Fish, Vitamin D, and Flavonoids in Relation to Renal Cell Cancer Among Smokers
Fish, vitamin D, flavonoids, and flavonoid-containing foods may have cardiovascular benefits and therefore may also reduce the risk of renal cell cancer. Risk was prospectively assessed in the Alpha-Tocopherol Beta-Carotene Cancer Prevention Study (1985–2002) cohort (N = 27,111; 15.2 mean person-yea...
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| creator | Wilson, Robin Taylor Wang, Jiangyue Chinchilli, Vernon Richie, John P. Virtamo, Jarmo Moore, Lee E. Albanes, Demetrius |
| description | Fish, vitamin D, flavonoids, and flavonoid-containing foods may have cardiovascular benefits and therefore may also reduce the risk of renal cell cancer. Risk was prospectively assessed in the Alpha-Tocopherol Beta-Carotene Cancer Prevention Study (1985–2002) cohort (N = 27,111; 15.2 mean person-years of follow-up). At enrollment, demographic, health, and dietary history information was recorded. Individuals who smoked less than 5 cigarettes/day, with chronic renal insufficiency or prior cancer, were excluded. Hazard ratios and 95% confidence intervals from Cox regression were used to compare upper quartiles (quartiles 2–4) with the lowest quartile (quartile 1) of dietary intake. Among 228 cases, risk (quartile 4 vs. quartile 1) was associated with consumption of the flavonoid quercetin (hazard ratio = 0.6, 95% confidence interval: 0.4, 0.9; Ptrend = 0.015) and Baltic herring (hazard ratio = 2.0, 95% confidence interval: 1.4, 3.0; Ptrend |
| doi_str_mv | 10.1093/aje/kwp178 |
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Risk was prospectively assessed in the Alpha-Tocopherol Beta-Carotene Cancer Prevention Study (1985–2002) cohort (N = 27,111; 15.2 mean person-years of follow-up). At enrollment, demographic, health, and dietary history information was recorded. Individuals who smoked less than 5 cigarettes/day, with chronic renal insufficiency or prior cancer, were excluded. Hazard ratios and 95% confidence intervals from Cox regression were used to compare upper quartiles (quartiles 2–4) with the lowest quartile (quartile 1) of dietary intake. Among 228 cases, risk (quartile 4 vs. quartile 1) was associated with consumption of the flavonoid quercetin (hazard ratio = 0.6, 95% confidence interval: 0.4, 0.9; Ptrend = 0.015) and Baltic herring (hazard ratio = 2.0, 95% confidence interval: 1.4, 3.0; Ptrend < 0.001), with adjustment for age, body mass index, smoking, blood pressure, alcohol use, physical activity, urban residence, and education. In geographically stratified models, the risks associated with herring and total fish intake appeared to be highest in the urban coast region, although the interaction was not statistically significant. These results suggest that the flavonoid quercetin may prevent renal cell cancer among male smokers. The possible risk associated with fish intake warrants further investigation before conclusions may be drawn.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwp178</identifier><identifier>PMID: 19651663</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject><![CDATA[Aged ; Analysis. Health state ; Antioxidants - administration & dosage ; Biological and medical sciences ; Cancer ; carcinoma (renal cell) ; Carcinoma, Renal Cell - epidemiology ; Carcinoma, Renal Cell - etiology ; Carcinoma, Renal Cell - prevention & control ; Clupea harengus membras ; Cohort Studies ; Confidence Intervals ; Diet ; Disease prevention ; Epidemiology ; Finland - epidemiology ; Fish ; Fish Products ; flavonoids ; Flavonoids - administration & dosage ; General aspects ; Humans ; Kidney diseases ; Kidney Neoplasms - epidemiology ; Kidney Neoplasms - etiology ; Kidney Neoplasms - prevention & control ; Kidneys ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Nephrology. Urinary tract diseases ; Nutrition ; Nutritional Status ; Original Contributions ; Phytochemicals ; Proportional Hazards Models ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quercetin - administration & dosage ; Regression Analysis ; Risk Assessment ; Smoking ; Smoking - adverse effects ; Statistics as Topic ; Tobacco, tobacco smoking ; Toxicology ; Tumors of the urinary system ; Vitamin D ; Vitamin D - administration & dosage]]></subject><ispartof>American journal of epidemiology, 2009-09, Vol.170 (6), p.717-729</ispartof><rights>American Journal of Epidemiology Published by the Johns Hopkins Bloomberg School of Public Health 2009. 2009</rights><rights>2015 INIST-CNRS</rights><rights>American Journal of Epidemiology Published by the Johns Hopkins Bloomberg School of Public Health 2009.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c598t-7e55b9f56a1561dcab4d88fa3101527df6a72ecd8d97c27eef0218eac1803a273</citedby><cites>FETCH-LOGICAL-c598t-7e55b9f56a1561dcab4d88fa3101527df6a72ecd8d97c27eef0218eac1803a273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21949381$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19651663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, Robin Taylor</creatorcontrib><creatorcontrib>Wang, Jiangyue</creatorcontrib><creatorcontrib>Chinchilli, Vernon</creatorcontrib><creatorcontrib>Richie, John P.