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British Journal of Cancer logoLink to British Journal of Cancer
. 1992 Oct;66(4):673–679. doi: 10.1038/bjc.1992.336

Intake of vegetables, fruits, beta-carotene, vitamin C and vitamin supplements and cancer incidence among the elderly: a prospective study.

A Shibata 1, A Paganini-Hill 1, R K Ross 1, B E Henderson 1
PMCID: PMC1977409  PMID: 1419605

Abstract

A cohort of 11,580 residents of a retirement community initially free from cancer were followed from 1981 to 1989. A total of 1,335 incident cancer cases were diagnosed during the period. Relative risks of cancer were calculated for baseline consumption of vegetables, fruits, beta-carotene, dietary vitamin C, and vitamin supplements. After adjustment for age and smoking, no evidence of a protective effect was found for any of the dietary variables in men. However, an inverse association was observed between vitamin C supplement use and bladder cancer risk. In women, reduced cancer risks of all sites combined and of the colon were noted for combined intake of all vegetables and fruits, fruit intake alone, and dietary vitamin C. Supplemental use of vitamins A and C showed a protective effect on colon cancer risk in women. There was some suggestion that beta-carotene intake and supplemental use of vitamin A, C, and E were associated with reduced risk of lung cancer in women, but none of these results were statistically significant. These inverse associations observed in women seem to warrant further investigation, although there was inconsistency in results between the sexes.

