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