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Carotenoids and colon cancer
M L Slattery1, J Benson, K Curtin
1University of Utah Medical School, Salt Lake City, USA. mslatter@dfpm.utah.edu
The American Journal of Clinical Nutrition
|January 29, 2000
Summary
Dietary lutein intake may reduce colon cancer risk, particularly in younger individuals and those with proximal tumors. Foods rich in lutein include spinach, broccoli, and oranges, suggesting a potential role in cancer prevention.
Area of Science:
- Nutritional Epidemiology
- Cancer Prevention
- Carotenoid Research
Background:
- Carotenoids possess chemopreventive properties, but their association with colon cancer risk remains largely uncharacterized, except for beta-carotene.
- Understanding the role of various dietary carotenoids in common cancer prevention is crucial.
Purpose of the Study:
- To investigate the association between dietary intake of specific carotenoids (alpha-carotene, beta-carotene, lycopene, lutein, zeaxanthin, beta-cryptoxanthin) and the risk of developing colon cancer.
Main Methods:
- A case-control study involving 1993 colon cancer patients and 2410 population-based controls.
- Dietary data collected via a detailed diet-history questionnaire.
- Carotenoid nutrient values obtained from the USDA-Nutrition Coordinating Center carotenoid database (1998 updated version).
Main Results:
- Lutein intake showed a significant inverse association with colon cancer risk in both men and women (OR: 0.83; P=0.04 for trend).
- This protective association was stronger in younger individuals diagnosed with colon cancer (OR: 0.66; P=0.02 for trend) and those with proximal colon tumors (OR: 0.65; P<0.01 for trend).
- No significant associations were observed for other dietary carotenoids studied.
Conclusions:
- Major dietary sources of lutein include spinach, broccoli, lettuce, tomatoes, oranges, carrots, celery, and greens.
- Incorporating lutein-rich foods into the diet may contribute to reducing the risk of colon cancer.
- Further research into carotenoids and cancer chemoprevention is warranted.