Skip to main content
Erschienen in: European Journal of Nutrition 4/2019

09.05.2018 | Original Contribution

Vitamin B2 intake reduces the risk for colorectal cancer: a dose–response analysis

verfasst von: Shuai Ben, Mulong Du, Gaoxiang Ma, Jianhua Qu, Liyang Zhu, Haiyan Chu, Zhengdong Zhang, Yuan Wu, Dongying Gu, Meilin Wang

Erschienen in: European Journal of Nutrition | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Several epidemiological studies have assessed the ability of vitamin B2 to prevent colorectal cancer (CRC), but the results are controversial results. We conducted a dose–response meta-analysis to investigate the association between vitamin B2 and CRC risk.

Methods

We searched the PubMed and EMBASE database until January 3, 2018 to identify relevant studies. The pooled relative risks (RRs) with the corresponding 95% confidence intervals (CIs) were calculated using a random-effects model or fixed-effects model. The dose–response relationship was assessed by restricted cubic splines.

Results

A total of 14 studies reporting vitamin B2 intake and two studies reporting blood vitamin B2 concentration, comprising 14,934 cases and 1593 cases, respectively, were included in the meta-analysis. Vitamin B2 intake was inversely associated with CRC risk (RR = 0.87; 95% CI 0.81–0.93). Similar results were found for total vitamin B2 intake from diet and supplements (RR = 0.86; 95% CI 0.78–0.94) and dietary vitamin B2 intake (RR = 0.89, 95% CI 0.82–0.98) in subgroup analyses. The dose–response model indicated a non-linear trend, and CRC risk was reduced by 10% when vitamin B2 intake increased to 5 mg/day. In addition, high blood concentrations of vitamin B2 could also reduce the CRC risk (RR = 0.74; 95% CI 0.59–0.92).

