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. 2009 Sep 23;2(3):149–158. doi: 10.1159/000235565

Table 1.

Summary of published cohort studies

Author, year
Country
Study size n
Cases n
PUFA studied
Effect on overall CaP incidence
Effect on incidence of advanced CaP
Ref.
Giovannucci, 1993
USA
47,855
300
LA, ALA
non-significant positive association with ALA
ALA positively associated with extra-prostatic or metastatic disease
45
Veierod, 1997
Norway
25,708
72
all PUFAs
no association
not studied
55
Schuurman, 1999
Netherlands
58,279
642
fish intake
no association
no association
54
Schuurman, 1999
Netherlands
58,279
642
all PUFAs, LA, ALA, DHA, EPA
non-significant negative association only with ALA and LA
no association
35
Terry, 2001
Sweden
6,272
466
fish intake
negative association with fish intake
fish intake negatively associated with mortality
34
Augustsson, 2003
USA
47,882
2,482
fish intake
non-significant negative association with fish intake
fish intake negatively associated with metastatic disease
33
Allen, 2004
Japan
18,115
196
fish intake
positive association with fish intake
not studied
44
Laaksonen, 2004
Finland
2,002
46
all PUFAs, ω–6 PUFAs, LA
negative association with PUFAs and LA
not studied
36
Leitzmann, 2004
USA
47,866
2,965
LA, ALA, EPA, DHA
negative association only with EPA and DHA
positive association with ALA, negative association with EPA and DHA in predicting extra-prostatic, metastatic or fatal tumors
38
Koralek, 2006
USA
29,592
1,898
ALA
no association with ALA
no association
53
Park, 2007
USA
82,483
4,404
all PUFAs, ω–6 PUFAs, ω–3 PUFAs, ALA, EPA, DHA
non-significant negative association with ω–3 PUFA and ALA. Association stronger in Latinos and whites
non-significant negative association between ω–3 PUFA/ALA and non-localized or high-grade disease
37
Wallstrom, 2007
Sweden
10,564
817
all PUFAs, LA, ALA, EPA, DHA
positive association only with EPA and DHA
no association
56
Giovannucci, 2007
USA
51,529
3,544
ALA
positive association with ALA
ALA positively associated with mortality
46
Crowe, 2008
several European nations
142,520
2,727
all PUFAs, fat from fish
no association with PUFAs or fish
inverse association between PUFAs and high-grade (but not advanced stage) disease
52
Chavarro, 2008
USA
20,167
2,161
fish intake, ω–3 PUFA fish
no association with fish or ω–3 PUFA fish
fish and ω–3 PUFA intake associated with decreased mortality
51
Pham, 2009 Japan 5,589 21 deathsfish intake not studied fish intake negatively associated with mortality 60

CaP = Prostate cancer; LA = linoleic acid.