEAC OT - TRAP EDAT- 2019/07/30 06:00 MHDA- 2020/09/23 06:00 CRDT- 2019/07/30 06:00 PHST- 2018/08/02 00:00 [received] PHST- 2019/04/07 00:00 [accepted] PHST- 2019/07/30 06:00 [entrez] PHST- 2019/07/30 06:00 [pubmed] PHST- 2020/09/23 06:00 [medline] AID - S1029-2977-22(06)328-0 [pii] PST - epublish SO - Arch Iran Med. 2019 Jun 1;22(6):328-335.