Table 2.
Prostate cancer and time period | Cumulative updated average of dietary lycopene intake, HR (95% CI) | P trend* | ||||
---|---|---|---|---|---|---|
Q1 | Q2 | Q3 | Q4 | Q5 | ||
Total prostate cancer | 1209 | 1236 | 1144 | 1102 | 1037 | |
Adjusted for age | 1.00 (referent) | 1.10 (1.00 to 1.20) | 1.00 (0.95 to 1.10) | 1.00 (0.94 to 1.10) | 0.96 (0.88 to 1.00) | .07 |
Multivariable adjusted† | 1.00 (referent) | 1.00 (0.96 to 1.10) | 0.97 (0.90 to 1.10) | 0.97 (0.89 to 1.10) | 0.93 (0.86 to 1.00) | .03 |
Multivariable adjusted‡ | 1.00 (referent) | 1.00 (0.95 to 1.10) | 0.96 (0.89 to 1.00) | 0.96 (0.88 to 1.00) | 0.91 (0.84 to 1.00) | .009 |
Lethal prostate cancer | 184 | 136 | 118 | 128 | 92 | |
Adjusted for age | 1.00 (referent) | 0.92 (0.74 to 1.10) | 0.86 (0.68 to 1.10) | 0.98 (0.78 to 1.20) | 0.72 (0.56 to 0.92) | .02 |
Multivariable adjusted† | 1.00 (referent) | 0.91 (0.73 to 1.10) | 0.85 (0.68 to 1.10) | 1.00 (0.81 to 1.30) | 0.75 (0.58 to 0.97) | .08 |
Multivariable adjusted‡ | 1.00 (referent) | 0.90 (0.72 to 1.10) | 0.84 (0.66 to 1.10) | 0.99 (0.78 to 1.20) | 0.72 (0.56 to 0.94) | .04 |
Pre–prostate-specific antigen era | ||||||
Total prostate cancer | 420 | 310 | 280 | 262 | 241 | |
Adjusted for age | 1.00 (referent) | 0.92 (0.79 to 1.10) | 0.92 (0.79 to 1.10) | 0.93 (0.80 to 1.10) | 0.85 (0.72 to 0.99) | .06 |
Multivariable adjusted† | 1.00 (referent) | 0.93 (0.80 to 1.10) | 0.91 (0.78 to 1.10) | 0.95 (0.81 to 1.10) | 0.87 (0.74 to 1.00) | .10 |
Multivariable adjusted‡ | 1.00 (referent) | 0.92 (0.79 to 1.10) | 0.90 (0.77 to 1.00) | 0.93 (0.80 to 1.10) | 0.85 (0.72 to 1.00) | .07 |
Lethal prostate cancer | 104 | 73 | 63 | 72 | 48 | |
Adjusted for age | 1.00 (referent) | 0.93 (0.69 to 1.30) | 0.86 (0.63 to 1.20) | 1.10 (0.79 to 1.4) | 0.71 (0.50 to 1.00) | .10 |
Multivariable adjusted† | 1.00 (referent) | 0.93 (0.69 to 1.30) | 0.89 (0.65 to 1.20) | 1.10 (0.84 to 1.5) | 0.76 (0.54 to 1.10) | .30 |
Multivariable adjusted‡ | 1.00 (referent) | 0.93 (0.68 to 1.30) | 0.88 (0.64 to 1.20) | 1.10 (0.81 to 1.5) | 0.72 (0.51 to 1.00) | .20 |
Prostate-specific antigen era | ||||||
Total prostate cancer | 789 | 926 | 864 | 840 | 796 | |
Adjusted for age | 1.00 (referent) | 1.20 (1.10 to 1.30) | 1.10 (0.99 to 1.20) | 1.10 (0.97 to 1.20) | 1.00 (0.91 to 1.10) | .30 |
Multivariable adjusted† | 1.00 (referent) | 1.10 (0.99 to 1.20) | 1.00 (0.91 to 1.10) | 0.99 (0.89 to 1.10) | 0.96 (0.87 to 1.10) | .09 |
Multivariable adjusted‡ | 1.00 (referent) | 1.10 (0.98 to 1.20) | 1.00 (0.90 to 1.10) | 0.98 (0.89 to 1.10) | 0.95 (0.86 to 1.10) | .05 |
Lethal prostate cancer | 80 | 63 | 55 | 56 | 44 | |
Adjusted for age | 1.00 (referent) | 0.90 (0.65 to 1.30) | 0.85 (0.60 to 1.20) | 0.89 (0.63 to 1.30) | 0.72 (0.50 to 1.10) | .10 |
Multivariable adjusted† | 1.00 (referent) | 0.88 (0.63 to 1.20) | 0.81 (0.57 to 1.10) | 0.88 (0.62 to 1.20) | 0.74 (0.50 to 1.10) | .10 |
Multivariable adjusted‡ | 1.00 (referent) | 0.87 (0.62 to 1.20) | 0.79 (0.56 to 1.10) | 0.86 (0.61 to 1.20) | 0.72 (0.49 to 1.10) | .10 |
* P values were calculated from two-sided χ2 tests by modeling lycopene intake as a continuous variable using the median intake for each category.
† Hazard ratios adjusted for age (months), height (<66, 66.0–67.9, 68.0–69.9, 70.0–71.9, ≥72.0 inches), body mass index (<21.0, 21.0–22.9, 23.0–24.9, 25.0–27.4, 27.5–29.9, ≥30.0kg/m2), race (black, white, Asian, other), family history of prostate cancer (yes or no), vigorous activity (none, 0–3.4, 3.5–10.4, 10.5–28.4, ≥28.5 MET hours/week), smoking status (never; past and quit >10 years; past and quit ≤10 years; current; missing), and caloric intake (kcal/day, quintiles).
‡ Hazard ratios adjusted for age (months), height (<66, 66.0–67.9, 68.0–69.9, 70.0–71.9, ≥70.0 inches), body mass index (<21.0, 21.0–22.9, 23.0–24.9, 25–27.4, 27.5–29.9, ≥30.0kg/m2), race (black, white, Asian, other), family history of prostate cancer (yes or no), vigorous activity (none, 0–3.4, 3.5–10.4, 10.5–28.4, ≥28.5 MET hours/week), smoking status (never; past and quit >10 years; past and quit ≤10 years; current; missing), and dietary intakes of calcium (500–749, 750–999, 1000–1499, 1500–1999, ≥2000mg/day), α-linolenic acid (g/day, quintiles), coffee (none, <1, 1–3, 4–5, ≥6 cups/day), and total calories (kcal/day, quintiles).