Conclusions

This dose–response analysis indicates that vitamin B2 intake is inversely associated with CRC risk. The inverse association may also exist between blood vitamin B2 concentration and CRC risk. These results suggest the importance of vitamin B2 intake in the prevention of CRC.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
8.
Zurück zum Zitat Powers HJ (2003) Riboflavin (vitamin B-2) and health. Am J Clin Nutr 77(6):1352–1360CrossRef Powers HJ (2003) Riboflavin (vitamin B-2) and health. Am J Clin Nutr 77(6):1352–1360CrossRef
9.
Zurück zum Zitat Rivlin RS (1973) Riboflavin and cancer: a review. Cancer Res 33(9):1977–1986PubMed Rivlin RS (1973) Riboflavin and cancer: a review. Cancer Res 33(9):1977–1986PubMed
11.
Zurück zum Zitat Strohle A, Wolters M, Hahn A (2005) Folic acid and colorectal cancer prevention: molecular mechanisms and epidemiological evidence (Review). Int J Oncol 26(6):1449–1464PubMed Strohle A, Wolters M, Hahn A (2005) Folic acid and colorectal cancer prevention: molecular mechanisms and epidemiological evidence (Review). Int J Oncol 26(6):1449–1464PubMed
12.
Zurück zum Zitat La Vecchia C, Braga C, Negri E, Franceschi S, Russo A, Conti E, Falcini F, Giacosa A, Montella M, Decarli A (1997) Intake of selected micronutrients and risk of colorectal cancer. Int J Cancer 73(4):525–530CrossRef La Vecchia C, Braga C, Negri E, Franceschi S, Russo A, Conti E, Falcini F, Giacosa A, Montella M, Decarli A (1997) Intake of selected micronutrients and risk of colorectal cancer. Int J Cancer 73(4):525–530CrossRef
13.
Zurück zum Zitat Sun Z, Zhu Y, Wang PP, Roebothan B, Zhao J, Zhao J, Dicks E, Cotterchio M, Buehler S, Campbell PT, McLaughlin JR, Parfrey PS (2012) Reported intake of selected micronutrients and risk of colorectal cancer: results from a large population-based case–control study in Newfoundland, Labrador and Ontario, Canada. Anticancer Res 32(2):687–696PubMed Sun Z, Zhu Y, Wang PP, Roebothan B, Zhao J, Zhao J, Dicks E, Cotterchio M, Buehler S, Campbell PT, McLaughlin JR, Parfrey PS (2012) Reported intake of selected micronutrients and risk of colorectal cancer: results from a large population-based case–control study in Newfoundland, Labrador and Ontario, Canada. Anticancer Res 32(2):687–696PubMed
14.
Zurück zum Zitat Shrubsole MJ, Yang G, Gao Y-T, Chow WH, Shu XO, Cai Q, Rothman N, Gao J, Wagner C, Zheng W (2009) Dietary B vitamin and methionine intakes and plasma folate are not associated with colorectal cancer risk in Chinese women. Cancer Epidemiol Prev Biomark 18(3):1003–1006CrossRef Shrubsole MJ, Yang G, Gao Y-T, Chow WH, Shu XO, Cai Q, Rothman N, Gao J, Wagner C, Zheng W (2009) Dietary B vitamin and methionine intakes and plasma folate are not associated with colorectal cancer risk in Chinese women. Cancer Epidemiol Prev Biomark 18(3):1003–1006CrossRef
15.
Zurück zum Zitat Jedrychowski W, Steindorf K, Popiela T, Wahrendorf J, Tobiasz-Adamczyk B, Kulig J, Penar A (2001) Risk of colorectal cancer from alcohol consumption at lower vitamin intakes. A hospital-based case–control study in Poland. Rev Environ Health 16(3):213–222CrossRef Jedrychowski W, Steindorf K, Popiela T, Wahrendorf J, Tobiasz-Adamczyk B, Kulig J, Penar A (2001) Risk of colorectal cancer from alcohol consumption at lower vitamin intakes. A hospital-based case–control study in Poland. Rev Environ Health 16(3):213–222CrossRef
16.