</creatorcontrib><creatorcontrib>Virtamo, Jarmo</creatorcontrib><creatorcontrib>Moore, Lee E.</creatorcontrib><creatorcontrib>Albanes, Demetrius</creatorcontrib><title>Fish, Vitamin D, and Flavonoids in Relation to Renal Cell Cancer Among Smokers</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>Fish, vitamin D, flavonoids, and flavonoid-containing foods may have cardiovascular benefits and therefore may also reduce the risk of renal cell cancer. Risk was prospectively assessed in the Alpha-Tocopherol Beta-Carotene Cancer Prevention Study (1985–2002) cohort (N = 27,111; 15.2 mean person-years of follow-up). At enrollment, demographic, health, and dietary history information was recorded. Individuals who smoked less than 5 cigarettes/day, with chronic renal insufficiency or prior cancer, were excluded. Hazard ratios and 95% confidence intervals from Cox regression were used to compare upper quartiles (quartiles 2–4) with the lowest quartile (quartile 1) of dietary intake. Among 228 cases, risk (quartile 4 vs. quartile 1) was associated with consumption of the flavonoid quercetin (hazard ratio = 0.6, 95% confidence interval: 0.4, 0.9; Ptrend = 0.015) and Baltic herring (hazard ratio = 2.0, 95% confidence interval: 1.4, 3.0; Ptrend < 0.001), with adjustment for age, body mass index, smoking, blood pressure, alcohol use, physical activity, urban residence, and education. In geographically stratified models, the risks associated with herring and total fish intake appeared to be highest in the urban coast region, although the interaction was not statistically significant. These results suggest that the flavonoid quercetin may prevent renal cell cancer among male smokers. The possible risk associated with fish intake warrants further investigation before conclusions may be drawn.</description><subject>Aged</subject><subject>Analysis. Health state</subject><subject>Antioxidants - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Cancer</subject><subject>carcinoma (renal cell)</subject><subject>Carcinoma, Renal Cell - epidemiology</subject><subject>Carcinoma, Renal Cell - etiology</subject><subject>Carcinoma, Renal Cell - prevention & control</subject><subject>Clupea harengus membras</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>Diet</subject><subject>Disease prevention</subject><subject>Epidemiology</subject><subject>Finland - epidemiology</subject><subject>Fish</subject><subject>Fish Products</subject><subject>flavonoids</subject><subject>Flavonoids - administration & dosage</subject><subject>General aspects</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Kidney Neoplasms - epidemiology</subject><subject>Kidney Neoplasms - etiology</subject><subject>Kidney Neoplasms - prevention & control</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Original Contributions</subject><subject>Phytochemicals</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quercetin - administration & dosage</subject><subject>Regression Analysis</subject><subject>Risk Assessment</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Statistics as Topic</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><subject>Tumors of the urinary system</subject><subject>Vitamin D</subject><subject>Vitamin D - administration & dosage</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0UFv0zAUB3ALgVgZXPgAKEKCw7QwP6e248ukqVspaAJpQDVxsV4dZ3ObxMVOBnx7XLXqgANcbMv-6dnPf0KeA30DVBUnuLQnq-9rkOUDMoKxFLlgXDwkI0opyxUT7IA8iXFJKYDi9DE5ACU4CFGMyIepi7fH2dz12LouOz_OsKuyaYN3vvOuilnavLIN9s53We_TusMmm9gmDdgZG7Kz1nc32afWr2yIT8mjGpton-3mQ_JlevF5MssvP759Nzm7zA1XZZ9Ly_lC1VwgcAGVwcW4KssaC6DAmaxqgZJZU5WVkoZJa2vKoLRooKQFMlkcktNt3fWwaG1lbNcHbPQ6uBbDT-3R6T9POnerb_ydZlKUnNFU4PWuQPDfBht73bpoUlvYWT9ELaRgChj8F7INUrCp-PIvuPRDSL-VTMHVmEngCR1tkQk-xmDr_ZOB6k2YOoWpt2Em_OL3Ju_pLr0EXu0ARoNNHVIiLu4dAzVWRQn3zg_rf1-Yb52Lvf2xlxhW6T8KyfXs-queXZ2_n1_PqVbFL6hkwx0</recordid><startdate>20090915</startdate><enddate>20090915</enddate><creator>Wilson, Robin Taylor</creator><creator>Wang, Jiangyue</creator><creator>Chinchilli, Vernon</creator><creator>Richie, John P.</creator><creator>Virtamo, Jarmo</creator><creator>Moore, Lee E.</creator><creator>Albanes, Demetrius</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><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>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U1</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090915</creationdate><title>Fish, Vitamin D, and Flavonoids in Relation to Renal Cell Cancer Among Smokers</title><author>Wilson, Robin Taylor ; Wang, Jiangyue ; Chinchilli, Vernon ; Richie, John P. ; Virtamo, Jarmo ; Moore, Lee E. ; Albanes, Demetrius</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c598t-7e55b9f56a1561dcab4d88fa3101527df6a72ecd8d97c27eef0218eac1803a273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Analysis. Health state</topic><topic>Antioxidants - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Cancer</topic><topic>carcinoma (renal cell)</topic><topic>Carcinoma, Renal