Table 4.
Pooled Multivariable Relative Risks (RR) and 95% Confidence Intervals (95% CI) for Specific Food Items and Prostate Cancer Risk
| Item | Increment unit§ | Total CaP | Local CaP | Advanced CaP | Advanced restricted CaP | CaP mortality | Low-grade CaP | High-grade CaP |
|---|---|---|---|---|---|---|---|---|
| Apples, Pears, & Applesauce | 138g/day | 0.996,8 | 1.006,8 | 0.976,8,9,14 | 1.032,3,6,8,9,10,14 | 0.972,3,6,8,9,14 | 1.006,8 | 0.986,9,8 |
| (0.97 – 1.02) | (0.97 – 1.02) | (0.87 – 1.08) | (0.88 – 1.20) | (0.86 – 1.09) | (0.97 – 1.03) | (0.92 – 1.04) | ||
| Bananas | 114g/day | 1.013–5,7–9 | 1.033–5,7–9 | 0.913–5,7–9,14 | 0.902–5,7–10,14 | 0.912–5,7–9,14 | 1.013–5,7–9 | 1.023–5,7–9 |
| (0.96 – 1.07) | (0.97 – 1.09) | (0.80 – 1.03) | (0.77 – 1.05) | (0.76 – 1.09) | (0.95 – 1.07) | (0.96 – 1.10) | ||
| Broccoli | 78g/day | 1.076,8,9,12 | 1.096,8,9,12 | 0.906,8,9,12,14 | 0.962,3,6,8,9,10,12,14 | 0.782,3,6,8,9,12,14 | 1.086,8,9,12 | 1.056,8,9,12 |
| (0.99 – 1.17) | (1.00 – 1.18) | (0.73 – 1.10) | (0.76 – 1.22) | (0.59 – 1.03) | (0.99 – 1.17) | (0.96 – 1.16) | ||
| Cabbage | 68g/day | 0.977–10,12,14 | 0.997–10,12,14 | 0.837–10,12,14 | 0.892,3,7–10,12,14 | 0.822,3,7–10,12,14 | 0.957–10,12,14 | 1.047–10,12,14 |
| (0.92 – 1.03) | (0.92 – 1.06) | (0.68 – 1.01) | (0.69 – 1.15) | (0.64 – 1.04) | (0.89 – 1.02) | (0.89 – 1.21) | ||
| Cantaloupe | 134g/day | 1.031,5,6,8,9,12 | 1.001,5,6,8,9,12 | 0.801,5,6,8,9,12,14 | 0.641–3,5,6,8–10,12,14 | 0.711–3,5,6,8,9,12,14 | 1.051,5,6,8,9,12 | 1.011,5,6,8,9,12 |
| (0.89 – 1.19) | (0.82 – 1.22) | (0.52 – 1.22) | (0.33 – 1.22) | (0.28 – 1.80) | (0.86 – 1.29) | (0.78 – 1.30) | ||
| Carrots | 57g/day | 1.006,8 | 0.996,8 | 0.956,8,9,14 | 0.972,3,6,8–10,14 | 0.902,3,6,8,9,13,14 | 0.996,8 | 1.026,8,9 |
| (0.97 – 1.04) | (0.93 – 1.05) | (0.85 – 1.06) | (0.84 – 1.12) | (0.76 – 1.06) | (0.93 – 1.04) | (0.95 – 1.10) | ||
| Corn | 82g/day | 0.981,3–6,8,9,12 | 0.921,3–6,8,9,12 | 1.531,3–6,8,9,12,14 | 1.531–6,8–10,12,14 | 1.491–6,8,9,12,14 | 0.921,3–6,8,9,12 | 1.221,3–6,8,9,12 |
| (0.90 – 1.06) | (0.84 – 1.02) | (1.12 – 2.07) | (0.95 – 2.46) | (1.01 – 2.20) | (0.83 – 1.02) | (0.98 – 1.51) | ||
| Mixed Greens | 100g/day | 1.061,5,6,12,13 | 0.941,5,6,12,13 | 1.681,5,6,8,9,12–14 | 1.811–3,5,6,8–10,12–14 | 1.661–3,5,6,8,9,12–14 | 0.981,5,6,12,13 | 1.181,5,6,8,9,12,13 |
| (0.90 – 1.25) | (0.74 – 1.19) | (0.96 – 2.96) | (0.88 – 3.73) | (0.80 – 3.43) | (0.80 – 1.20) | (0.84 – 1.64) | ||
