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Dietary vitamin C, E, and carotenoid intake and risk of renal cell carcinoma

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Abstract

Object

The study examines the association between dietary intake of vitamin C, E, and carotenoids and the risk of renal cell carcinoma (RCC).

Methods

Between 1994 and 1997 in 8 Canadian provinces, mailed questionnaires were completed by 1,138 incident, histologically confirmed cases of RCC and 5,039 population controls, including information on socio-economic status, lifestyle habits and diet. A 69-item food frequency questionnaire provided data on eating habits 2 years before data collection. Odds ratios (OR) and 95% confidence intervals (CI) were computed using unconditional logistic regression.

Results

Dietary intake of β-carotene and lutein/zeaxanthin was inversely associated with the risk of RCC. The ORs for the highest versus the lowest quartile were 0.74 (95% CI, 0.59–0.92) and 0.77 (95% CI, 0.62–0.95), respectively. The significant inverse association with β-carotene and lutein/zeaxanthin was more pronounced in women, and in overweight or obese subjects. The relation of lutein/zeaxanthin to RCC was stronger in ever smokers. No clear association was observed with vitamin C and E, β-cryptozanthin, and lycopene.

Conclusion

The findings provide evidence that a diet rich in β-carotene and lutein/zeaxanthin may play a role in RCC prevention.

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Abbreviations

BMI:

Body mass index

OR:

Odds ratio

CI:

Confidence interval

NECSS:

National Enhanced Cancer Surveillance System

RCC:

Renal cell carcinoma

FFQ:

Food frequency questionnaire

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Acknowledgments

CLV and EN were supported by the Italian Association for Cancer Research and the Italian League against cancer. CLV was a recipient of an IARC senior fellowship.

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Correspondence to Jinfu Hu.

Additional information

The Canadian Cancer Registries Epidemiology Research Group comprises a principal investigator from each of the provincial cancer registries involved in the National Enhanced Cancer Surveillance System: Bertha Paulse, MSc, BN, Newfoundland Cancer Foundation; Ron Dewar, MA, Nova Scotia Cancer Registry; Dagny Dryer, MD, Prince Edward Island Cancer Registry; Nancy Kreiger, PhD, Cancer Care Ontario; Heather Whittaker, Manitoba Cancer Treatment and Research Foundation; Diane Robson, BA, Saskatchewan Cancer Foundation; Shirley Fincham, PhD, Alberta Cancer Board; and Nhu Le, PhD, British Columbia Cancer Agency.

Appendix

Appendix

See Table 6.

Table 6 Lower quartile cutpoints for selected micronutrients among controls, NECSS study, Canada, 1994–1997

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Hu, J., La Vecchia, C., Negri, E. et al. Dietary vitamin C, E, and carotenoid intake and risk of renal cell carcinoma. Cancer Causes Control 20, 1451–1458 (2009). https://doi.org/10.1007/s10552-009-9371-6

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