Circulating vitamin D levels and colorectal cancer risk: a meta-analysis and systematic review of case-control and prospective cohort studies
Author(s)
Hernández-Alonso, Pablo
Boughanem, Hatim
Canudas, Silvia
Becerra Tomas, Nerea
Fernández de la Puente, María
Type
Journal Article
Abstract
The associations between circulating vitamin D concentrations and total and site-specific colorectal cancer (CRC) incidence have been examined in several epidemiological studies with overall inconclusive findings. The aim of this systematic review and meta-analysis of both case-control and prospective cohort studies was to evaluate the association between CRC and circulating levels of vitamin D. The main exposure and outcome were circulating total 25(OH)D and CRC, respectively, in the overall population (i.e., all subjects). Two reviewers, working independently, screened all the literature available to identify studies that met the inclusion criteria (e.g., case-control or prospective cohort studies, published in English, and excluding non-original papers). Data were pooled by the generic inverse variance method using a random or fixed effect model, as approriate. Heterogeneity was identified using the Cochran's Q-test and quantified by the I2 statistic. Results were stratified by study design, sex, and metabolite of vitamin D. Sensitivity and subgroup analyses were also performed. A total of 28 original studies were included for the quantitative meta-analysis. Meta-analyses comparing the highest vs lowest categories, showed a 39% lower risk between levels of total 25(OH)D and CRC risk (OR (95% CI): 0.61 (0.52; 0.71); 11 studies) in case-control studies; whereas a 20% reduced CRC risk in prospective cohort studies (HR (95% CI): 0.80 (0.66; 0.97); 6 studies). Results in women mirrored main results, whereas results in men were non-significant in both analyses. Our findings support an inverse association between circulating vitamin D levels and CRC risk.
Date Issued
2023-01-01
Date Acceptance
2021-06-03
Citation
Critical Reviews in Food Science and Nutrition, 2023, 63 (1), pp.1-17
ISSN
0007-9006
Publisher
Taylor and Francis
Start Page
1
End Page
17
Journal / Book Title
Critical Reviews in Food Science and Nutrition
Volume
63
Issue
1
Copyright Statement
© 2021 The Author(s). Published with license by Taylor and Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/34224246
Subjects
colon cancer
colorectal cancer
meta-analysis
rectal cancer
systematic review
vitamin D
Publication Status
Published online
Coverage Spatial
United States
Date Publish Online
2021-07-05