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Selected References

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  1. Ames B. N. Dietary carcinogens and anticarcinogens. Oxygen radicals and degenerative diseases. Science. 1983 Sep 23;221(4617):1256–1264. doi: 10.1126/science.6351251. [DOI] [PubMed] [Google Scholar]
  2. Aoki K., Ito Y., Sasaki R., Ohtani M., Hamajima N., Asano A. Smoking, alcohol drinking and serum carotenoids levels. Jpn J Cancer Res. 1987 Oct;78(10):1049–1056. [PubMed] [Google Scholar]
  3. Fontham E. T., Pickle L. W., Haenszel W., Correa P., Lin Y. P., Falk R. T. Dietary vitamins A and C and lung cancer risk in Louisiana. Cancer. 1988 Nov 15;62(10):2267–2273. doi: 10.1002/1097-0142(19881115)62:10<2267::aid-cncr2820621033>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
  4. Fontham E. T. Protective dietary factors and lung cancer. Int J Epidemiol. 1990;19 (Suppl 1):S32–S42. doi: 10.1093/ije/19.supplement_1.s32. [DOI] [PubMed] [Google Scholar]
  5. Gey K. F., Brubacher G. B., Stähelin H. B. Plasma levels of antioxidant vitamins in relation to ischemic heart disease and cancer. Am J Clin Nutr. 1987 May;45(5 Suppl):1368–1377. doi: 10.1093/ajcn/45.5.1368. [DOI] [PubMed] [Google Scholar]
  6. Graham S., Dayal H., Swanson M., Mittelman A., Wilkinson G. Diet in the epidemiology of cancer of the colon and rectum. J Natl Cancer Inst. 1978 Sep;61(3):709–714. [PubMed] [Google Scholar]
  7. Graham S., Haughey B., Marshall J., Priore R., Byers T., Rzepka T., Mettlin C., Pontes J. E. Diet in the epidemiology of carcinoma of the prostate gland. J Natl Cancer Inst. 1983 Apr;70(4):687–692. [PubMed] [Google Scholar]
  8. Graham S., Marshall J., Mettlin C., Rzepka T., Nemoto T., Byers T. Diet in the epidemiology of breast cancer. Am J Epidemiol. 1982 Jul;116(1):68–75. doi: 10.1093/oxfordjournals.aje.a113403. [DOI] [PubMed] [Google Scholar]
  9. Gray G. E., Paganini-Hill A., Ross R. K., Henderson B. E. Assessment of three brief methods of estimation of vitamin A and C intakes for a prospective study of cancer: comparison with dietary history. Am J Epidemiol. 1984 Apr;119(4):581–590. doi: 10.1093/oxfordjournals.aje.a113775. [DOI] [PubMed] [Google Scholar]
  10. Hsing A. W., Comstock G. W., Abbey H., Polk B. F. Serologic precursors of cancer. Retinol, carotenoids, and tocopherol and risk of prostate cancer. J Natl Cancer Inst. 1990 Jun 6;82(11):941–946. doi: 10.1093/jnci/82.11.941. [DOI] [PubMed] [Google Scholar]
  11. Humble C. G., Samet J. M., Skipper B. E. Use of quantified and frequency indices of vitamin A intake in a case-control study of lung cancer. Int J Epidemiol. 1987 Sep;16(3):341–346. doi: 10.1093/ije/16.3.341. [DOI] [PubMed] [Google Scholar]
  12. Jain M., Howe G. R., Johnson K. C., Miller A. B. Evaluation of a diet history questionnaire for epidemiologic studies. Am J Epidemiol. 1980 Feb;111(2):212–219. doi: 10.1093/oxfordjournals.aje.a112888. [DOI] [PubMed] [Google Scholar]
  13. Kergoat M. J., Leclerc B. S., PetitClerc C., Imbach A. Determinants of total serum carotene concentrations in institutionalized elderly. J Am Geriatr Soc. 1988 May;36(5):430–436. doi: 10.1111/j.1532-5415.1988.tb02382.x. [DOI] [PubMed] [Google Scholar]
  14. Kolonel L. N., Yoshizawa C. N., Hankin J. H. Diet and prostatic cancer: a case-control study in Hawaii. Am J Epidemiol. 1988 May;127(5):999–1012. doi: 10.1093/oxfordjournals.aje.a114903. [DOI] [PubMed] [Google Scholar]
  15. Lanza E., Butrum R. R. A critical review of food fiber analysis and data. J Am Diet Assoc. 1986 Jun;86(6):732–743. [PubMed] [Google Scholar]
  16. Le Marchand L., Yoshizawa C. N., Kolonel L. N., Hankin J. H., Goodman M. T. Vegetable consumption and lung cancer risk: a population-based case-control study in Hawaii. J Natl Cancer Inst. 1989 Aug 2;81(15):1158–1164. doi: 10.1093/jnci/81.15.1158. [DOI] [PubMed] [Google Scholar]
  17. MacLennan R., Da Costa J., Day N. E., Law C. H., Ng Y. K., Shanmugaratnam K. Risk factors for lung cancer in Singapore Chinese, a population with high female incidence rates. Int J Cancer. 1977 Dec 15;20(6):854–860. doi: 10.1002/ijc.2910200606. [DOI] [PubMed] [Google Scholar]
  18. Menkes M. S., Comstock G. W., Vuilleumier J. P., Helsing K. J., Rider A. A., Brookmeyer R. Serum beta-carotene, vitamins A and E, selenium, and the risk of lung cancer. N Engl J Med. 1986 Nov 13;315(20):1250–1254. doi: 10.1056/NEJM198611133152003. [DOI] [PubMed] [Google Scholar]
  19. Mettlin C., Graham S., Swanson M. Vitamin A and lung cancer. J Natl Cancer Inst. 1979 Jun;62(6):1435–1438. [PubMed] [Google Scholar]
  20. Morgan R. W., Jain M., Miller A. B., Choi N. W., Matthews V., Munan L., Burch J. D., Feather J., Howe G. R., Kelly A. A comparison of dietary methods in epidemiologic studies. Am J Epidemiol. 1978 Jun;107(6):488–498. doi: 10.1093/oxfordjournals.aje.a112568. [DOI] [PubMed] [Google Scholar]
  21. Nomura A. M., Stemmermann G. N., Heilbrun L. K., Salkeld R. M., Vuilleumier J. P. Serum vitamin levels and the risk of cancer of specific sites in men of Japanese ancestry in Hawaii. Cancer Res. 1985 May;45(5):2369–2372. [PubMed] [Google Scholar]
