A collaborative analysis of individual participant data from 19 prospective studies assesses circulating vitamin D and prostate cancer risk
File(s)Accepted version vit D manuscript 08-11-18.docx (151.19 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Previous prospective studies assessing the relationship between circulating concentrations of vitamin D and prostate cancer risk have shown inconclusive results, particularly for risk of aggressive disease. In this study, we examine the association between prediagnostic concentrations of 25-hydroxyvitamin D [25(OH)D] and 1,25-dihydroxyvitamin D [1,25(OH)2D] and the risk of prostate cancer overall and by tumor characteristics. Principal investigators of 19 prospective studies provided individual participant data on circulating 25(OH)D and 1,25(OH)2D for up to 13,462 men with incident prostate cancer and 20,261 control participants. ORs for prostate cancer by study-specific fifths of season-standardized vitamin D concentration were estimated using multivariable-adjusted conditional logistic regression. 25(OH)D concentration was positively associated with risk for total prostate cancer (multivariable-adjusted OR comparing highest vs. lowest study-specific fifth was 1.22; 95% confidence interval, 1.13–1.31; P trend < 0.001). However, this association varied by disease aggressiveness (Pheterogeneity = 0.014); higher circulating 25(OH)D was associated with a higher risk of nonaggressive disease (OR per 80 percentile increase = 1.24, 1.13–1.36) but not with aggressive disease (defined as stage 4, metastases, or prostate cancer death, 0.95, 0.78–1.15). 1,25(OH)2D concentration was not associated with risk for prostate cancer overall or by tumor characteristics. The absence of an association of vitamin D with aggressive disease does not support the hypothesis that vitamin D deficiency increases prostate cancer risk. Rather, the association of high circulating 25(OH)D concentration with a higher risk of nonaggressive prostate cancer may be influenced by detection bias.
Date Issued
2019-01-01
Date Acceptance
2018-11-08
Citation
Cancer Research, 2019, 79 (1), pp.274-285
ISSN
1538-7445
Publisher
American Association for Cancer Research
Start Page
274
End Page
285
Journal / Book Title
Cancer Research
Volume
79
Issue
1
Copyright Statement
©2018 American Association for Cancer Research.
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
SERUM 25-HYDROXYVITAMIN D
D METABOLITES
SUBSEQUENT DEVELOPMENT
1,25-DIHYDROXYVITAMIN-D
POLYMORPHISMS
1112 Oncology And Carcinogenesis
Oncology & Carcinogenesis
Publication Status
Published
Date Publish Online
2018-11-13