Pan Sen, Wang Chuanlin, Sun Wei, Zhang Xin
Department of Urology, Chongqing University Fuling Hospital, Chongqing, China.
Front Nutr. 2025 Jun 13;12:1607452. doi: 10.3389/fnut.2025.1607452. eCollection 2025.
BACKGROUND: As micronutrients, vitamins play a critical role in maintaining normal physiological functions. However, the impact of different types of vitamins on PCa remains controversial. This study aimed to investigate the association between vitamin intake and PCa using a cross-sectional design. METHODS: We conducted a cross-sectional analysis of 14,977 adult men using data from the National Health and Nutrition Examination Survey (NHANES) collected between 2007 and 2018. Dietary intake was assessed using 24-h dietary recall interviews. Multivariate weighted logistic regression models were used to analyze the relationship between vitamin intake and PCa. Restricted cubic spline (RCS) was conducted to evaluate the non-linear relationship. We performed a trend test to examine the association between vitamin intake and PCa risk, and conducted an interaction analysis stratified by group covariates. The covariates included age, race, body mass index, educational attainment, the ratio of family income to poverty, alcohol intake, smoking status, diabetes, and hypertension. RESULTS: The study encompassed 10 vitamins with three ways of intake: diet, supplement, and total (diet plus supplement). In the fully adjusted model, the quartile-based analysis showed that individuals in the highest quartile of dietary retinol intake had a significantly increased risk of PCa (OR = 1.76, = 0.027), while higher supplement intake of vitamin B1 (OR = 0.38, = 0.036) and vitamin B2 (OR = 0.35, = 0.016) was associated with a lower risk. In the continuous variable analysis, supplement intake of vitamin B9 (OR = 0.65, = 0.049), vitamin B12 (OR = 0.83, = 0.030), and total vitamin B12 (OR = 0.82, = 0.037) were inversely associated with PCa risk after full adjustment. We identified significant non-linear associations between dietary intake of vitamins A, B6, B12, and C and PCa risk using RCS analysis. There is an interaction between supplementation, total vitamin B12 intake, and age groups. CONCLUSION: Taken together, our study provides the latest evidence for vitamin intake and PCa prevention. Large-scale randomized controlled trials are still needed to provide additional evidence.
背景:作为微量营养素,维生素在维持正常生理功能方面起着关键作用。然而,不同类型的维生素对前列腺癌(PCa)的影响仍存在争议。本研究旨在采用横断面设计调查维生素摄入量与前列腺癌之间的关联。 方法:我们使用2007年至2018年期间收集的美国国家健康与营养检查调查(NHANES)数据,对14977名成年男性进行了横断面分析。通过24小时饮食回顾访谈评估饮食摄入量。使用多变量加权逻辑回归模型分析维生素摄入量与前列腺癌之间的关系。采用受限立方样条(RCS)评估非线性关系。我们进行了趋势检验以检查维生素摄入量与前列腺癌风险之间的关联,并按组协变量进行分层的交互作用分析。协变量包括年龄、种族、体重指数、教育程度、家庭收入与贫困比率、酒精摄入量、吸烟状况、糖尿病和高血压。 结果:该研究涵盖10种维生素,有三种摄入方式:饮食、补充剂和总量(饮食加补充剂)。在完全调整模型中,基于四分位数的分析表明,饮食中视黄醇摄入量最高四分位数的个体患前列腺癌的风险显著增加(OR = 1.76,P = 0.027),而维生素B1(OR = 0.38,P = 0.036)和维生素B2(OR = 0.35,P = 0.016)的补充剂摄入量较高与较低风险相关。在连续变量分析中,完全调整后,维生素B9(OR = 0.65,P = 0.049)、维生素B12(OR = 0.83,P = 0.030)和总维生素B12(OR = 0.82,P = 0.037)的补充剂摄入量与前列腺癌风险呈负相关。使用RCS分析,我们确定了维生素A、B6、B12和C的饮食摄入量与前列腺癌风险之间存在显著的非线性关联。补充剂、总维生素B12摄入量和年龄组之间存在交互作用。 结论:综上所述,我们的研究为维生素摄入与前列腺癌预防提供了最新证据。仍需要大规模随机对照试验来提供更多证据。
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