  22. Ohno Y., Yoshida O., Oishi K., Okada K., Yamabe H., Schroeder F. H. Dietary beta-carotene and cancer of the prostate: a case-control study in Kyoto, Japan. Cancer Res. 1988 Mar 1;48(5):1331–1336. [PubMed] [Google Scholar]
  23. Pastorino U., Pisani P., Berrino F., Andreoli C., Barbieri A., Costa A., Mazzoleni C., Gramegna G., Marubini E. Vitamin A and female lung cancer: a case-control study on plasma and diet. Nutr Cancer. 1987;10(4):171–179. doi: 10.1080/01635588709513955. [DOI] [PubMed] [Google Scholar]
  24. Peto R., Doll R., Buckley J. D., Sporn M. B. Can dietary beta-carotene materially reduce human cancer rates? Nature. 1981 Mar 19;290(5803):201–208. doi: 10.1038/290201a0. [DOI] [PubMed] [Google Scholar]
  25. Risch H. A., Burch J. D., Miller A. B., Hill G. B., Steele R., Howe G. R. Dietary factors and the incidence of cancer of the urinary bladder. Am J Epidemiol. 1988 Jun;127(6):1179–1191. doi: 10.1093/oxfordjournals.aje.a114911. [DOI] [PubMed] [Google Scholar]
  26. Roidt L., White E., Goodman G. E., Wahl P. W., Omenn G. S., Rollins B., Karkeck J. M. Association of food frequency questionnaire estimates of vitamin A intake with serum vitamin A levels. Am J Epidemiol. 1988 Sep;128(3):645–654. doi: 10.1093/oxfordjournals.aje.a115012. [DOI] [PubMed] [Google Scholar]
  27. Russell-Briefel R., Bates M. W., Kuller L. H. The relationship of plasma carotenoids to health and biochemical factors in middle-aged men. Am J Epidemiol. 1985 Nov;122(5):741–749. doi: 10.1093/oxfordjournals.aje.a114157. [DOI] [PubMed] [Google Scholar]
  28. Samet J. M., Humble C. G., Skipper B. E. Alternatives in the collection and analysis of food frequency interview data. Am J Epidemiol. 1984 Oct;120(4):572–581. doi: 10.1093/oxfordjournals.aje.a113919. [DOI] [PubMed] [Google Scholar]
  29. Schober S. E., Comstock G. W., Helsing K. J., Salkeld R. M., Morris J. S., Rider A. A., Brookmeyer R. Serologic precursors of cancer. I. Prediagnostic serum nutrients and colon cancer risk. Am J Epidemiol. 1987 Dec;126(6):1033–1041. doi: 10.1093/oxfordjournals.aje.a114742. [DOI] [PubMed] [Google Scholar]
  30. Shekelle R. B., Lepper M., Liu S., Maliza C., Raynor W. J., Jr, Rossof A. H., Paul O., Shryock A. M., Stamler J. Dietary vitamin A and risk of cancer in the Western Electric study. Lancet. 1981 Nov 28;2(8257):1185–1190. doi: 10.1016/s0140-6736(81)91435-5. [DOI] [PubMed] [Google Scholar]
  31. Shibata A., Sasaki R., Ito Y., Hamajima N., Suzuki S., Ohtani M., Aoki K. Serum concentration of beta-carotene and intake frequency of green-yellow vegetables among healthy inhabitants of Japan. Int J Cancer. 1989 Jul 15;44(1):48–52. doi: 10.1002/ijc.2910440109. [DOI] [PubMed] [Google Scholar]
  32. Stryker W. S., Kaplan L. A., Stein E. A., Stampfer M. J., Sober A., Willett W. C. The relation of diet, cigarette smoking, and alcohol consumption to plasma beta-carotene and alpha-tocopherol levels. Am J Epidemiol. 1988 Feb;127(2):283–296. doi: 10.1093/oxfordjournals.aje.a114804. [DOI] [PubMed] [Google Scholar]
  33. Wald N. J., Boreham J., Hayward J. L., Bulbrook R. D. Plasma retinol, beta-carotene and vitamin E levels in relation to the future risk of breast cancer. Br J Cancer. 1984 Mar;49(3):321–324. doi: 10.1038/bjc.1984.50. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Wald N. J., Thompson S. G., Densem J. W., Boreham J., Bailey A. Serum beta-carotene and subsequent risk of cancer: results from the BUPA Study. Br J Cancer. 1988 Apr;57(4):428–433. doi: 10.1038/bjc.1988.97. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Whittemore A. S., Wu-Williams A. H., Lee M., Zheng S., Gallagher R. P., Jiao D. A., Zhou L., Wang X. H., Chen K., Jung D. Diet, physical activity, and colorectal cancer among Chinese in North America and China. J Natl Cancer Inst. 1990 Jun 6;82(11):915–926. doi: 10.1093/jnci/82.11.915. [DOI] [PubMed] [Google Scholar]
  36. Willett W. C., Polk B. F., Underwood B. A., Stampfer M. J., Pressel S., Rosner B., Taylor J. O., Schneider K., Hames C. G. Relation of serum vitamins A and E and carotenoids to the risk of cancer. N Engl J Med. 1984 Feb 16;310(7):430–434. doi: 10.1056/NEJM198402163100705. [DOI] [PubMed] [Google Scholar]
  37. Willett W. C., Stampfer M. J., Colditz G. A., Rosner B. A., Speizer F. E. Relation of meat, fat, and fiber intake to the risk of colon cancer in a prospective study among women. N Engl J Med. 1990 Dec 13;323(24):1664–1672. doi: 10.1056/NEJM199012133232404. [DOI] [PubMed] [Google Scholar]
  38. Willett W. C. Vitamin A and lung cancer. Nutr Rev. 1990 May;48(5):201–211. doi: 10.1111/j.1753-4887.1990.tb02936.x. [DOI] [PubMed] [Google Scholar]
  39. Wu A. H., Henderson B. E., Pike M. C., Yu M. C. Smoking and other risk factors for lung cancer in women. J Natl Cancer Inst. 1985 Apr;74(4):747–751. [PubMed] [Google Scholar]
  40. Wu A. H., Paganini-Hill A., Ross R. K., Henderson B. E. Alcohol, physical activity and other risk factors for colorectal cancer: a prospective study. Br J Cancer. 1987 Jun;55(6):687–694. doi: 10.1038/bjc.1987.140. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Ziegler R. G. Epidemiologic studies of vitamins and cancer of the lung, esophagus, and cervix. Adv Exp Med Biol. 1986;206:11–26. doi: 10.1007/978-1-4613-1835-4_3. [DOI] [PubMed] [Google Scholar]

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