Cell - epidemiology</topic><topic>Carcinoma, Renal Cell - etiology</topic><topic>Carcinoma, Renal Cell - prevention & control</topic><topic>Clupea harengus membras</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>Diet</topic><topic>Disease prevention</topic><topic>Epidemiology</topic><topic>Finland - epidemiology</topic><topic>Fish</topic><topic>Fish Products</topic><topic>flavonoids</topic><topic>Flavonoids - administration & dosage</topic><topic>General aspects</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Kidney Neoplasms - epidemiology</topic><topic>Kidney Neoplasms - etiology</topic><topic>Kidney Neoplasms - prevention & control</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Original Contributions</topic><topic>Phytochemicals</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quercetin - administration & dosage</topic><topic>Regression Analysis</topic><topic>Risk Assessment</topic><topic>Smoking</topic><topic>Smoking - adverse effects</topic><topic>Statistics as Topic</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><topic>Tumors of the urinary system</topic><topic>Vitamin D</topic><topic>Vitamin D - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilson, Robin Taylor</creatorcontrib><creatorcontrib>Wang, Jiangyue</creatorcontrib><creatorcontrib>Chinchilli, Vernon</creatorcontrib><creatorcontrib>Richie, John P.</creatorcontrib><creatorcontrib>Virtamo, Jarmo</creatorcontrib><creatorcontrib>Moore, Lee E.</creatorcontrib><creatorcontrib>Albanes, Demetrius</creatorcontrib><collection>Istex</collection><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>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Risk Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilson, Robin Taylor</au><au>Wang, Jiangyue</au><au>Chinchilli, Vernon</au><au>Richie, John P.</au><au>Virtamo, Jarmo</au><au>Moore, Lee E.</au><au>Albanes, Demetrius</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fish, Vitamin D, and Flavonoids in Relation to Renal Cell Cancer Among Smokers</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2009-09-15</date><risdate>2009</risdate><volume>170</volume><issue>6</issue><spage>717</spage><epage>729</epage><pages>717-729</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>Fish, vitamin D, flavonoids, and flavonoid-containing foods may have cardiovascular benefits and therefore may also reduce the risk of renal cell cancer. Risk was prospectively assessed in the Alpha-Tocopherol Beta-Carotene Cancer Prevention Study (1985–2002) cohort (N = 27,111; 15.2 mean person-years of follow-up). At enrollment, demographic, health, and dietary history information was recorded. Individuals who smoked less than 5 cigarettes/day, with chronic renal insufficiency or prior cancer, were excluded. Hazard ratios and 95% confidence intervals from Cox regression were used to compare upper quartiles (quartiles 2–4) with the lowest quartile (quartile 1) of dietary intake. Among 228 cases, risk (quartile 4 vs. quartile 1) was associated with consumption of the flavonoid quercetin (hazard ratio = 0.6, 95% confidence interval: 0.4, 0.9; Ptrend = 0.015) and Baltic herring (hazard ratio = 2.0, 95% confidence interval: 1.4, 3.0; Ptrend < 0.001), with adjustment for age, body mass index, smoking, blood pressure, alcohol use, physical activity, urban residence, and education. In geographically stratified models, the risks associated with herring and total fish intake appeared to be highest in the urban coast region, although the interaction was not statistically significant. These results suggest that the flavonoid quercetin may prevent renal cell cancer among male smokers. The possible risk associated with fish intake warrants further investigation before conclusions may be drawn.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>19651663</pmid><doi>10.1093/aje/kwp178</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Analysis. Health state Antioxidants - administration & dosage Biological and medical sciences Cancer carcinoma (renal cell) Carcinoma, Renal Cell - epidemiology Carcinoma, Renal Cell - etiology Carcinoma, Renal Cell - prevention & control Clupea harengus membras Cohort Studies Confidence Intervals Diet Disease prevention Epidemiology Finland - epidemiology Fish Fish Products flavonoids Flavonoids - administration & dosage General aspects Humans Kidney diseases Kidney Neoplasms - epidemiology Kidney Neoplasms - etiology Kidney Neoplasms - prevention & control Kidneys Male Medical sciences Middle Aged Multivariate Analysis Nephrology. Urinary tract diseases Nutrition Nutritional Status Original Contributions Phytochemicals Proportional Hazards Models Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Quercetin - administration & dosage Regression Analysis Risk Assessment Smoking Smoking - adverse effects Statistics as Topic Tobacco, tobacco smoking Toxicology Tumors of the urinary system Vitamin D Vitamin D - administration & dosage |
| title | Fish, Vitamin D, and Flavonoids in Relation to Renal Cell Cancer Among Smokers |
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