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. 2019 Apr 29;14(4):e0216284. doi: 10.1371/journal.pone.0216284

Table 1. General characteristics of the studies on vitamin D status and non-Hodgkin lymphoma risk.

Author Ref. no. Type Study Country Recruit period Case no. Control/ pop. no. Exposure* Outcome Matched/adjusted variables
Erber et al., 2010 [20] cohort MEC (multiethnic cohort)1) USA 1993–1996 male 514, female 425 193,050 diet NHL, DLBL, FL, CLL/SLL education, body mass index, alcohol intake, total energy intake (plus race/ethnicity)
Freedman et al., 2010 [21] cohort USRT study USA 1983–2005 137 64,103 sunlight/UVR (v, vii) NHL age, sex, race/ethnicity
Veierød et al., 2010 [22] cohort Norwegian-Swedish Women's Lifestyle and Health Cohort Study Sweden, Norway 1991–1992 158 104,953 sunlight/UVR (i, ii, iii) NHL age, region of residence, eye color, hair color, skin reaction after heavy sun exposure in the beginning of the summer and after repeated sun exposure (plus solar exposure in artificial tanning)
Bertrand et al., 2011 [23] cohort NHS (Nurses' Health Study)1) USA 1976–2006 808 115,482 sunlight/UVR (v); diet NHL, DLBL, FL, CLL/SLL (dietary: only NHL) age, smoking, body mass index, height
Chang et al., 2011 [24] cohort CTS (California Teachers Study) USA 1995–1996 629 121,216 sunlight/UVR (v); diet NHL, DLBL, FL, CLL/SLL (dietary: only NHL) age, calendar-year effect
Lin et al., 2012 [25] cohort NIH-AARP Diet and Health Study USA 1995–1996 NHL 2,731, DLBL 1,059, FL 577, CLL/SLL 237, T-cell 188 450,934 sunlight/UVR (v) NHL, DLBL, FL, CLL/SLL, T-cell age at baseline, sex, BMI, caloric intake, intake of fruit, vegetables, red and white meat, alcohol consumption, tobacco smoking, education, physical activity, median household income
Zhang et al., 2013 [26] cohort NHS II USA 1989–2009 185 73,358 sunlight/UVR (iii) NHL age,body mass index, alcohol, physical activity, multivitamin, smoking, oral contraceptive use, menopausal status, hormone replacement therapy use, outdoor sun exposure during high school/college, at 25-35years, UV index of residence, dietary & supplementary vitamin D intake
Hughes et al., 2004 [27] case-control (NSW)2) Australia 2000–2001 704 694 sunlight/UVR (ii) NHL age, sex, state of residence at diagnosis, ethnicity, skin color, ability to tan
Smedby et al., 2005 [28] case-control SCALE (Scandinavian lymphoma etiology)3) Denmark, Sweden 1999–2002 3,055 3,187 sunlight/UVR (i, ii, iii, iv) NHL, DLBL, FL, CLL, T-cell age, sex, country, skin type
Chang et al., 2006 [29] case-control SCALE (Scandinavian lymphoma etiology)2) Sweden 2000–2002 591 460 diet NHL, DLBL, FL, CLL, T-cell age, sex, total energy intake, intake of retinol/vitamin D/calcium/phosphorus
Hartge et al., 2006 [30] case-control (SEER)2) USA 1998–2002 551 462 sunlight/UVR (i, iii, iv, v); diet NHL age, sex, race/ethnicity, study region, exercise, total energy intake
Polesel et al., 2006 [31] case-control (Aviano-Naples)2) Italy 1999–2002 190 484 diet NHL, DLBL, FL age, sex, center, education, place of birth, HCV test, total energy intake
Soni et al., 2007 [32] case-control (Nebraska)3) USA 1999–2002 387 535 sunlight/UVR (v); diet NHL, DLBL, FL, CLL/SLL, MZL, B-/T-cell age, sex, family history of cancer
Weihkopf et al., 2007 [33] case-control   Germany 1999–2003 589 589 sunlight/UVR (ii, iv, vi) DLBL, FL, CLL/SLL, MZL, B-/T-cell age, sex, region, smoking status, alcohol consumption
Zhang et al., 2007 [34] case-control (Yale)3) USA 1996–2000 601 717 sunlight/UVR (i, ii, iv) NHL, DLBL, FL, CLL/SLL, MZL, B-/T-cell age, race/ethnicity, family history of NHL, education, eye color, skin type
Boffetta et al., 2008 [35] case-control Epilymph3) France, Germany, Ireland, Italy, Spain 1998–2004 1,518 2,124 sunlight/UVR (iii, v) NHL, DLBL, FL, CLL/SLL, B-cell, T-cell age, sex, region(center), education, skin reaction to sun, questionnaire type
