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
References
Mathew A, Devesa SS, Fraumeni JF Jr, Chow WH (2002) Global increases in kidney cancer incidence, 1973–1992. Eur J Cancer Prev 11:171–178. doi:10.1097/00008469-200204000-00010
Statistics Canada (2007) Cancer incidence in Canada, Statistics Canada Catalogue no. 82–231-XIE-2007001. Minister of Industry, Ottawa
Pischon T, Lahmann PH, Boeing H et al (2004) Body size and risk of renal cell carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC). Int J Cancer 118:728–738. doi:10.1002/ijc.21398
IARC (2004) IARC Monographs on the evaluation of carcinogenic risk to humans, Vol. 83, Tobacco smoke and involuntary smoking. IARC Press, Lyon
Faramawi MF, Johnson E, Fry MW, Sall M, Zhou Y (2007) Consumption of different types of meat and the risk of renal cancer: meta-analysis of case-control studies. Cancer Causes Control 18:125–133. doi:10.1007/s10552-006-0104-9
Bravi F, Bosetti C, Scotti L et al (2006) Food group and renal cell carcinoma: a case-control study from Italy. Int J Cancer 120:681–685. doi:10.1002/ijc.22225
Rashidkhani B, Akesson A, Lindblad P, Wolk A (2005) Major dietary patterns and risk of renal cell carcinoma in a prospective cohort of Swedish women. J Nutr 135:1757–1762
Weikert S, Boing H, Pischon T et al (2006) Fruits and vegetables and renal cell carcinoma: findings from the European Prospective Investigation into Cancer and Nutrition (EPIC). Int J Cancer 118:3133–3139. doi:10.1002/ijc.21765
Clark SF (2002) The biochemistry of antioxidants revisited. Nutr Clin Pract 17:5–7. doi:10.1177/011542650201700105
International Agency for Research on Cancer (2003) Fruit and vegetables. IARC Handbook of cancer prevention. Vol 8. IARC, Lyon
Lee E, Giovannucci E, Smith-Warner SA, Spiegelman D, Willett WC, Curhan GC (2006) Intake of fruits, vegetables, vitamin A, C, and E, and carotenoids and risk of renal cell cancer. Cancer Epidemiol Biomarkers Prev 15:2445–2452. doi:10.1158/1055-9965.EPI-06-0553
Bosetti C, Scotti L, Dal Maso L et al (2006) Micronutrients and the risk of renal cell cancer: a case-control study from Italy. Int J Cancer 120:892–896. doi:10.1002/ijc.22374
Nicodemus KK, Sweeney C, Folsom AR (2004) Evaluation of dietary, medical and lifestyle risk factors for incident kidney cancer in postmenopausal women. Int J Cancer 108:115–121. doi:10.1002/ijc.11532
Wolk A, Gridley G, Niwa S et al (1996) International renal-cell cancer study. VII. Role of diet. Int J Cancer 65:67–73. doi:10.1002/(SICI)1097-0215(19960103)65:1<67::AID-IJC12>3.0.CO;2-F
Chow WH, Gridley G, McLaughlin JK et al (1994) Protein intake and risk of renal cell cancer. J Natl Cancer Inst 86:1131–1139. doi:10.1093/jnci/86.15.1131
Prineas RJ, Folsom AR, Zhang ZM, Sellers TA, Potter J (1997) Nutrition and other risk factors for renal cell carcinoma in postmenopausal women. Epidemiology 8:31–36. doi:10.1097/00001648-199701000-00005
van Dijk BAC, Schouten LJ, Oosterwijk E et al (2008) Carotenoid and vitamin intake, von Hippel-Lindau gene mutations and sporadic renal cell carcinoma. Cancer Causes Control 19:125–134. doi:10.1007/s10552-007-9078-5
World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington, DC
Johnson KC, Mao Y, Argo J, Dubois S, Semenciw R, Lava J, The Canadian Cancer Registries Epidemiology Research Group (1998) The National Enhanced Cancer Surveillance System: a case-control approach to environmental-related cancer surveillance in Canada. Environmetrics 9:495–504. doi:10.1002/(SICI)1099-095X(199809/10)9:5<495::AID-ENV318>3.0.CO;2-H
Percy C, Holten VV, Muir C (1990) International classification of diseases for oncology, 2nd edn. World Health Organization, Geneva
World Health Organization (2000) Obesity: preventing and managing the global epidemic. World Health Organization Technical Report Series, No. 894. Report of a WHO consultation. World Health Organization, Geneva
Block G, Hartman AM, Naughton D (1990) A reduced dietary questionnaire: development and validation. Epidemiology 1:58–64. doi:10.1097/00001648-199001000-00013
