학술논문

Serum 25-hydroxyvitamin D concentrations and lung cancer risk in never-smoking postmenopausal women
Document Type
article
Source
Cancer Causes & Control. 28(10)
Subject
Biomedical and Clinical Sciences
Oncology and Carcinogenesis
Cancer
Prevention
Complementary and Integrative Health
Nutrition
Clinical Research
Lung
Lung Cancer
Adenocarcinoma
Aged
Carcinoma
Non-Small-Cell Lung
Case-Control Studies
Female
Humans
Logistic Models
Lung Neoplasms
Middle Aged
Odds Ratio
Postmenopause
Risk Factors
Vitamin D
25-Hydroxyvitamin D
Lung cancer
Postmenopausal women
Never smokers
Histology
Public Health and Health Services
Epidemiology
Oncology and carcinogenesis
Language
Abstract
PurposeVitamin D has been implicated in lowering lung cancer risk, but serological data on the association among never-smoking women are limited. We report results examining the association of serum 25-hydroxyvitamin D [25(OH)D] concentrations with lung cancer risk among female never smokers. We also examined whether the association was modified by vitamin D supplementation and serum vitamin A concentrations.MethodsIn the Women's Health Initiative, including the calcium/vitamin D (CaD) Trial, we selected 298 incident cases [191 non-small cell lung cancer (NSCLC) including 170 adenocarcinoma] and 298 matched controls of never smokers. Baseline serum 25(OH)D was assayed by a chemiluminescent method. Logistic regression was used to estimate odds ratios (ORs) for quartiles and predefined clinical cutoffs of serum 25(OH)D concentrations.ResultsComparing quartiles 4 versus 1 of serum 25(OH)D concentrations, ORs were 1.06 [95% confidence interval (CI) 0.61-1.84] for all lung cancer, 0.94 (95% CI 0.52-1.69) for NSCLC, and 0.91 (95% CI 0.49-1.68) for adenocarcinoma. Comparing serum 25(OH)D ≥ 75 (high) versus