Grandin et al., 2008 [36] case-control Engela (France)2) France 2000–2004 395 698 sunlight/UVR (iii, vi) NHL age, sex, region(center), outdoor activity frequency, artificial radiation/outdoor activity (stratified)
Kricker et al., 2008 [6] case-control InterLymph (older)3) N.America, Europe, Australia 1995–2005 8,243 9,697 sunlight/UVR (vii, viii) NHL, DLBL, FL, CLL/SLL, MZL, B-/T-cell age, sex, race/ethnicity, study
Kelly et al., 2010 [37] case-control (Univ. of Rochester)2) USA 2005–2007 129 139 sunlight/UVR (i, iii, iv, vii); 25(OH)D NHL sunlight/UVR: age, sex, race/ethnicity, skin cancer diagnosis, family history of lymphoma & other cancer, body mass index, alcohol, sun exposure variables (eg. sunburn, tanning)
25(OH)D: age, sex, race/ethnicity, prior skin cancer diagnosis, family history of lymphoma and other cancer, body mass index, season
Purdue et al., 2010 [38] case-control VDPP (Vitamin D Pooling Project of Rarer Caners; ATBC, CPS-II, MEC, NHS, NYU-WHS, PLCO, SMHS, SWHS USA, Finland, China 1974–2008 1,353 1,778 25(OH)D NHL, DLBL, FL, CLL/SLL age at blood collection, sex, race/ethnicity, date of blood draw, height (plus menopausal status)
Kelly et al., 2012 [39] case-control (Mayo Clinic)3) USA 2002–2008 1,009 1,233 sunlight/UVR (vii) NHL, DLBL, FL, CLL/SLL age, sex, region, family history of lymphoma
Mikhak et al., 2012 [40] case-control (UCSF-II)2) USA 2001–2006 2,052 2,081 diet NHL, DLBL, FL, CLL/SLL, MZL, T-cell age, sex, county, total energy intake
Wong et al., 2012 [41] case-control Singapore 2004–2008 465 830 sunlight/UVR (vi) NHL, B-/T-cell age, sex, region(center), month of diagnosis, ethnicity, skin color, education, housing type, body mass index, history of any cancer in 1st-degree relatives
Łuczyńska et al., 2013 [17] case-control EPIC (European Prospective Investigation into Cancer and Nutrition) Denmark, Italy, Netherlands, Norway, Spain, Sweden, UK, Germany, Greece 1992–2000 1,127 1,127 diet; 25(OH)D DLBL, FL, CLL, B-cell age, sex, region(center), follow-up length, time and date of blood collection, smoking status, alcohol consumption at baseline, education, BMI, physical education, total energy and calcium intake
Cerhan et al., 2014 [7] case-control InterLymph N.America, Europe, Australia 1976–2008 4,667 22,639 sunlight/UVR (viii) DLBL age, sex, race/ethnicity, study
Linet et al., 2014 [8] case-control InterLymph N.America, Europe, Australia 1976–2008 3,530 22,639 sunlight/UVR (vii, viii) FL age, sex, race/ethnicity, study
Slager et al., 2014 [9] case-control InterLymph N.America, Europe, Australia 1976–2008 2,440 15,186 sunlight/UVR (vii, viii) CLL/SLL age, sex, race/ethnicity, study
Bracci PM et al., 2014 [10] case-control InterLymph N.America, Europe, Australia 1976–2008 13,766 1,052 sunlight/UVR (viii) MZL age, sex, race/ethnicity, study
Kleinstern et al., 2017 [42] case-control Israel, Palestine 2010–2014 823 808 sunlight/UVR (vi) DLBL, FL, B-cell age, sex, marital status, education, ethnic origin, residential region
Wang et al., 2017 [43] case-control LA County NHL Case-Control Study USA 2004–2008 625 625 sunlight/UVR (i, iii) DLBL, FL, CLL/SLL, MZL, B-cell age, race/ethnicity, socioeconomic status, standard error of skewness, family history of cancer

Abbreviations: NHL, non-Hodgkin lymphoma; DLBL, diffuse large B-cell lymphoma; FL, follicular lymphoma; CLL/SLL, chronic lymphocytic leukemia and small lymphocytic lymphoma, MZL, marginal zone lymphoma.

1) Later integrated to VDPP study; exposure-outcome measures do not overlap in the current study

2, 3) Later integrated to InterLymph study; exposure-outcome measures do not overlap (2) or partly overlap (3) in the current study

*underlined exposure measures were selected in the main analysis as the overall sunlight/UVR exposure indices: (i) sunburn; (ii) bathing vacation; (iii) artificial tanning; (iv) sunbath/suntan; (v) ambient exposure; (vi) outdoor/recreational activity; (vii) total exposure; (viii) recreational exposure