Zurück zum Zitat Otani T, Iwasaki M, Hanaoka T, Kobayashi M, Ishihara J, Natsukawa S, Shaura K, Koizumi Y, Kasuga Y, Yoshimura K, Yoshida T, Tsugane S (2005) Folate, vitamin B6, vitamin B12, and vitamin B2 intake, genetic polymorphisms of related enzymes, and risk of colorectal cancer in a hospital-based case–control study in Japan. Nutr Cancer 53(1):42–50. https://doi.org/10.1207/s15327914nc5301_5 CrossRefPubMed Otani T, Iwasaki M, Hanaoka T, Kobayashi M, Ishihara J, Natsukawa S, Shaura K, Koizumi Y, Kasuga Y, Yoshimura K, Yoshida T, Tsugane S (2005) Folate, vitamin B6, vitamin B12, and vitamin B2 intake, genetic polymorphisms of related enzymes, and risk of colorectal cancer in a hospital-based case–control study in Japan. Nutr Cancer 53(1):42–50. https://​doi.​org/​10.​1207/​s15327914nc5301_​5 CrossRefPubMed
17.
Zurück zum Zitat Liu Y, Yu QY, Zhu ZL, Tang PY, Li K (2015) Vitamin B2 intake and the risk of colorectal cancer: a meta-analysis of observational studies. Asian Pac J Cancer Prev 16(3):909–913CrossRef Liu Y, Yu QY, Zhu ZL, Tang PY, Li K (2015) Vitamin B2 intake and the risk of colorectal cancer: a meta-analysis of observational studies. Asian Pac J Cancer Prev 16(3):909–913CrossRef
18.
Zurück zum Zitat Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25(9):603–605CrossRef Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25(9):603–605CrossRef
19.
Zurück zum Zitat DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Controll Clin Trials 7(3):177–188CrossRef DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Controll Clin Trials 7(3):177–188CrossRef
20.
Zurück zum Zitat Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22(4):719–748 Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22(4):719–748
21.
Zurück zum Zitat Zhang J, Yu KF (1998) What’s the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA 280(19):1690–1691CrossRef Zhang J, Yu KF (1998) What’s the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA 280(19):1690–1691CrossRef
23.
Zurück zum Zitat Hedges LV, Pigott TD (2001) The power of statistical tests in meta-analysis. Psychol Methods 6(3):203–217CrossRef Hedges LV, Pigott TD (2001) The power of statistical tests in meta-analysis. Psychol Methods 6(3):203–217CrossRef
25.
Zurück zum Zitat Harrell FE Jr, Lee KL, Pollock BG (1988) Regression models in clinical studies: determining relationships between predictors and response. J Natl Cancer Inst 80(15):1198–1202CrossRef Harrell FE Jr, Lee KL, Pollock BG (1988) Regression models in clinical studies: determining relationships between predictors and response. J Natl Cancer Inst 80(15):1198–1202CrossRef
27.
Zurück zum Zitat Greenland S, Longnecker MP (1992) Methods for trend estimation from summarized dose-response data, with applications to meta-analysis. Am J Epidemiol 135(11):1301–1309CrossRef Greenland S, Longnecker MP (1992) Methods for trend estimation from summarized dose-response data, with applications to meta-analysis. Am J Epidemiol 135(11):1301–1309CrossRef
28.
Zurück zum Zitat Thornton A, Lee P (2000) Publication bias in meta-analysis: its causes and consequences. J Clin Epidemiol 53(2):207–216CrossRef Thornton A, Lee P (2000) Publication bias in meta-analysis: its causes and consequences. J Clin Epidemiol 53(2):207–216CrossRef
29.
Zurück zum Zitat Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315(7109):629–634CrossRef Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315(7109):629–634CrossRef
31.
Zurück zum Zitat Zschabitz S, Cheng TY, Neuhouser ML, Zheng Y, Ray RM, Miller JW, Song X, Maneval DR, Beresford SA, Lane D, Shikany JM, Ulrich CM (2013) B vitamin intakes and incidence of colorectal cancer: results from the Women’s Health Initiative Observational Study cohort. Am J Clin Nutr 97(2):332–343. https://doi.org/10.3945/ajcn.112.034736 CrossRefPubMed Zschabitz S, Cheng TY, Neuhouser ML, Zheng Y, Ray RM, Miller JW, Song X, Maneval DR, Beresford SA, Lane D, Shikany JM, Ulrich CM (2013) B vitamin intakes and incidence of colorectal cancer: results from the Women’s Health Initiative Observational Study cohort. Am J Clin Nutr 97(2):332–343. https://​doi.​org/​10.​3945/​ajcn.​112.​034736 CrossRefPubMed
