Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-23T08:29:07.270Z Has data issue: false hasContentIssue false

Serum carotenoids as biomarkers of fruit and vegetable consumption in the New York Women's Health Study

Published online by Cambridge University Press:  02 January 2007

Anne Linda Van Kappel*
Affiliation:
Unit of Nutrition and Cancer, International Agency for Research on Cancer, 150 cours Albert-Thomas, F-69372 Lyon Cedex 08, France
Jean-Paul Steghens
Affiliation:
Laboratoire de Biochimie C, Hôpital Edouard Herriot, 5 place d'Arsonval, F-69437 Lyon Cedex 03, France
Anne Zeleniuch-Jacquotte
Affiliation:
Nelson Institute of Environmental Medicine, New York University School of Medicine, 650 First Avenue, 5th Floor, New York, NY 10016, USA Kaplan Comprehensive Cancer Center, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA
Véronique Chajès
Affiliation:
Unit of Nutrition and Cancer, International Agency for Research on Cancer, 150 cours Albert-Thomas, F-69372 Lyon Cedex 08, France
Paolo Toniolo
Affiliation:
Nelson Institute of Environmental Medicine, New York University School of Medicine, 650 First Avenue, 5th Floor, New York, NY 10016, USA Kaplan Comprehensive Cancer Center, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA Division of Epidemiology, Department of Obstetrics and Gynecology, New York University School of Medicine, 550 First Avenue, Room NB 9E2, New York, NY 10016, USA
Elio Riboli
Affiliation:
Unit of Nutrition and Cancer, International Agency for Research on Cancer, 150 cours Albert-Thomas, F-69372 Lyon Cedex 08, France
*
*Corresponding author: Email vankappel@iarc.fr
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

To investigate the usefulness of serum carotenoids as biomarkers of fruit and vegetable consumption.

Design:

Reproducibility study on three repeat measurements of serum carotenoids. Correlation analysis of carotenoids and dietary food intake, and regression analysis of potential predictive parameters for serum carotenoid levels.

Setting:

New York, USA.

Subjects:

Women participating in the New York Women's Health Study, a prospective study of sex hormones, diet and breast cancer. Forty-eight women with three repeat blood samples and 302 women having a blood sample and a dietary history questionnaire.

Results:

Serum carotenoid concentrations were highly reproducible between one- and two-year repeat samples. Estimated fruit and vegetable consumption was positively correlated with serum carotenoid concentrations but correlation coefficients were low. Consumption of fruit was predictive for serum levels of beta-carotene, alpha-carotene and beta-cryptoxanthin, while vegetable consumption was predictive for serum beta-carotene, lutein, zeaxanthin and lycopene. Serum concentrations of cholesterol and triglycerides were predictive for serum carotenoids but adjustment for their levels had little or no influence on the correlation between fruit and vegetable consumption and serum carotenoid concentrations.

Conclusions:

