Role of breastfeeding on maternal and childhood cancers: An umbrella review of meta-analyses

作者：Fan, Dazhi; Xia, Qing; Lin, Dongxin; Ma, Yubo; Rao, Jiaming; Liu, Li; Tang, Hai; Xu, Tingting; Li, Pengsheng; Chen, Gengdong; Zhou, Zixing; Guo, Xiaoling; Zhang, Zhifang^*; Liu, Zhengping^*

来源：Journal of Global Health, 2023, 13: 04067.

DOI：10.7189/jogh.13.04067

• ENDOMETRIAL-CANCER
• OVARIAN-CANCER
• SYSTEMATIC REVIEWS
• HEALTH OUTCOMES
• RISK EVIDENCE
• ASSOCIATION
• LEUKEMIA
• MILK
• EPIDEMIOLOGY
• MICROBIOME

Background Multiple studies and meta-analyses have claimed that breastfeeding is inversely correlated with maternal and childhood cancers. These results could either be causal or confounded by shared risk factors. By conducting an umbrella review, we aimed to consolidate the relationship between breastfeeding and maternal and childhood cancers.Methods We searched PubMed, Embase, Web of Science, Elsevier ScienceDirect, and Cochrane Library databases from inception to December 2022. Two reviewers independently extracted the data and assessed the quality of the studies using standardised forms. We considered two types of breastfeeding comparisons ("ever" vs "never" breastfeeding; and "longest" vs "shortest" duration). We es-timated the pooled risk and 95% confidence interval (CI) for each meta-analysis.Results We included seventeen meta-analyses with 55 compari-sons. There was an inverse correlation between breastfeeding and childhood leukaemia (pooled risk = 0.90, 95% CI = 0.81-0.99), neuroblastoma (pooled risk = 0.81, 95% CI = 0.71-0.93), maternal ovarian cancer (pooled risk = 0.76, CI = 0.71-0.81), breast cancer (pooled risk = 0.85, 95% CI = 0.82-0.88), and oesophageal cancer (pooled risk = 0.67, 95% CI = 0.54-0.81) for "ever" vs "never" breast-feeding; and with childhood leukaemia (pooled risk = 0.94, 95% CI = 0.89-0.98), and maternal ovarian cancer (pooled risk = 0.84, 95% CI = 0.78-0.90) and breast cancer (pooled risk = 0.92, 95% CI = 0.89-0.96) for "longest" vs "shortest" breastfeeding duration.Conclusions We found evidence that breastfeeding may reduce the risk of maternal breast cancer, ovarian cancers, and childhood leukaemia, suggesting positive implications for influencing wom-en's decision in breastfeeding.Registration PROSPERO (CRD42021255608).

• 单位
  浙江大学; 安徽医科大学; 南方医科大学; 佛山科学技术学院