| Grapefruit | 120g/day | 0.991,5,6,8,9,12,14 | 1.011,5,6,8,9,12,14 | 0.971,5,6,8,9,12,14 | 0.921–3,5,6,8–10,12,14 | 0.951–3,5,6,8,9,12,14 | 0.991,5,6,8,9,12,14 | 0.961,5,6,8,9,12,14 |
| (0.96 – 1.03) | (0.97 – 1.05) | (0.84 – 1.11) | (0.76 – 1.12) | (0.80 – 1.13) | (0.94 – 1.04) | (0.88 – 1.04) | ||
| Orange & Grapefruit Juice | 186g/day | 1.011,7–9 | 1.021,7–9 | 1.001,7–9,14 | 1.051–3,7–10,14 | 0.981–3,7–9,14 | 1.001,7–9 | 1.011,7–9 |
| (1.00 – 1.02) | (1.01 – 1.04) | (0.94 – 1.06) | (0.98 – 1.13) | (0.91 – 1.06) | (0.99 – 1.02) | (0.98 – 1.04) | ||
| Lettuce | 56g/day | 0.996,8,9 | 1.006,8,9 | 0.916,8,9,14 | 0.922,3,6,8–10,14 | 0.862,3,6,8,9,13,14 | 1.006,8,9 | 1.016,8,9 |
| (0.96 – 1.02) | (0.96 – 1.03) | (0.85 – 0.98) | (0.84 – 1.01) | (0.78 – 0.94) | (0.97 – 1.03) | (0.97 – 1.05) | ||
| Oranges | 131g/day | 1.001,5,6,8,9,14 | 1.001,5,6,8,9,14 | 1.031,5,6,8,9,14 | 1.001–3,5,6,8–10,14 | 1.061–3,5,6,8,9,14 | 1.001,5,6,8,9,14 | 1.051,5,6,8,9,14 |
| (0.97 – 1.04) | (0.97 – 1.04) | (0.94 – 1.13) | (0.88 – 1.13) | (0.94 – 1.18) | (0.96 – 1.04) | (0.94 – 1.17) | ||
| Peppers | 138g/day | 0.783,4,6,8,9,11 | 0.753,4,6,8,9,11 | 1.013,4,6,8,9,11,14 | 1.082–4,6,8–11,14 | 1.312–4,6,8,9,11,14 | 0.683,4,6,8,9,11 | 1.773,4,6,8,9,11 |
| (0.56 – 1.08) | (0.54 – 1.04) | (0.53 – 1.92) | (0.45 – 2.58) | (0.63 – 2.73) | (0.46 – 0.99) | (0.66 – 4.74) | ||
| String Beans | 68g/day | 1.013–6,8,9,11 | 1.003–6,8,9,11 | 1.033–6,8,9,11,14 | 0.972–6,8–11,14 | 1.112–6,8,9,11,14 | 0.993–6,8,9,11 | 1.053–6,8,9,11 |
| (0.89 – 1.14) | (0.89 – 1.12) | (0.86 – 1.24) | (0.72 – 1.31) | (0.86 – 1.43) | (0.88 – 1.12) | (0.93 – 1.18) | ||
| Vegetable Soup | 244g/day | 1.021,5–12 | 0.971,5–12 | 1.271,5–12,14 | 1.361–3,5–12,14 | 1.161–3,5–12,14 | 1.021,5–12 | 0.991,5–12 |
| (0.95 – 1.10) | (0.86 – 1.09) | (0.94 – 1.71) | (0.91 – 2.03) | (0.78 – 1.73) | (0.93 – 1.11) | (0.83 – 1.19) | ||
| Spinach | 80g/day | 1..006,8–11,14 | 1.106,8–11,14 | 1.256,8–11,14 | 1.032,3,6,8–11,14 | 1.382,3,6,8–11,14 | 1.006,8–11,14 | 1.256,8–11,14 |
| (0.95 – 1.06) | (0.89 – 1.36) | (0.85 – 1.84) | (0.78 – 1.37) | (0.94 – 2.03) | (0.93 – 1.08) | (0.93 – 1.69) | ||
| Tomatoes | 122g/day | 0.976,8,13–15 | 0.976,8,13–15 | 0.986,8,9,13–15 | 0.912,3,6,8–10,13–15 | 0.972,3,6,8,9,13–15 | 0.986,8,13–15 | 0.996,8,9,13–15 |
| (0.86 – 1.10) | (0.88 – 1.07) | (0.82 – 1.18) | (0.65 – 1.27) | (0.78 – 1.20) | (0.84 – 1.14) | (0.85 – 1.14) | ||
| Yams | 128g/day | 0.981,5,6,8–10,12 | 1.011,5,6,8–10,12 | 1.281,5,6,8–10,12,14 | 1.441–3,5,6,8–10,12,14 | 0.741–3,5,6,8–10,12,14 | 0.881,5,6,8–10,12 | 1.541,5,6,8–10,12 |