Willett WC (1998) Nutritional epidemiology, 2nd edn. Oxford University Press, New York
Health Canada (2005) Canadian nutrient file compilation of Canadian food composition data. Users’ Guide. Nutrition Research Division and Office of Information Management Technology Health Products and Food Branch, Health Canada
Hu J, Yang M, White K, The Canadian Registries Epidemiology Research Group (2003) Diet and vitamin or mineral supplements and risk of renal cell carcinoma in Canada. Cancer Causes Control 14:705–714. doi:10.1023/A:1026310323882
Hu J, La Vecchia C, DesMeules M, Negri E, Mery L, Canadian Cancer Registries Epidemiology Research Group (2008) Nutrient and fiber intake and risk of renal cell carcinoma. Nutr Cancer 60:720–728. doi:10.1080/01635580802283335
SAS Institute Inc (2002) The SAS System for Windows Release 9.01. SAS Institute Inc, Carey (NC)
Salganik RI (2001) The benefits and hazards of antioxidants: controlling apoptosis and other protective mechanisms in cancer patients and the human population. J Am Coll Nutr 20:464S–472S (discussion 73S–75S)
Yuan JM, Gago-Dominguez M, Castelao JE, Hankin JH, Ross RK, Yu MC (1998) Cruciferous vegetables in relation to renal cell carcinoma. Int J Cancer 77:211–216. doi:10.1002/(SICI)1097-0215(19980717)77:2<211::AID-IJC7>3.0.CO;2-T
Maclure M, Willet W (1990) A case-control study of diet and risk of renal adenocarcinoma. Epidemiology 1:430–440
Lindblad P, Wolk A, Bergstrom R, Adami HO (1997) Diet and risk of renal cell cancer: a population-based case-control study. Cancer Epidemiol Biomarkers Prev 6:215–223
Mellemgaard A, McLaughlin JK, Overvad K, Olsen JH (1996) Dietary risk factors for renal cell carcinoma in Demark. Eur J Cancer 32A:673–682. doi:10.1016/0959-8049(95)00633-8
van Dijk BA, Schouten LJ, Kiemeney LA, Goldbohm RA, van den Brandt PA (2005) Vegetable and fruit consumption and risk of renal cell carcinoma: results from the Netherlands cohort study. Int J Cancer 117:648–654. doi:10.1002/ijc.21203
Rashidkhani B, Lindblad P, Wolk A (2005) Fruit, vegetables and risk of renal cell carcinoma: a prospective study of Swedish women. Int J Cancer 113:451–455. doi:10.1002/ijc.20577
Potter JD, Steinmetz K (1996) Vegetables, fruit and phytoestrogens as preventive agents. In: Stewart BW, McGregor D, Kleihues P (eds) Principles of chemoprevention, Publication No. 139. International Agency for Research on Cancer, Lyon, pp 61–69
Rao AV, Ray MR, Rao LG (2006) Lycopene. Adv Food Nutr Res 51:99–164. doi:10.1016/S1043-4526(06)51002-2
Coulter ID, Hardy ML, Morton SC et al (2006) Antioxidants vitamin C and vitamin E for the prevention and treatment of cancer. J Gen Intern Med 21:735–744. doi:10.1111/j.1525-1497.2006.00483.x
Bardia A, Tleyjeh IM, Cerhan JR et al (2008) Efficacy of antioxidant supplementation in reducing primary cancer incidence and mortality: systematic review and meta-analysis. Mayo Clin Proc 83:23–34. doi:10.4065/83.1.23
Copeland KT, Checkoway H, McMichale AJ, Holbrook RH (1977) Bias due to misclassification in the estimate of relative risk. Am J Epidemiol 105:488–495
Hu J, Mery L, DesMeules M, Macleod M, The Canadian Cancer Registries Epidemiology Research Group (2007) Diet and vitamin or mineral supplementation and risk of rectal cancer in Canada. Acta Oncol 46:342–354. doi:10.1080/02841860600746982
Hu J, Morrison H, Mery L, Desmeules M, Macleod M, The Canadian Cancer Registries Epidemiology Research Group (2007) Diet and vitamin or mineral supplementation and risk of colon cancer by subsite in Canada. Eur J Cancer Prev 16:275–291. doi:10.1097/01.cej.0000228411.21719.25
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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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.
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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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DOI: https://doi.org/10.1007/s10552-009-9371-6