One single serum measurement of alpha-carotene, beta-carotene and lutein can accurately rank subjects according to their usual serum level. Serum concentrations, however, correlate only moderately with estimated dietary intake of fruits or vegetables and should therefore be used with caution as biomarkers of fruit and vegetable intake.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1: World Cancer Research Fund/American Institute for Cancer Research. Vegetables and fruits. In Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: World Cancer Research Fund/American Institute for Cancer Research, 2000; 436–46.Google Scholar
2: Pfander, H. Key to Carotenoids. Basel: Birkhauser Verlag, 1987.Google Scholar
3: Kull, D, Pfander, H. List of new carotenoids. In: Britton, G, Liaaen-Jensen, S, Pfander, H, eds. Carotenoids. Basel: Birkhauser Verlag, 1995; 295317.Google Scholar
4: Khachik, F, Spangler, CJ, Smith, JC Jr, Canfield, LM, Steck, A, Pfander, H. Identification, quantification, and relative concentrations of carotenoids and their metabolites in human milk and serum. Anal. Chem. 1997; 69: 1873–81.CrossRefGoogle ScholarPubMed
5: Khachik, F, Beecher, GR, Goli, MB, Lusby, WR, Smith, JC. Separation and identification of carotenoids and their oxidation products in the extracts of human plasma. Anal. Chem.. 1992; 64: 2111–22.CrossRefGoogle ScholarPubMed
6: Cooney, RV, Franke, AA, Hankin, JH, et al. Seasonal variations in plasma micronutrients and antioxidants. Cancer Epidemiol. Biomarkers Prev. 1995; 4: 207–15.Google ScholarPubMed
7: Tangney, CC, Shekelle, RB, Raynor, W, Gale, M, Betz, EP. Intra- and interindividual variation in measurements of beta-carotene, retinol, and tocopherols in diet and plasma. Am. J. Clin. Nutr. 1987; 45: 764–9.CrossRefGoogle ScholarPubMed
8: Toniolo, PG, Pasternack, BS, Shore, RE, et al. Endogenous hormones and breast cancer: a prospective cohort study [see comments]. Breast Cancer Res. Treat. 1991; 18(Suppl. 1): S23–6.CrossRefGoogle ScholarPubMed
9: Toniolo, PG, Levitz, M, Zeleniuch-Jacquotte, A, et al. A prospective study of endogenous estrogens and breast cancer in postmenopausal women [see comments]. J. Natl. Cancer Inst. 1995; 87: 190–7.CrossRefGoogle ScholarPubMed
10: Toniolo, P, Van Kappel, AL, Akhmedkhanov, A, et al. Serum carotenoids and breast cancer. Am. J. Epidemiol. 2000; (in press).Google Scholar
11: Steghens, JP, Van Kappel, AL, Riboli, E, Collombel, C. Simultaneous measurement of seven carotenoids, retinol and alpha-tocopherol in serum by high-performance liquid chromatography. J. Chromatogr. B. Biomed. Sci. Appl. 1997; 694: 7181.CrossRefGoogle ScholarPubMed
12: Block, G, Hartman, AM, Dresser, CM, Carroll, MD, Gannon, J, Gardner, L. A data-based approach to diet questionnaire design and testing. Am. J. Epidemiol. 1986; 124: 453–69.CrossRefGoogle ScholarPubMed
13: Nelson, M, Black, AE, Morris, JA, Cole, TJ. Between- and within-subject variation in nutrient intake from infancy to old age: estimating the number of days required to rank dietary intakes with desired precision. Am. J. Clin. Nutr. 1989; 50: 155–67.CrossRefGoogle ScholarPubMed
14: Carroll, YL, Corridan, BM, Morrissey, PA. Carotenoids in young and elderly healthy humans: dietary intakes, biochemical status and diet–plasma relationships. Eur. J. Clin. Nutr. 1999; 53: 644–53.CrossRefGoogle Scholar
15: Campbell, DR, Gross, MD, Martini, MC, Grandits, GA, Slavin, JL, Potter, JD. Plasma carotenoids as biomarkers of vegetable and fruit intake. Cancer Epidemiol. Biomarkers Prev. 1995; 3: 493500.Google Scholar
16: Scott, KJ, Thurnham, DI, Hart, DJ, Bingham, SA, Day, K. The correlation between the intake of lutein, lycopene and beta- carotene from vegetables and fruits, and blood plasma concentrations in a group of women aged 50–65 years in the UK. Br. J. Nutr. 1996; 75: 409–18.CrossRefGoogle Scholar
17: Potischman, N, Byers, T, Houghton, L, Root, M, Nemoto, T, Campbell, TC. Effects of breast cancer treatments on plasma nutrient levels: implications for epidemiological studies. Cancer Epidemiol. Biomarkers Prev. 1992; 1: 555–9.Google ScholarPubMed
18: Johnson, EJ, Russell, RM. Distribution of orally administered beta-carotene among lipoproteins in healthy men. Am. J. Clin. Nutr. 1992; 56: 128–35.CrossRefGoogle ScholarPubMed
19: Brown, ED, Micozzi, MS, Craft, NE, et al. Plasma carotenoids in normal men after a single ingestion of vegetables or purified beta-carotene. Am. J. Clin. Nutr. 1989; 49: 1258–65.CrossRefGoogle ScholarPubMed
20: Kaaks, R, Riboli, E, Sinha, R, Toniolo, P, Boffetta, P, Shuker, DEG, Rothman, N, Hulka, B, Pearce, N. Biochemical markers of dietary intake Application of Biomarkers in Cancer Epidemiology. Lyon: International Agency for Research on Cancer, 1997; 103–26.Google Scholar
21: van't, Veer, Kardinaal, AF, Bausch-Goldbohm, RA, Kok, FJ. Biomarkers for validation. Eur. J. Clin. Nutr. 1993; 47(Suppl. 2): S58–63.Google Scholar
22: Brady, WE, Mares-Perlman, JA, Bowen, P, Stacewicz-Sapuntzakis, M. Human serum carotenoid concentrations are related to physiologic and lifestyle factors. J. Nutr. 1996; 126: 129–37.CrossRefGoogle ScholarPubMed
23: Parker, RS, Absorption, metabolism, and transport of carotenoids. FASEB J. 1996; 10: 542–51.CrossRefGoogle ScholarPubMed