Influence of observational study design on the interpretation of cancer risk reduction by carotenoids.

Abstract:

:Recently published literature has been reviewed to determine whether lycopene, beta-carotene, alpha-carotene, and beta-cryptoxanthin are associated with reductions in cancer risk and whether study findings differ by study design. A total of 57 publications meeting pre-defined inclusion and exclusion criteria were identified, with the majority (55) being observational studies. None of the intervention studies supported a significant reduction in cancer risk with carotenoid (beta-carotene) supplementation. The majority of observational studies did not support significant reductions in cancer risk with increased carotenoid dietary intakes/circulating levels. A larger percentage of case-control studies supported significant associations between increased dietary intakes/circulating levels of carotenoids relative to prospective (cohort and nested case-control) studies. Compared to prospective studies, case-control studies cannot be used to establish temporality and may be more susceptible to selection and recall biases. Thus, diet-disease relationships suggested by case-control studies should ideally be confirmed by additional evidence from prospective studies.

journal_name

Nutr Rev

journal_title

Nutrition reviews

authors

Musa-Veloso K,Card JW,Wong AW,Cooper DA

doi

10.1111/j.1753-4887.2009.00225.x

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

527-45

issue

9

eissn

0029-6643

issn

1753-4887

pii

NURE225

journal_volume

67

pub_type

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