Source:http://linkedlifedata.com/resource/pubmed/id/16177214
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2005-9-22
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pubmed:abstractText |
The effects of vitamins and beta-carotene on the risk of colorectal adenomas have not been fully investigated. Recent data suggest that smoking could modulate the effect of beta-carotene supplements on adenoma recurrence. We investigated the effect of dietary vitamins and beta-carotene on the risk of adenomas, and a potential interaction with smoking status as part of a case-control study of environmental factors associated with the risk of colorectal adenomas and cancers. We compared nutrient intakes in polyp-free controls (n = 427) and adenoma cases (n = 362) globally and using models stratified by smoking status, adjusted for age, sex, BMI, and energy and alcohol intakes. Folate and vitamins C and B-6 were inversely related to adenoma risk (P for trend = 0.005, 0.03, and 0.02, respectively), whereas vitamin D tended to be inversely associated with risk (P for trend = 0.05). There was a significant interaction between beta-carotene and smoking (P interaction = 0.04). In nonsmokers, beta-carotene was inversely associated with adenoma risk, especially that of colon adenomas [odds ratios (ORs) in low vs. high consumers and 95% CI 0.4 (0.2-0.9)], whereas in past or current smokers, beta-carotene was associated with a nonsignificant (P for trend = 0.19) increase in the risk of colon adenomas [corresponding OR = 1.9 (95% CI = 0.9-4.1)]. Our findings support a protective effect of folate and vitamins C and B-6 irrespective of smoking habits, and a protective effect of beta-carotene in nonsmokers only. They suggest an adverse effect of beta-carotene in smokers, who should be cautious about taking high doses of this micronutrient.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0022-3166
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
135
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2468-72
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16177214-Adenoma,
pubmed-meshheading:16177214-Adult,
pubmed-meshheading:16177214-Case-Control Studies,
pubmed-meshheading:16177214-Colorectal Neoplasms,
pubmed-meshheading:16177214-Female,
pubmed-meshheading:16177214-Humans,
pubmed-meshheading:16177214-Male,
pubmed-meshheading:16177214-Middle Aged,
pubmed-meshheading:16177214-Risk Factors,
pubmed-meshheading:16177214-Risk Reduction Behavior,
pubmed-meshheading:16177214-Smoking,
pubmed-meshheading:16177214-Vitamins,
pubmed-meshheading:16177214-beta Carotene
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pubmed:year |
2005
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pubmed:articleTitle |
Tobacco use and associations of beta-carotene and vitamin intakes with colorectal adenoma risk.
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pubmed:affiliation |
Registre Bourguignon des Cancers Digestifs, Faculté de Médecine, Dijon Cedex, France.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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