Diet and Melanoma in a Case-Control Study

Background: Malignant melanoma has been one of the most rapidly increasing cancers within the United States with few modifiable risk factors. This study investigates risk related to dietary factors, which are potentially modifiable. Methods: Newly diagnosed patients with melanoma ( n = 502) were rec...

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Veröffentlicht in:Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2004-06, Vol.13 (6), p.1042-1051
Hauptverfasser: MILLEN, Amy E, TUCKER, Margaret A, HARTGE, Patricia, HALPERN, Allan, ELDER, David E, GUERRY, Dupont, HOLLY, Elizabeth A, SAGEBIEL, Richard W, POTISCHMAN, Nancy
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container_end_page 1051
container_issue 6
container_start_page 1042
container_title Cancer epidemiology, biomarkers & prevention
container_volume 13
creator MILLEN, Amy E
TUCKER, Margaret A
HARTGE, Patricia
HALPERN, Allan
ELDER, David E
GUERRY, Dupont
HOLLY, Elizabeth A
SAGEBIEL, Richard W
POTISCHMAN, Nancy
description Background: Malignant melanoma has been one of the most rapidly increasing cancers within the United States with few modifiable risk factors. This study investigates risk related to dietary factors, which are potentially modifiable. Methods: Newly diagnosed patients with melanoma ( n = 502) were recruited from pigment lesion clinics and controls ( n = 565) were recruited from outpatient clinics. To investigate the relationship between melanoma and dietary factors in this case-control study, study subjects were requested to complete a food frequency questionnaire, which assessed diet over the previous year. Using logistic regression, odds ratios (ORs) for melanoma were computed for nutrient and alcohol intake. Results: Persons in high versus low quintiles of energy-adjusted vitamin D, α-carotene, β-carotene, cryptoxanthin, lutein, and lycopene had significantly reduced risk for melanoma (ORs ≤ 0.67), which remained after adjustment for presence of dysplastic nevi, education, and skin response to repeated sun exposure. Addition of micronutrients from supplements did not add an additional reduction in risk. High alcohol consumption was associated with an increased risk for melanoma, which remained after adjustment for confounders [OR (95% confidence interval) in highest versus lowest quintiles, 1.65 (1.09-2.49)]. Conclusions: Diets consisting of foods rich in vitamin D and carotenoids and low in alcohol may be associated with a reduction in risk for melanoma. These analyses should be repeated in large, prospective studies.
doi_str_mv 10.1158/1055-9965.1042.13.6
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This study investigates risk related to dietary factors, which are potentially modifiable. Methods: Newly diagnosed patients with melanoma ( n = 502) were recruited from pigment lesion clinics and controls ( n = 565) were recruited from outpatient clinics. To investigate the relationship between melanoma and dietary factors in this case-control study, study subjects were requested to complete a food frequency questionnaire, which assessed diet over the previous year. Using logistic regression, odds ratios (ORs) for melanoma were computed for nutrient and alcohol intake. Results: Persons in high versus low quintiles of energy-adjusted vitamin D, α-carotene, β-carotene, cryptoxanthin, lutein, and lycopene had significantly reduced risk for melanoma (ORs ≤ 0.67), which remained after adjustment for presence of dysplastic nevi, education, and skin response to repeated sun exposure. Addition of micronutrients from supplements did not add an additional reduction in risk. High alcohol consumption was associated with an increased risk for melanoma, which remained after adjustment for confounders [OR (95% confidence interval) in highest versus lowest quintiles, 1.65 (1.09-2.49)]. Conclusions: Diets consisting of foods rich in vitamin D and carotenoids and low in alcohol may be associated with a reduction in risk for melanoma. 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This study investigates risk related to dietary factors, which are potentially modifiable. Methods: Newly diagnosed patients with melanoma ( n = 502) were recruited from pigment lesion clinics and controls ( n = 565) were recruited from outpatient clinics. To investigate the relationship between melanoma and dietary factors in this case-control study, study subjects were requested to complete a food frequency questionnaire, which assessed diet over the previous year. Using logistic regression, odds ratios (ORs) for melanoma were computed for nutrient and alcohol intake. Results: Persons in high versus low quintiles of energy-adjusted vitamin D, α-carotene, β-carotene, cryptoxanthin, lutein, and lycopene had significantly reduced risk for melanoma (ORs ≤ 0.67), which remained after adjustment for presence of dysplastic nevi, education, and skin response to repeated sun exposure. Addition of micronutrients from supplements did not add an additional reduction in risk. High alcohol consumption was associated with an increased risk for melanoma, which remained after adjustment for confounders [OR (95% confidence interval) in highest versus lowest quintiles, 1.65 (1.09-2.49)]. Conclusions: Diets consisting of foods rich in vitamin D and carotenoids and low in alcohol may be associated with a reduction in risk for melanoma. 