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Yogurt consumption and risk of mortality from all causes, CVD and cancer: a comprehensive systematic review and dose–response meta-analysis of cohort studies

To quantify the dose-response relation between yogurt consumption and risk of mortality from all causes, CVD and cancer. Systematic review and meta-analysis. We conducted a comprehensive search of PubMed/Medline, ISI Web of Science and Scopus databases through August 2022 for cohort studies reportin...

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Published in:Public health nutrition 2023-06, Vol.26 (6), p.1196-1209
Main Authors: Tutunchi, Helda, Naghshi, Sina, Naemi, Mohammad, Naeini, Fatemeh, Esmaillzadeh, Ahmad
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description To quantify the dose-response relation between yogurt consumption and risk of mortality from all causes, CVD and cancer. Systematic review and meta-analysis. We conducted a comprehensive search of PubMed/Medline, ISI Web of Science and Scopus databases through August 2022 for cohort studies reporting the association of yogurt consumption with mortality from all causes, CVD and cancer. Summary relative risks (RR) and 95 % CI were calculated with a random-effects model. Seventeen cohort studies (eighteen publications) of 896 871 participants with 75 791 deaths (14 623 from CVD and 20 554 from cancer). High intake of yogurt compared with low intake was significantly associated with a lower risk of deaths from all causes (pooled RR 0·93; 95 % CI: 0·89, 0·98, I = 47·3 %, 12 studies) and CVD (0·89; 95 % CI: 0·81, 0·98, I = 33·2 %, 11), but not with cancer (0·96; 95 % CI: 0·89, 1·03, I = 26·5 %, 12). Each additional serving of yogurt consumption per d was significantly associated with a reduced risk of all-cause (0·93; 95 % CI: 0·86, 0·99, I = 63·3 %, 11) and CVD mortality (0·86; 95 % CI: 0·77, 0·99, I = 36·6 %, 10). There was evidence of non-linearity between yogurt consumption and risk of all-cause and CVD mortality, and there was no further reduction in risk above 0·5 serving/d. Summarising earlier cohort studies, we found an inverse association between yogurt consumption and risk of all-cause and CVD mortality; however, there was no significant association between yogurt consumption and risk of cancer mortality.
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Systematic review and meta-analysis. We conducted a comprehensive search of PubMed/Medline, ISI Web of Science and Scopus databases through August 2022 for cohort studies reporting the association of yogurt consumption with mortality from all causes, CVD and cancer. Summary relative risks (RR) and 95 % CI were calculated with a random-effects model. Seventeen cohort studies (eighteen publications) of 896 871 participants with 75 791 deaths (14 623 from CVD and 20 554 from cancer). High intake of yogurt compared with low intake was significantly associated with a lower risk of deaths from all causes (pooled RR 0·93; 95 % CI: 0·89, 0·98, I = 47·3 %, 12 studies) and CVD (0·89; 95 % CI: 0·81, 0·98, I = 33·2 %, 11), but not with cancer (0·96; 95 % CI: 0·89, 1·03, I = 26·5 %, 12). Each additional serving of yogurt consumption per d was significantly associated with a reduced risk of all-cause (0·93; 95 % CI: 0·86, 0·99, I = 63·3 %, 11) and CVD mortality (0·86; 95 % CI: 0·77, 0·99, I = 36·6 %, 10). There was evidence of non-linearity between yogurt consumption and risk of all-cause and CVD mortality, and there was no further reduction in risk above 0·5 serving/d. Summarising earlier cohort studies, we found an inverse association between yogurt consumption and risk of all-cause and CVD mortality; however, there was no significant association between yogurt consumption and risk of cancer mortality.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980022002385</identifier><identifier>PMID: 36349966</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Cancer ; Cardiovascular disease ; Cardiovascular Diseases ; Cohort analysis ; Cohort Studies ; Cohort study ; Consumption ; Coronary vessels ; Dairy ; Dairy products ; Death ; Diet ; Estimates ; Fatalities ; Health risks ; Heart attacks ; Humans ; Ischemia ; Meta-analysis ; Microbiota ; Mortality ; Mortality risk ; Neoplasms ; Nutritional Epidemiology ; Risk assessment ; Risk Factors ; Risk management ; Risk reduction ; Stroke ; Systematic Review and Meta-Analysis ; Trends ; Vein &amp; artery diseases ; Yogurt</subject><ispartof>Public health nutrition, 2023-06, Vol.26 (6), p.1196-1209</ispartof><rights>The Author(s), 2022. 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Systematic review and meta-analysis. We conducted a comprehensive search of PubMed/Medline, ISI Web of Science and Scopus databases through August 2022 for cohort studies reporting the association of yogurt consumption with mortality from all causes, CVD and cancer. Summary relative risks (RR) and 95 % CI were calculated with a random-effects model. Seventeen cohort studies (eighteen publications) of 896 871 participants with 75 791 deaths (14 623 from CVD and 20 554 from cancer). High intake of yogurt compared with low intake was significantly associated with a lower risk of deaths from all causes (pooled RR 0·93; 95 % CI: 0·89, 0·98, I = 47·3 %, 12 studies) and CVD (0·89; 95 % CI: 0·81, 0·98, I = 33·2 %, 11), but not with cancer (0·96; 95 % CI: 0·89, 1·03, I = 26·5 %, 12). Each additional serving of yogurt consumption per d was significantly associated with a reduced risk of all-cause (0·93; 95 % CI: 0·86, 0·99, I = 63·3 %, 11) and CVD mortality (0·86; 95 % CI: 0·77, 0·99, I = 36·6 %, 10). There was evidence of non-linearity between yogurt consumption and risk of all-cause and CVD mortality, and there was no further reduction in risk above 0·5 serving/d. Summarising earlier cohort studies, we found an inverse association between yogurt consumption and risk of all-cause and CVD mortality; however, there was no significant association between yogurt consumption and risk of cancer mortality.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>36349966</pmid><doi>10.1017/S1368980022002385</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-6226-7403</orcidid><orcidid>https://orcid.org/0000-0002-4795-1757</orcidid><oa>free_for_read</oa></addata></record>
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subjects Cancer
Cardiovascular disease
Cardiovascular Diseases
Cohort analysis
Cohort Studies
Cohort study
Consumption
Coronary vessels
Dairy
Dairy products
Death
Diet
Estimates
Fatalities
Health risks
Heart attacks
Humans
Ischemia
Meta-analysis
Microbiota
Mortality
Mortality risk
Neoplasms
Nutritional Epidemiology
Risk assessment
Risk Factors
Risk management
Risk reduction
Stroke
Systematic Review and Meta-Analysis
Trends
Vein & artery diseases
Yogurt
title Yogurt consumption and risk of mortality from all causes, CVD and cancer: a comprehensive systematic review and dose–response meta-analysis of cohort studies
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