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Dietary vitamin D and risk of non-Hodgkin lymphoma: the multiethnic cohort

Published online by Cambridge University Press:  28 September 2009

Eva Erber*
Affiliation:
Cancer Research Center of Hawai'i, University of Hawaii, 1236 Lauhala Street, Honolulu, HI96813, USA
Gertraud Maskarinec
Affiliation:
Cancer Research Center of Hawai'i, University of Hawaii, 1236 Lauhala Street, Honolulu, HI96813, USA
Unhee Lim
Affiliation:
Cancer Research Center of Hawai'i, University of Hawaii, 1236 Lauhala Street, Honolulu, HI96813, USA
Laurence N. Kolonel
Affiliation:
Cancer Research Center of Hawai'i, University of Hawaii, 1236 Lauhala Street, Honolulu, HI96813, USA
*
*Corresponding author: Eva Erber, fax +1 808 586 2982, email eerber@crch.hawaii.edu
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Abstract

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The present study explored the association between dietary vitamin D and non-Hodgkin's lymphoma (NHL) risk. The multiethnic cohort (MEC) includes more than 215 000 Caucasians, African Americans, Native Hawaiians, Japanese Americans and Latinos, aged 45–75. After 10 years of follow-up, 939 incident NHL cases were identified. Risk was estimated using proportional hazards' models adjusted for possible confounders. Vitamin D intake was not associated with NHL risk in the entire cohort (Ptrend = 0·72 for men and Ptrend = 0·83 for women), but significantly lowered disease risk in African American women (hazard ratio (HR) = 0·50, 95 % CI: 0·28, 0·90, Ptrend = 0·03) and was borderline protective in African American men (HR = 0·68; 95 % CI: 0·39, 1·19; Ptrend = 0·31) when the highest to the lowest tertile was compared. In NHL subtype analyses, a 19, 36 and 32 % lowered risk, although not significant, was observed for diffuse large B-cell lymphoma, follicular lymphoma and small lymphocytic lymphoma/chronic lymphocytic leukemia in women, respectively. High dietary intake of vitamin D did not show a protective effect against NHL within the MEC except among African Americans, possibly because vitamin D production due to sun exposure is limited in this population.

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Copyright
Copyright © The Authors 2009

References

1Armstrong, BK & Kricker, A (2007) Sun exposure and non-Hodgkin lymphoma. Cancer Epidemiol Biomarkers Prev 16, 396400.CrossRefGoogle ScholarPubMed
2Cantorna, MT, Zhu, Y, Froicu, M, et al. (2004) Vitamin D status, 1,25-dihydroxyvitamin D3, and the immune system. Am J Clin Nutr 80, 1717S1720S.CrossRefGoogle ScholarPubMed
3Kricker, A, Armstrong, BK, Hughes, AM, et al. (2008) Personal sun exposure and risk of non Hodgkin lymphoma: a pooled analysis from the Interlymph Consortium. Int J Cancer 122, 144154.CrossRefGoogle ScholarPubMed
4Chang, ET, Balter, KM, Torrang, A, et al. (2006) Nutrient intake and risk of non-Hodgkin's lymphoma. Am J Epidemiol 164, 12221232.CrossRefGoogle ScholarPubMed
5Giovannucci, E (2005) The epidemiology of vitamin D and cancer incidence and mortality: a review (United States). Cancer Causes Control 16, 8395.CrossRefGoogle Scholar
6Kolonel, LN, Henderson, BE, Hankin, JH, et al. (2000) A multiethnic cohort in Hawaii and Los Angeles: baseline characteristics. Am J Epidemiol 151, 346357.CrossRefGoogle ScholarPubMed
7Stram, DO, Hankin, JH, Wilkens, LR, et al. (2000) Calibration of the dietary questionnaire for a multiethnic cohort in Hawaii and Los Angeles. Am J Epidemiol 151, 358370.CrossRefGoogle ScholarPubMed
8Morton, LM, Turner, JJ, Cerhan, JR, et al. (2007) Proposed classification of lymphoid neoplasms for epidemiologic research from the Pathology Working Group of the International Lymphoma Epidemiology Consortium (InterLymph). Blood 110, 695708.CrossRefGoogle Scholar
9Jaffe, ES, Harris, NL, Stein, H, et al. (2001) Pathology and Genetics of Tumours of Haemotopoietic and Lymphoid Tissues. Lyon: IARC Press.Google Scholar
10Thiebaut, AC & Benichou, J (2004) Choice of time-scale in Cox's model analysis of epidemiologic cohort data: a simulation study. Stat Med 23, 38033820.CrossRefGoogle ScholarPubMed
11Zheng, T, Holford, TR, Leaderer, B, et al. (2004) Diet and nutrient intakes and risk of non-Hodgkin's lymphoma in Connecticut women. Am J Epidemiol 159, 454466.CrossRefGoogle ScholarPubMed
12Soni, LK, Hou, L, Gapstur, SM, et al. (2007) Sun exposure and non-Hodgkin lymphoma: a population-based, case–control study. Eur J Cancer 43, 23882395.CrossRefGoogle ScholarPubMed
13Hartge, P, Lim, U, Freedman, DM, et al. (2006) Ultraviolet radiation, dietary vitamin D, and risk of non-Hodgkin lymphoma (United States). Cancer Causes Control 17, 10451052.CrossRefGoogle Scholar
14Polesel, J, Talamini, R, Montella, M, et al. (2006) Linoleic acid, vitamin D and other nutrient intakes in the risk of non-Hodgkin lymphoma: an Italian case–control study. Ann Oncol 17, 713718.CrossRefGoogle Scholar
15Holick, MF (2004) Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease, cancers, and cardiovascular disease. Am J Clin Nutr 80, 1678S1688S.CrossRefGoogle ScholarPubMed
16Holick, MF (2006) High prevalence of vitamin D inadequacy and implications for health. Mayo Clin Proc 81, 353373.CrossRefGoogle Scholar
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