34.
Zurück zum Zitat Sharp L, Little J, Brockton NT, Cotton SC, Masson LF, Haites NE, Cassidy J (2008) Polymorphisms in the methylenetetrahydrofolate reductase (MTHFR) gene, intakes of folate and related B vitamins and colorectal cancer: a case–control study in a population with relatively low folate intake. Br J Nutr 99(2):379–389. https://doi.org/10.1017/S0007114507801073 CrossRefPubMed Sharp L, Little J, Brockton NT, Cotton SC, Masson LF, Haites NE, Cassidy J (2008) Polymorphisms in the methylenetetrahydrofolate reductase (MTHFR) gene, intakes of folate and related B vitamins and colorectal cancer: a case–control study in a population with relatively low folate intake. Br J Nutr 99(2):379–389. https://​doi.​org/​10.​1017/​S000711450780107​3 CrossRefPubMed
37.
Zurück zum Zitat Key TJ, Appleby PN, Masset G, Brunner EJ, Cade JE, Greenwood DC, Stephen AM, Kuh D, Bhaniani A, Powell N, Khaw KT (2012) Vitamins, minerals, essential fatty acids and colorectal cancer risk in the United Kingdom Dietary Cohort Consortium. Int J Cancer 131(3):E320–325. https://doi.org/10.1002/ijc.27386 CrossRef Key TJ, Appleby PN, Masset G, Brunner EJ, Cade JE, Greenwood DC, Stephen AM, Kuh D, Bhaniani A, Powell N, Khaw KT (2012) Vitamins, minerals, essential fatty acids and colorectal cancer risk in the United Kingdom Dietary Cohort Consortium. Int J Cancer 131(3):E320–325. https://​doi.​org/​10.​1002/​ijc.​27386 CrossRef
38.
Zurück zum Zitat Morita M, Yin G, Yoshimitsu S, Ohnaka K, Toyomura K, Kono S, Ueki T, Tanaka M, Kakeji Y, Maehara Y, Okamura T, Ikejiri K, Futami K, Maekawa T, Yasunami Y, Takenaka K, Ichimiya H, Terasaka R (2013) Folate-related nutrients, genetic polymorphisms, and colorectal cancer risk: the fukuoka colorectal cancer study. Asian Pac J Cancer Prev 14(11):6249–6256CrossRef Morita M, Yin G, Yoshimitsu S, Ohnaka K, Toyomura K, Kono S, Ueki T, Tanaka M, Kakeji Y, Maehara Y, Okamura T, Ikejiri K, Futami K, Maekawa T, Yasunami Y, Takenaka K, Ichimiya H, Terasaka R (2013) Folate-related nutrients, genetic polymorphisms, and colorectal cancer risk: the fukuoka colorectal cancer study. Asian Pac J Cancer Prev 14(11):6249–6256CrossRef
39.
Zurück zum Zitat Weinstein SJ, Albanes D, Selhub J, Graubard B, Lim U, Taylor PR, Virtamo J, Stolzenberg-Solomon R (2008) One-carbon metabolism biomarkers and risk of colon and rectal cancers. Cancer Epidemiol Prev Biomark 17(11):3233–3240CrossRef Weinstein SJ, Albanes D, Selhub J, Graubard B, Lim U, Taylor PR, Virtamo J, Stolzenberg-Solomon R (2008) One-carbon metabolism biomarkers and risk of colon and rectal cancers. Cancer Epidemiol Prev Biomark 17(11):3233–3240CrossRef
40.
Zurück zum Zitat Eussen SJ, Vollset SE, Hustad S, Midttun O, Meyer K, Fredriksen A, Ueland PM, Jenab M, Slimani N, Boffetta P, Overvad K, Thorlacius-Ussing O, Tjonneland A, Olsen A, Clavel-Chapelon F, Boutron-Ruault MC, Morois S, Weikert C, Pischon T, Linseisen J, Kaaks R, Trichopoulou A, Zilis D, Katsoulis M, Palli D, Pala V, Vineis P, Tumino R, Panico S, Peeters PH, Bueno-de-Mesquita HB, van Duijnhoven FJ, Skeie G, Munoz X, Martinez C, Dorronsoro M, Ardanaz E, Navarro C, Rodriguez L, VanGuelpen B, Palmqvist R, Manjer J, Ericson U, Bingham S, Khaw KT, Norat T, Riboli E (2010) Plasma vitamins B2, B6, and B12, and related genetic variants as predictors of colorectal cancer risk. Cancer Epidemiol Biomarkers Prev 19(10):2549–2561. https://doi.org/10.1158/1055-9965.epi-10-0407 Eussen SJ, Vollset SE, Hustad S, Midttun O, Meyer K, Fredriksen A, Ueland PM, Jenab M, Slimani N, Boffetta P, Overvad K, Thorlacius-Ussing O, Tjonneland A, Olsen