1. Plasma and dietary carotenoids and vitamins A, C and E and risk of colon and rectal cancer in the European Prospective Investigation into Cancer and Nutrition
- Author
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Leenders, M., Leufkens, A.M., Siersema, P.D., Duijnhoven, F.J.B. van, Vrieling, A., Hulshof, P.J., Gils, C.H. van, Overvad, K., Roswall, N., Kyro, C., Boutron-Ruault, M.C., Fagerhazzi, G., Cadeau, C., Kuhn, T., Johnson, T., Boeing, H., Aleksandrova, K., Trichopoulou, A., Klinaki, E., Androulidaki, A., Palli, D., Grioni, S., Sacerdote, C., Tumino, R., Panico, S., Bakker, M.F., Skeie, G., Weiderpass, E., Jakszyn, P., Barricarte, A., Huerta, J. Maria, Molina-Montes, E., Arguelles, M., Johansson, I., Ljuslinder, I., Key, T.J., Bradbury, K.E., Khaw, K.T., Wareham, N.J., Ferrari, P., Duarte-Salles, T., Jenab, M., Gunter, M.J., Vergnaud, A.C., Wark, P.A., Bueno-De-Mesquita, H.B., Leenders, M, Leufkens, Am, Siersema, Pd, van Duijnhoven, Fj, Vrieling, A, Hulshof, Pj, van Gils, Ch, Overvad, K, Roswall, N, Kyr?, C, Boutron Ruault, Mc, Fagerhazzi, G, Cadeau, C, K?hn, T, Johnson, T, Boeing, H, Aleksandrova, K, Trichopoulou, A, Klinaki, E, Androulidaki, A, Palli, D, Grioni, S, Sacerdote, C, Tumino, R, Panico, Salvatore, Bakker, Mf, Skeie, G, Weiderpass, E, Jakszyn, P, Barricarte, A, Mar?a Huerta, J, Molina Montes, E, Arg?elles, M, Johansson, I, Ljuslinder, I, Key, Tj, Bradbury, Ke, Khaw, Kt, Wareham, Nj, Ferrari, P, Duarte Salles, T, Jenab, M, Gunter, Mj, Vergnaud, Ac, Wark, Pa, Bueno de Mesquita, Hb, LS IRAS EEPI GRA (Gezh.risico-analyse), IRAS RATIA2, and Risk Assessment of Toxic and Immunomodulatory Agents
- Subjects
Adult ,Male ,Ascorbic Acid ,Antioxidants ,Fruits and vegetables ,Body Mass Index ,Risk Factors ,Surveys and Questionnaires ,Odds Ratio ,Humans ,Vitamin E ,Vitamin A ,Aged ,Rectal Neoplasms ,Incidence ,Vitamins ,Middle Aged ,Colorectal cancer ,Carotenoids ,Diet ,Europe ,Oxidative Stress ,Urological cancers Radboud Institute for Health Sciences [Radboudumc 15] ,Case-Control Studies ,Colonic Neoplasms ,Multivariate Analysis ,Female - Abstract
Item does not contain fulltext Carotenoids and vitamins A, C and E are possibly associated with a reduced colorectal cancer (CRC) risk through antioxidative properties. The association of prediagnostic plasma concentrations and dietary consumption of carotenoids and vitamins A, C and E with the risk of colon and rectal cancer was examined in this case-control study, nested within the European Prospective Investigation into Cancer and Nutrition study. Plasma concentrations of carotenoids (alpha- and beta-carotene, canthaxanthin, beta-cryptoxanthin, lutein, lycopene, zeaxanthin) and vitamins A (retinol), C and E (alpha-, beta- and gamma- and delta-tocopherol) and dietary consumption of beta-carotene and vitamins A, C and E were determined in 898 colon cancer cases, 501 rectal cancer cases and 1,399 matched controls. Multivariable conditional logistic regression models were performed to estimate incidence rate ratios (IRR) and corresponding 95% confidence intervals (CIs). An association was observed between higher prediagnostic plasma retinol concentration and a lower risk of colon cancer (IRR for highest quartile = 0.63, 95% CI: 0.46, 0.87, p for trend = 0.01), most notably proximal colon cancer (IRR for highest quartile = 0.46, 95% CI: 0.27, 0.77, p for trend = 0.01). Additionally, inverse associations for dietary beta-carotene and dietary vitamins C and E with (distal) colon cancer were observed. Although other associations were suggested, there seems little evidence for a role of these selected compounds in preventing CRC through their antioxidative properties.
- Published
- 2014
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