Intakes of fruits, vegetables, and related vitamins and lung cancer risk: results from the Shanghai Men's Health Study (2002-2009).
Most epidemiological studies evaluating the association of fruit and vegetable intakes on lung cancer risk were conducted in North American and European countries. We investigated the association of intakes of fruits, vegetables, dietary vitamins A and C, and folate with lung cancer risk among 61,491 adult Chinese men who were recruited into the Shanghai Men's Health Study, a population-based, prospective cohort study. Baseline dietary intake was assessed through a validated food frequency questionnaire during in-home visits. Multivariate Cox regression was used to estimate hazard ratios (HR) and 95% confidence intervals (CI) of lung cancer risk associated with dietary intakes. During a median follow-up of 5.5 yr, 359 incident lung cancer cases accrued after the first year of follow-up and 68.8% of them were current smokers. Intakes of green leafy vegetables, β-carotene-rich vegetables, watermelon, vitamin A, and carotenoids were inversely associated with lung cancer risk; the corresponding HR (95% CI) comparing the highest with the lowest quartiles were 0.72 (0.53-0.98), 0.69 (0.51-0.94), 0.65 (0.47-0.90), 0.63 (0.44-0.88), and 0.64 (0.46-0.88). Intake of all fruits and vegetables combined was marginally associated with lower risk. Our study suggests that the consumption of carotenoid-rich vegetables is inversely associated with lung cancer risk.
Vanderbilt Epidemiology Center, Vanderbilt University, Nashville, Tennessee, USA.
Yumie
Y
Takata
Yong-Bing
YB
Xiang
Gong
G
Yang
Honglan
H
Li
Jing
J
Gao
Hui
H
Cai
Yu-Tang
YT
Gao
Wei
W
Zheng
Xiao-Ou
XO
Shu
D000328:Adult; D000368:Aged; D001205:Ascorbic Acid / Q000494:pharmacology; D002338:Carotenoids / Q000494:pharmacology; D002681:China; D015331:Cohort Studies; D004435:Eating; D005492:Folic Acid / Q000494:pharmacology; D005500:Follow-Up Studies; D005638:Fruit; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology* / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D014675:Vegetables; D014801:Vitamin A / Q000494:pharmacology; D014815:Vitamins / Q000494:pharmacology*
D014815:Vitamins; D014801:Vitamin A; D002338:Carotenoids; D005492:Folic Acid; D001205:Ascorbic Acid