Green and/or leafy vegetables and esophageal cancer.

Esophageal cancer risk: Data about the relation with esophageal cancer risk was provided by 3 cohorts, including a total of 497 cases (5, 7, 8). Nonsignificant protective effects were found in 2 cohorts (5, 8) of green leafy vegetables, and a significant protective effect of dark green vegetables was found against EAC, but not ESCC risk in the remaining cohort (7). The average RR = 0.65.

Esophageal cancer mortality: Data about the relation with esophageal cancer mortality was provided by one cohort (6). No associations were found.

Conclusion: A significant protective effect against EAC was found in one cohort, and nonsignificant protective effects were found in the other 2 cohorts. Suggestive evidence was found for a protective effect of green (leafy) vegetables against esophageal cancer risk (- 35%). No level of consumption could be defined for this effect. No evidence was found for an association with esophageal cancer death.