A, Clavel-Chapelon F, Boutron-Ruault MC, Morois S, Weikert C, Pischon T, Linseisen J, Kaaks R, Trichopoulou A, Zilis D, Katsoulis M, Palli D, Pala V, Vineis P, Tumino R, Panico S, Peeters PH, Bueno-de-Mesquita HB, van Duijnhoven FJ, Skeie G, Munoz X, Martinez C, Dorronsoro M, Ardanaz E, Navarro C, Rodriguez L, VanGuelpen B, Palmqvist R, Manjer J, Ericson U, Bingham S, Khaw KT, Norat T, Riboli E (2010) Plasma vitamins B2, B6, and B12, and related genetic variants as predictors of colorectal cancer risk. Cancer Epidemiol Biomarkers Prev 19(10):2549–2561. https://​doi.​org/​10.​1158/​1055-9965.​epi-10-0407
41.
Zurück zum Zitat Otten JJ, Hellwig JP, Meyers LD (2006) Dietary reference intakes: the essential guide to nutrient requirements. National Academies Press Otten JJ, Hellwig JP, Meyers LD (2006) Dietary reference intakes: the essential guide to nutrient requirements. National Academies Press
43.
Zurück zum Zitat Webster RP, Gawde MD, Bhattacharya RK (1996) Modulation of carcinogen-induced DNA damage and repair enzyme activity by dietary riboflavin. Cancer Lett 98(2):129–135CrossRef Webster RP, Gawde MD, Bhattacharya RK (1996) Modulation of carcinogen-induced DNA damage and repair enzyme activity by dietary riboflavin. Cancer Lett 98(2):129–135CrossRef
44.
Zurück zum Zitat Ulrich CM (2005) Nutrigenetics in cancer research–folate metabolism and colorectal cancer. J Nutr 135(11):2698–2702CrossRef Ulrich CM (2005) Nutrigenetics in cancer research–folate metabolism and colorectal cancer. J Nutr 135(11):2698–2702CrossRef
46.
Zurück zum Zitat Agnoli C, Grioni S, Krogh V, Pala V, Allione A, Matullo G, Di Gaetano C, Tagliabue G, Pedraglio S, Garrone G, Cancarini I, Cavalleri A, Sieri S (2016) Plasma riboflavin and vitamin B-6, but not homocysteine, folate, or vitamin B-12, are inversely associated with Breast Cancer Risk in the European Prospective Investigation into Cancer and Nutrition-Varese Cohort. J Nutr 146(6):1227–1234. https://doi.org/10.3945/jn.115.225433 CrossRefPubMed Agnoli C, Grioni S, Krogh V, Pala V, Allione A, Matullo G, Di Gaetano C, Tagliabue G, Pedraglio S, Garrone G, Cancarini I, Cavalleri A, Sieri S (2016) Plasma riboflavin and vitamin B-6, but not homocysteine, folate, or vitamin B-12, are inversely associated with Breast Cancer Risk in the European Prospective Investigation into Cancer and Nutrition-Varese Cohort. J Nutr 146(6):1227–1234. https://​doi.​org/​10.​3945/​jn.​115.​225433 CrossRefPubMed
47.
Zurück zum Zitat Akimoto M, Sato Y, Okubo T, Todo H, Hasegawa T, Sugibayashi K (2006) Conversion of FAD to FMN and riboflavin in plasma:effects of measuring method. Biol Pharm Bull 29(8):1779–1782CrossRef Akimoto M, Sato Y, Okubo T, Todo H, Hasegawa T, Sugibayashi K (2006) Conversion of FAD to FMN and riboflavin in plasma:effects of measuring method. Biol Pharm Bull 29(8):1779–1782CrossRef
Metadaten
Titel
Vitamin B2 intake reduces the risk for colorectal cancer: a dose–response analysis
verfasst von
Shuai Ben
Mulong Du
Gaoxiang Ma
Jianhua Qu
Liyang Zhu
Haiyan Chu
Zhengdong Zhang
Yuan Wu
Dongying Gu
Meilin Wang
Publikationsdatum
09.05.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 4/2019
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-018-1702-5

Weitere Artikel der Ausgabe 4/2019

European Journal of Nutrition 4/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Neu im Fachgebiet Innere Medizin

22.04.2024 | DGIM 2024 | Kongressbericht | Nachrichten

Krebspatienten impfen: Was? Wen? Und wann nicht?

22.04.2024 | DGIM 2024 | Kongressbericht | Nachrichten

Nierenultraschall: Tipps vom Profi

22.04.2024 | DGIM 2024 | Kongressbericht | Nachrichten

„KI sieht, was wir nicht sehen“

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.