Reduced risk of colon cancer with high intake of vitamin E: The Iowa women's health study

Roberd M. Bostick, John D. Potter, David R. McKenzie, Thomas A. Sellers, Lawrence H. Kushi, Kristi A. Steinmetz, Aaron R. Folsom

Research output: Contribution to journalArticle

230 Citations (Scopus)

Abstract

Antioxidant micronutrients, including vitamin E, vitamin C, the carotenoids, and selenium, defend the body against free radicals and reactive oxygen molecules, suggesting a potential for these dietary components in cancer prevention. To investigate whether high intakes of antioxidant micronutrients protect against colon cancer in humans, we analyzed data from a prospective cohort study of 35,215 Iowa women aged 55-69 years and without a history of cancer who completed a dietary questionnaire in 1986. Through 1990, 212 incident cases of colon cancer were documented. Adjusted for age, total vitamin E intake was inversely associated with the risk of colon cancer (P for trend < 0.0001); the relative risk for the highest compared to the lowest quintile was 0.32 [95% confidence interval (95% CI) 0.19, 0.54]. Further adjustment for total energy intake and other risk factors in proportional hazards regression had little effect on these estimates. The association was not uniform across age groups: the multivariate relative risk of colon cancer for the highest compared to the lowest quintile of total vitamin E intake was 0.16 (95% CI 0.04, 0.70) for those 55-59 years old, 0.37 (95% CI 0.12, 1.16) for those 60-64 years old, and 0.93 (95% CI 0.27, 3.25) for those 65-69 years old. Multivariate-adjusted relative risks among women with higher total intakes of vitamins A and C and β-carotene, and among users of selenium supplements, were not significantly different from 1.0. These prospective data provide evidence that a high intake of vitamin E may decrease the risk of colon cancer, especially in persons under 65 years of age.

Original languageEnglish (US)
Pages (from-to)4230-4237
Number of pages8
JournalCancer Research
Volume53
Issue number18
StatePublished - Sep 15 1993
Externally publishedYes

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Women's Health
Vitamin E
Colonic Neoplasms
Confidence Intervals
Micronutrients
Carotenoids
Selenium
Ascorbic Acid
Antioxidants
Energy Intake
Vitamin A
Free Radicals
Neoplasms
Cohort Studies
Age Groups
Prospective Studies
Oxygen

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Bostick, R. M., Potter, J. D., McKenzie, D. R., Sellers, T. A., Kushi, L. H., Steinmetz, K. A., & Folsom, A. R. (1993). Reduced risk of colon cancer with high intake of vitamin E: The Iowa women's health study. Cancer Research, 53(18), 4230-4237.

Reduced risk of colon cancer with high intake of vitamin E : The Iowa women's health study. / Bostick, Roberd M.; Potter, John D.; McKenzie, David R.; Sellers, Thomas A.; Kushi, Lawrence H.; Steinmetz, Kristi A.; Folsom, Aaron R.

In: Cancer Research, Vol. 53, No. 18, 15.09.1993, p. 4230-4237.

Research output: Contribution to journalArticle

Bostick, RM, Potter, JD, McKenzie, DR, Sellers, TA, Kushi, LH, Steinmetz, KA & Folsom, AR 1993, 'Reduced risk of colon cancer with high intake of vitamin E: The Iowa women's health study', Cancer Research, vol. 53, no. 18, pp. 4230-4237.
Bostick RM, Potter JD, McKenzie DR, Sellers TA, Kushi LH, Steinmetz KA et al. Reduced risk of colon cancer with high intake of vitamin E: The Iowa women's health study. Cancer Research. 1993 Sep 15;53(18):4230-4237.
Bostick, Roberd M. ; Potter, John D. ; McKenzie, David R. ; Sellers, Thomas A. ; Kushi, Lawrence H. ; Steinmetz, Kristi A. ; Folsom, Aaron R. / Reduced risk of colon cancer with high intake of vitamin E : The Iowa women's health study. In: Cancer Research. 1993 ; Vol. 53, No. 18. pp. 4230-4237.
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