Pre-diagnostic vitamin D concentrations and cancer risks in older individuals: an analysis of cohorts participating in the CHANCES consortium View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-03

AUTHORS

José Manuel Ordóñez-Mena, Ben Schöttker, Veronika Fedirko, Mazda Jenab, Anja Olsen, Jytte Halkjær, Ellen Kampman, Lisette de Groot, Eugene Jansen, H. Bas Bueno-de-Mesquita, Petra H. Peeters, Galatios Siganos, Tom Wilsgaard, Laura Perna, Bernd Holleczek, Ulrika Pettersson-Kymmer, Philippos Orfanos, Antonia Trichopoulou, Paolo Boffetta, Hermann Brenner

ABSTRACT

The associations of circulating 25-hydroxyvitamin D [25(OH)D] concentrations with total and site-specific cancer incidence have been examined in several epidemiological studies with overall inconclusive findings. Very little is known about the association of vitamin D with cancer incidence in older populations. We assessed the association of pre-diagnostic serum 25(OH)D levels with incidence of all cancers combined and incidence of lung, colorectal, breast, prostate and lymphoid malignancies among older adults. Pre-diagnostic 25(OH)D concentrations and cancer incidence were available in total for 15,486 older adults (mean age 63, range 50-84 years) participating in two cohort studies: ESTHER (Germany) and TROMSØ (Norway); and a subset of previously published nested-case control data from a another cohort study: EPIC-Elderly (Greece, Denmark, Netherlands, Spain and Sweden) from the CHANCES consortium on health and aging. Cox proportional hazards or logistic regression were used to derive multivariable adjusted hazard and odds ratios, respectively, and their 95% confidence intervals across 25(OH)D categories. Meta-analyses with random effects models were used to pool study-specific risk estimates. Overall, lower 25(OH)D concentrations were not significantly associated with increased incidence of most of the cancers assessed. However, there was some evidence of increased breast cancer and decreased lymphoma risk with higher 25(OH)D concentrations. Our meta-analyses with individual participant data from three large European population-based cohort studies provide at best limited support for the hypothesis that vitamin D may have a major role in cancer development and prevention among European older adults. More... »

PAGES

311-323

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10654-015-0040-7

DOI

http://dx.doi.org/10.1007/s10654-015-0040-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1018680368

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25977096


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476 https://www.grid.ac/institutes/grid.7692.a schema:alternateName University Medical Center Utrecht
477 schema:name Division of Epidemiology, Public Health and Primary Care, Imperial College London, London, UK
478 Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, The Netherlands
479 rdf:type schema:Organization
480 https://www.grid.ac/institutes/grid.7700.0 schema:alternateName Heidelberg University
481 schema:name Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120, Heidelberg, Germany
482 Network of Aging Research, Heidelberg University, Heidelberg, Germany
483 rdf:type schema:Organization
 




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