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Premalignant lesions</subject><subject>Vitamins - administration &amp; dosage</subject><issn>1055-9965</issn><issn>1538-7755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpN0MlOwzAQBmALgWgpPAESygUEhwQv8ZIjCqtUxAE4W44zoUFZip0I9e1J2iA4eQ7fzHh-hE4Jjgjh6ppgzsMkETwiOKYRYZHYQ3PCmQql5Hx_qH_FDB15_4kxlgnnh2hGOFExFXSOrm5L6ALT5MEzVKZpaxOUTWCC1HgI07bpXFsFr12fb47RQWEqDyfTu0Dv93dv6WO4fHl4Sm-WoY1x0oUUsORZDpRyIpXITZFQSKCAQhQiS5iiIIiVmSEs45baJJNUYgpGxspgAWyBLnZz16796sF3ui69hWr4HbS915JizKlSA2Q7aF3rvYNCr11ZG7fRBOsxIT3er8f79ZiQJkyLoetsGt9nNeR_PVMkAzifgPHWVIUzjS39P6eYEDge3OXOrcqP1XfpQNtBgnPgwTi72q7bLmY_Ms150w</recordid><startdate>20040601</startdate><enddate>20040601</enddate><creator>MILLEN, Amy E</creator><creator>TUCKER, Margaret A</creator><creator>HARTGE, Patricia</creator><creator>HALPERN, Allan</creator><creator>ELDER, David E</creator><creator>GUERRY, Dupont</creator><creator>HOLLY, Elizabeth A</creator><creator>SAGEBIEL, Richard W</creator><creator>POTISCHMAN, Nancy</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040601</creationdate><title>Diet and Melanoma in a Case-Control Study</title><author>MILLEN, Amy E ; TUCKER, Margaret A ; HARTGE, Patricia ; HALPERN, Allan ; ELDER, David E ; GUERRY, Dupont ; HOLLY, Elizabeth A ; SAGEBIEL, Richard W ; POTISCHMAN, Nancy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-2e075bde2251786daf92e9efef6f6b9382e61c7ba13b5c2c9b72702ea748a06e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Carotenoids - administration &amp; dosage</topic><topic>Case-Control Studies</topic><topic>Dermatology</topic><topic>Diet - statistics &amp; numerical data</topic><topic>Diet Surveys</topic><topic>Female</topic><topic>Humans</topic><topic>Linoleic Acid - administration &amp; dosage</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanoma - epidemiology</topic><topic>Melanoma - prevention &amp; control</topic><topic>Micronutrients - analysis</topic><topic>Middle Aged</topic><topic>Philadelphia - epidemiology</topic><topic>Risk Factors</topic><topic>San Francisco - epidemiology</topic><topic>Skin Neoplasms - epidemiology</topic><topic>Skin Neoplasms - prevention &amp; control</topic><topic>Sunlight - adverse effects</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><topic>Vitamins - administration &amp; dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MILLEN, Amy E</creatorcontrib><creatorcontrib>TUCKER, Margaret A</creatorcontrib><creatorcontrib>HARTGE, Patricia</creatorcontrib><creatorcontrib>HALPERN, Allan</creatorcontrib><creatorcontrib>ELDER, David E</creatorcontrib><creatorcontrib>GUERRY, Dupont</creatorcontrib><creatorcontrib>HOLLY, Elizabeth A</creatorcontrib><creatorcontrib>SAGEBIEL, Richard W</creatorcontrib><creatorcontrib>POTISCHMAN, Nancy</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer epidemiology, biomarkers &amp; prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MILLEN, Amy E</au><au>TUCKER, Margaret A</au><au>HARTGE, Patricia</au><au>HALPERN, Allan</au><au>ELDER, David E</au><au>GUERRY, Dupont</au><au>HOLLY, Elizabeth A</au><au>SAGEBIEL, Richard W</au><au>POTISCHMAN, Nancy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diet and Melanoma in a Case-Control Study</atitle><jtitle>Cancer epidemiology, biomarkers &amp; prevention</jtitle><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><date>2004-06-01</date><risdate>2004</risdate><volume>13</volume><issue>6</issue><spage>1042</spage><epage>1051</epage><pages>1042-1051</pages><issn>1055-9965</issn><eissn>1538-7755</eissn><abstract>Background: Malignant melanoma has been one of the most rapidly increasing cancers within the United States with few modifiable risk factors. 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subjects Adult
Aged
Alcohol Drinking - adverse effects
Biological and medical sciences
Carotenoids - administration & dosage
Case-Control Studies
Dermatology
Diet - statistics & numerical data
Diet Surveys
Female
Humans
Linoleic Acid - administration & dosage
Logistic Models
Male
Medical sciences
Melanoma - epidemiology
Melanoma - prevention & control
Micronutrients - analysis
Middle Aged
Philadelphia - epidemiology
Risk Factors
San Francisco - epidemiology
Skin Neoplasms - epidemiology
Skin Neoplasms - prevention & control
Sunlight - adverse effects
Tumors of the skin and soft tissue. Premalignant lesions
Vitamins - administration & dosage
title Diet and Melanoma in a Case-Control Study
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