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01.11.2010 | Original paper

Intakes of vitamins A, C, and E and use of multiple vitamin supplements and risk of colon cancer: a pooled analysis of prospective cohort studies

verfasst von: Yikyung Park, Donna Spiegelman, David J. Hunter, Demetrius Albanes, Leif Bergkvist, Julie E. Buring, Jo L. Freudenheim, Edward Giovannucci, R. Alexandra Goldbohm, Lisa Harnack, Ikuko Kato, Vittorio Krogh, Michael F. Leitzmann, Paul J. Limburg, James R. Marshall, Marjorie L. McCullough, Anthony B. Miller, Thomas E. Rohan, Arthur Schatzkin, Roy Shore, Sabina Sieri, Meir J. Stampfer, Jarmo Virtamo, Matty Weijenberg, Walter C. Willett, Alicja Wolk, Shumin M. Zhang, Stephanie A. Smith-Warner

Erschienen in: Cancer Causes & Control | Ausgabe 11/2010

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Abstract

Objective

To evaluate the associations between intakes of vitamins A, C, and E and risk of colon cancer.

Methods

Using the primary data from 13 cohort studies, we estimated study- and sex-specific relative risks (RR) with Cox proportional hazards models and subsequently pooled RRs using a random effects model.

Results

Among 676,141 men and women, 5,454 colon cancer cases were identified (7–20 years of follow-up across studies). Vitamin A, C, and E intakes from food only were not associated with colon cancer risk. For intakes from food and supplements (total), the pooled multivariate RRs (95% CI) were 0.88 (0.76–1.02, >4,000 vs. ≤1,000 μg/day) for vitamin A, 0.81 (0.71–0.92, >600 vs. ≤100 mg/day) for vitamin C, and 0.78 (0.66–0.92, >200 vs. ≤6 mg/day) for vitamin E. Adjustment for total folate intake attenuated these associations, but the inverse associations with vitamins C and E remained significant. Multivitamin use was significantly inversely associated with colon cancer risk (RR = 0.88, 95% CI: 0.81–0.96).

Conclusions

Modest inverse associations with vitamin C and E intakes may be due to high correlations with folate intake, which had a similar inverse association with colon cancer. An inverse association with multivitamin use, a major source of folate and other vitamins, deserves further study.

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Titel: Intakes of vitamins A, C, and E and use of multiple vitamin supplements and risk of colon cancer: a pooled analysis of prospective cohort studies
verfasst von: Yikyung Park
Donna Spiegelman
David J. Hunter
Demetrius Albanes
Leif Bergkvist
Julie E. Buring
Jo L. Freudenheim
Edward Giovannucci
R. Alexandra Goldbohm
Lisa Harnack
Ikuko Kato
Vittorio Krogh
Michael F. Leitzmann
Paul J. Limburg
James R. Marshall
Marjorie L. McCullough
Anthony B. Miller
Thomas E. Rohan
Arthur Schatzkin
Roy Shore
Sabina Sieri
Meir J. Stampfer
Jarmo Virtamo
Matty Weijenberg
Walter C. Willett
Alicja Wolk
Shumin M. Zhang
Stephanie A. Smith-Warner
Publikationsdatum: 01.11.2010
Verlag: Springer Netherlands
Erschienen in: Cancer Causes & Control / Ausgabe 11/2010
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-010-9549-y

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Intakes of vitamins A, C, and E and use of multiple vitamin supplements and risk of colon cancer: a pooled analysis of prospective cohort studies