Table 3.
Odds ratios (OR)a for oral and pharyngeal, and laryngeal cancers, and corresponding 95 % confidence intervals (CI), on carotenoid intake quintiles from 10 INHANCE studies combined
| Controls | Oral and pharyngeal cases | OR (95 % CI)b | pfor heterogeneityc | Laryngeal cases | OR (95 % CI)b | pfor heterogeneityc | |
|---|---|---|---|---|---|---|---|
| β-Carotene equivalents | 5171 | 1880 | 1109 | ||||
| I Quintile | 860 | 464 | 1d | <0.001 | 282 | 1d | 0.466 |
| II Quintile | 932 | 399 | 0.82 (0.67–1.00) | 232 | 0.87 (0.69–1.11) | ||
| III Quintile | 1093 | 379 | 0.73 (0.60–0.88) | 240 | 0.73 (0.57–0.92) | ||
| IV Quintile | 1193 | 353 | 0.61 (0.46–0.80) | 185 | 0.54 (0.42–0.70) | ||
| V Quintile | 1093 | 285 | 0.52 (0.40–0.67) | 170 | 0.55 (0.43–0.71) | ||
| pfor trende | <0.001 | <0.001 | |||||
| β-Cryptoxanthin | 8996 | 3894 | 1402 | ||||
| I Quintile | 1527 | 939 | 1d | <0.001 | 398 | 1d | 0.769 |
| II Quintile | 1660 | 898 | 1.02 (0.89–1.17) | 261 | 0.86 (0.70–1.05) | ||
| III Quintile | 1883 | 725 | 0.77 (0.67–0.88) | 259 | 0.80 (0.65–0.99) | ||
| IV Quintile | 1942 | 701 | 0.75 (0.63–0.89) | 241 | 0.76 (0.61–0.93) | ||
| V Quintile | 1984 | 631 | 0.62 (0.52–0.74) | 243 | 0.73 (0.59–0.89) | ||
| pfor trende | <0.001 | <0.001 | |||||
| Lycopene | 8996 | 3894 | 1402 | ||||
| I Quintile | 1734 | 801 | 1d | 0.214 | 318 | 1d | 0.917 |
| II Quintile | 1856 | 782 | 0.80 (0.70–0.92) | 222 | 0.74 (0.59–0.92) | ||
| III Quintile | 1825 | 778 | 0.83 (0.72–0.95) | 256 | 0.91 (0.73–1.12) | ||
| IV Quintile | 1814 | 767 | 0.86 (0.75–0.99) | 291 | 0.84 (0.68–1.04) | ||
| V Quintile | 1767 | 766 | 0.82 (0.71–0.94) | 315 | 0.83 (0.68–1.02) | ||
| pfor trende | 0.043 | 0.250 | |||||
| Lutein plus zeaxanthin | 8996 | 3894 | 1402 | ||||
| I Quintile | 1601 | 920 | 1d | <0.001 | 353 | 1d | 0.330 |
| II Quintile | 1738 | 837 | 0.87 (0.75–1.02) | 262 | 0.79 (0.64–0.97) | ||
| III Quintile | 1810 | 759 | 0.79 (0.69–0.90) | 285 | 0.84 (0.68–1.03) | ||
| IV Quintile | 1881 | 732 | 0.79 (0.67–0.93) | 250 | 0.73 (0.59–0.90) | ||
| V Quintile | 1966 | 646 | 0.66 (0.54–0.80) | 252 | 0.68 (0.55–0.84) | ||
| pfor trende | <0.001 | <0.001 | |||||
| Total carotenoids | 8996 | 3894 | 1402 | ||||
| I Quintile | 1568 | 946 | 1d | <0.001 | 340 | 1d | 0.953 |
| II Quintile | 1758 | 814 | 0.79 (0.69–0.90) | 289 | 0.88 (0.72–1.08) | ||
| III Quintile | 1858 | 764 | 0.76 (0.65–0.88) | 241 | 0.66 (0.54–0.82) | ||
| IV Quintile | 1862 | 716 | 0.75 (0.64–0.89) | 280 | 0.77 (0.63–0.95) | ||
| V Quintile | 1950 | 654 | 0.61 (0.53–0.71) | 252 | 0.61 (0.50–0.76) | ||
| pfor trende | <0.001 | <0.001 |
International Head and Neck Cancer Epidemiology (INHANCE) Consortium
Estimated from multiple logistic regression models adjusted for age, gender, education, ethnicity, study center, cigarette smoking status, cigarette smoking intensity, cigarette smoking duration, cigar smoking status, pipe smoking status, alcohol drinking intensity and an interaction term between cigarette intensity and alcohol drinking
When heterogeneity between studies was detected (p < 0.1), we reported the mixed-effects estimates derived from the corresponding generalized linear mixed model
P for heterogeneity between studies
Reference category
P for linear trend