Dietary carrot consumption and the risk of prostate cancer

AbstractPurposePrevious studies regarding the association between carrot intake and prostate cancer risk have reported inconsistent results. We conducted a meta-analysis to summarize evidence on this association and to quantify the potential dose–response relationship. MethodA systematic literature search of papers published in August 2013 was conducted using PubMed, EMBASE, Scopus, Web of Science, the Cochrane register, and the Chinese National Knowledge Infrastructure databases, and the references of the retrieved articles were screened. The summary risk estimates with 95 % confidence intervals (CIs) for the highest versus the lowest intake of carrots were calculated. A dose–response meta-analysis was also conducted for the studies reporting categorical risk estimates for a series of exposure levels.ResultsWe found a significantly decreased risk of prostate cancer associated with the intake of carrots (odds ratio 0.82, 95 % CI 0.70–0.97). In addition, the dose–response meta-analysis indicated that for each serving per week, or 10 g per day increment of carrot intake, the risk estimate of prostate cancer was 0.95 (0.90–0.99) or 0.96 (0.94–0.99). There was no evidence of significant publication bias based on Begg’s funnel plot (P = 1.000) or Egger’s test (P = 0.804).ConclusionCarrot intake might be inversely associated with prostate cancer risk. Because of the limited number of cohort studies and substantial heterogeneity observed between studies in this meta-analysis, further well-designed prospective studies are warranted to confirm the findings from our study.

[1]  C. la Vecchia,et al.  Diet and prostatic cancer: a case-control study in northern Italy. , 1992, Nutrition and cancer.

[2]  S. Greenland,et al.  Methods for trend estimation from summarized dose-response data, with applications to meta-analysis. , 1992, American journal of epidemiology.

[3]  C. la Vecchia,et al.  Dietary intake of fruit and vegetable and lung cancer risk: a case-control study in Harbin, northeast China. , 2006, Annals of oncology : official journal of the European Society for Medical Oncology.

[4]  C. la Vecchia,et al.  Dietary intake of selected micronutrients and gastric cancer risk: an Italian case-control study. , 2009, Annals of oncology : official journal of the European Society for Medical Oncology.

[5]  S. Thompson,et al.  Quantifying heterogeneity in a meta‐analysis , 2002, Statistics in medicine.

[6]  Karel G M Moons,et al.  More than numbers: the power of graphs in meta-analysis. , 2008, American journal of epidemiology.

[7]  Chih-min Yang,et al.  Growth inhibitory efficacy of lycopene and β-carotene against androgen-independent prostate tumor cells xenografted in nude mice. , 2011, Molecular nutrition & food research.

[8]  P. Ewings,et al.  A case-control study of cancer of the prostate in Somerset and east Devon. , 1996, British Journal of Cancer.

[9]  D. Penson,et al.  Obesity, body composition, and prostate cancer , 2012, BMC Cancer.

[10]  F. Backx,et al.  Risk Factors for Hamstring Injuries in Male Soccer Players: A Systematic Review of Prospective Studies , 2013, Scandinavian journal of medicine & science in sports.

[11]  A. Whittemore,et al.  Vegetables, fruits, legumes and prostate cancer: a multiethnic case-control study. , 2000, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[12]  L. Balluz,et al.  Serum α-carotene concentrations and risk of death among US Adults: the Third National Health and Nutrition Examination Survey Follow-up Study. , 2011, Archives of internal medicine.

[13]  A. Walker,et al.  Case-control study of prostate cancer in black patients in Soweto, South Africa. , 1992, British Journal of Cancer.

[14]  Nicola Orsini,et al.  Vitamin B6 and risk of colorectal cancer: a meta-analysis of prospective studies. , 2010, JAMA.

[15]  L. Tanoue Cancer Statistics, 2009 , 2010 .

[16]  Y. Nishino,et al.  Mass screening-based case-control study of diet and prostate cancer in Changchun, China. , 2008, Asian journal of andrology.

[17]  N. Laird,et al.  Meta-analysis in clinical trials. , 1986, Controlled clinical trials.

[18]  N. Hamajima,et al.  Foods and beverages in relation to urothelial cancer: Case‐control study in Japan , 2004, International journal of urology : official journal of the Japanese Urological Association.

[19]  D. Spiegelman,et al.  Fruit and vegetable intake in relation to risk of breast cancer in the Black Women's Health Study. , 2010, American journal of epidemiology.

[20]  B. Frei Reactive oxygen species and antioxidant vitamins: mechanisms of action. , 1994, The American journal of medicine.

[21]  P. Stattin,et al.  Prospective study on metabolic factors and risk of prostate cancer , 2012, Cancer.

[22]  D. Bishop,et al.  A case-control study of diet and prostate cancer. , 1997, British Journal of Cancer.

[23]  C. Begg,et al.  Operating characteristics of a rank correlation test for publication bias. , 1994, Biometrics.

[24]  G A Colditz,et al.  Intake of carotenoids and retinol in relation to risk of prostate cancer. , 1995, Journal of the National Cancer Institute.

[25]  F. Speizer,et al.  Prospective study of smoking, antioxidant intake, and lung cancer in middle-aged women (USA) , 2004, Cancer Causes & Control.

[26]  A. Wolk,et al.  Body mass index and incidence of localized and advanced prostate cancer--a dose-response meta-analysis of prospective studies. , 2012, Annals of oncology : official journal of the European Society for Medical Oncology.

[27]  Meiyuan Xing,et al.  Carotenoid intake and esophageal cancer risk: a meta-analysis. , 2013, Asian Pacific journal of cancer prevention : APJCP.

[28]  A. Jemal,et al.  Cancer Statistics, 2009 , 2009, CA: a cancer journal for clinicians.

[29]  P. Palozza,et al.  The sensitivity to beta-carotene growth-inhibitory and proapoptotic effects is regulated by caveolin-1 expression in human colon and prostate cancer cells. , 2008, Carcinogenesis.

[30]  R. Lotan,et al.  Retinoids and their receptors in cancer development and chemoprevention. , 2002, Critical reviews in oncology/hematology.

[31]  W. Haenszel,et al.  Statistical aspects of the analysis of data from retrospective studies of disease. , 1959, Journal of the National Cancer Institute.

[32]  S. Darby,et al.  A multicenter case–control study of diet and lung cancer among non-smokers , 2004, Cancer Causes & Control.

[33]  M. Pike,et al.  Prostate cancer incidence and intake of fruits, vegetables and related micronutrients: the multiethnic cohort study* (United States) , 2006, Cancer Causes & Control.

[34]  J. Marinković,et al.  Diet and Bladder Cancer: A Case–Control Study , 2004, International Urology and Nephrology.

[35]  Nicola Orsini,et al.  Meta-analysis for linear and nonlinear dose-response relations: examples, an evaluation of approximations, and software. , 2012, American journal of epidemiology.

[36]  S Duval,et al.  Trim and Fill: A Simple Funnel‐Plot–Based Method of Testing and Adjusting for Publication Bias in Meta‐Analysis , 2000, Biometrics.

[37]  C. la Vecchia,et al.  Role of different types of vegetables and fruit in the prevention of cancer of the colon, rectum, and breast. , 1998, Epidemiology.

[38]  Jian-Hua Fu,et al.  Greater vegetable and fruit intake is associated with a lower risk of breast cancer among Chinese women , 2009, International journal of cancer.

[39]  R. Jackson,et al.  Prostate cancer and dietary carotenoids. , 2000, American journal of epidemiology.

[40]  J. Stanford,et al.  Fruit and vegetable intakes and prostate cancer risk. , 2000, Journal of the National Cancer Institute.

[41]  R. Goldbohm,et al.  Consumption of vegetables and fruits and urothelial cancer incidence: a prospective study. , 2001, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[42]  F. Harrell,et al.  Regression models in clinical studies: determining relationships between predictors and response. , 1988, Journal of the National Cancer Institute.

[43]  C. la Vecchia,et al.  Dietary intake of carotenoids and retinol and endometrial cancer risk in an Italian case–control study , 2008, Cancer Causes & Control.

[44]  A. Mittal,et al.  Prostate biomarkers with reference to body mass index and duration of prostate cancer. , 2012, Asian Pacific journal of cancer prevention : APJCP.

[45]  C. Mathers,et al.  Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008 , 2010, International journal of cancer.

[46]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement , 2009, BMJ.

[47]  A. Harris,et al.  REporting recommendations for tumour MARKer prognostic studies (REMARK) , 2005, British Journal of Cancer.

[48]  Yanlei Ma,et al.  Association between vitamin D and risk of colorectal cancer: a systematic review of prospective studies. , 2011, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.