| (0.81 – 1.18) | (0.81 – 1.27) | (0.48 – 3.41) | (0.68 – 3.07) | (0.22 – 2.51) | (0.68 – 1.12) | (0.59 – 4.03) |
CaP: prostate cancer; CI: confidence interval; RR: relative risk
“Advanced”: defined as T4, N1, or M1 tumors or prostate cancer mortality; “Advanced restricted”: same as advanced CaP, but excluding those who died of CaP during follow-up who had been diagnosed with localized cancer or had missing stage data; “High grade”: Gleason score ≥8 or poorly differentiated/undifferentiated; “Localized”: defined as T1/T2 and N0M0 tumors, i.e. cancers confined within the prostate; “Low grade”: Gleason score <8 or well/moderately differentiated;
Increments were chosen to reflect a serving size of each individual item
All models adjusted for marital status (married [ref], never married, widowed, divorced), race (Caucasian [ref], African-American, Asian, Hispanic, other), education (<high school [ref], high school, >high school), body mass index (BMI, kg/m2) (<23 [ref], 23–<25, 25–<30, ≥30), height (meters) (<1.70 [ref], 1.70–<1.75, 1.75–<1.80, 1.80–<1.85, ≥1.85), alcohol (g/day) (0 [ref], >0–<5, 5–<15, 15–<30, ≥30), multivitamin use (no [ref], yes), total energy intake (kcal/d, as continuous variable), smoking status (never [ref], past smoker <15 packyears, past smoker ≥15 packyears, current smoker <40 packyears, current smoker ≥40 packyears), prostate cancer family history (no [ref], yes), physical activity (low [ref], medium, high), history of diabetes (no [ref], yes). Age in years and year of questionnaire return were included as stratification variables. We included a stratification variable for EPIC.
Excludes Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study (ATBC)
Excludes Beta-Carotene and Retinol Efficacy Trial (CARET)
Excludes CLUE II: Campaign Against Cancer and Heart Disease (CLUE-II)
Excludes Cancer Prevention Study-II Nutrition Cohort (CPS-II)
Excludes Cohort of Swedish Men (COSM)
Excludes European Prospective Investigation into Cancer and Nutrition (EPIC)
Excludes Health Professionals Follow-Up Study (HPFS)
Excludes The Japan Public Health Center-Based Study I (JPHC-I)
Excludes The Japan Public Health Center-Based Study II (JPHC-II)
Excludes Melbourne Collaborative Cohort Study (MCCS)
Excludes Multiethnic Cohort (MEC)
Excludes Netherlands Cohort Study (NLCS)
Excludes NIH-AARP Diet and Health Study (AARP)
Excludes Prostate Cancer Prevention Trial (PCPT)
Excludes Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO)