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Table 1 Study characteristics of published cohort and case–control studies on vitamin A and bladder cancer risk

From: Vitamin A and risk of bladder cancer: a meta-analysis of epidemiological studies

Authors and publication year

Study design

Country

Study period

Sex

Age (years)

Cases/subjects

Anatomical site

Parameters examined

Study qualitya

Variables of adjustment

[10]

PCC

Canada

1977 to 1982

M/F

35 to 79

826/1,618

Bladder

Diet: vitamin A, retinol, β-carotene

7

Age, sex, area of residence, smoking, history of diabetes

[11]

PCC

Sweden

1985 to 1987

M/F

40 to 74

418/929

Urothelium

Supplement: vitamin A, β-carotene

7

Age, sex, smoking

Diet: retinol

[12]

PCC

USA

1977 to 1986

M/F

30 to 93

261/783

Urothelium

Total: vitamin A, retinol, carotenoids

8

Age, sex, ethics, smoking

[13]

PCC

Spain

1985 to 1986

M

< 80

432/1,224

Bladder

Diet: retinol, carotene

8

Age, sex, smoking, total calories

[14]

Cohort

USA

1981 to 1989

M

65 to 84

71/70,159

Bladder

Supplement: vitamin A

5

Age and smoking

Diet: β-carotene

[15]

PCC

USA

1981 to 1984

M/F

45 to 65

262/667

Bladder

Diet: vitamin A, retinol, β-carotene

8

Age, sex, county, smoking, calories

Supplement: vitamin A, retinol

Total: vitamin A

Michand et al. 2000

Cohort

USA

1986 to 1998

M

40 to 75

320/51,529

Bladder

Total: vitamin A

7

Age, energy, pack-years of smoking, current smoking status, geographic region of the USA, cruciferous vegetable intake, total fluid intake

[17]

HCC

Japan

1996 to 1999

M/F

20 to 99

297/692

Bladder

Diet: vitamin A, retinol, carotene

6

Age, sex, smoking, occupational history as a cook

Total: vitamin A, retinol, carotene

[18]

Cohort

Netherlands

1986 to 1992

M/F

55 to 69

569/3,692

Urinary tract

Total: retinol, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein/zeaxanthin

8

Age, sex, cigarette smoking amount, duration of smoking

Michand et al. 2002

Cohort

Finland

1985 to 1998

M

50 to 69

344/27,111

Bladder

Diet: vitamin A, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein/zeaxanthin

7

Age, duration of smoking, smoking dose, total energy, trial intervention

[20]

Cohort (nested)

USA

1971 to 1995

M/F

52 to 71

111/222

Urothelium

Serum: retinol, carotenoids, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein/zeaxanthin

8

Age, sex, smoking

[21]

PCC

USA

1987 to 1996

M/F

25 to 64

1,592/3,184

Bladder

Diet: retinol, carotenoids, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein/zeaxanthin

8

Age, sex, education, number of cigarettes smoked per day, number of years of smoking, smoking status, lifetime use of non-steroidal anti-inflammatory drugs, number of years employed as a hairdresser/barber

[22]

HCC

USA

1999 to 2003

M/F

Not mentioned

409/860

Bladder

Diet: carotenoids, provitamin A, non-provitamin A

7

Age, gender, ethnicity, smoking status, pack-years of smoking, total energy

[23]

Cohort

USA

1980 to 2000

F

30 to 55

237/88,796

Bladder

Total: vitamin A, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein/zeaxanthin

7

Age, pack-years of smoking, current smoking, total caloric intake

[25]

Cohort (nested)

Japan

1990 to 2007

M/F

>40

42/1,666

Urothelium

Serum: provitamin A, retinol, carotenes, carotenoids, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein/zeaxanthin

7

Age, sex, smoking, alcohol consumption, body mass index, total cholesterol, education

[24]

HCC

USA

1993 to 1997

M/F

Not mentioned

84/257

Bladder

Plasma: α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein, zeaxanthin

5

Age, sex, pack-years of smoking, education

[26]

PCC

Belgium

1999 to 2004

M/F

Not mentioned

178/540

Bladder

Diet: retinol

7

Sex, age, smoking status, number of cigarettes smoked per day, number of years smoking, occupational exposure to PAH or aromatic amines, total fruit and vegetable consumption, intake of vitamin E and C and total anti-oxidant

status

[27]

HCC

Spain

1998 to 2001

M/F

Not mentioned

912/1,789

Bladder

Diet: retinol and carotenoids

6

Age, gender, region, smoking status, smoking duration

[28]

HCC

USA

1999 to

M/F

Not mentioned

386/773

Bladder

Diet: retinol

6

Age, gender, ethnicity, smoking status, number of cigarettes per day, smoking duration

Plasma: retinol

[29]

Cohort

Denmark

1993 to 2006

M/F

50 to 64

322/55,557

Urothelium

Diet: β-carotene

8

Age, intake of vitamin C, vitamin E, and beta-carotene, smoking status, smoking duration, smoking intensity, passive smoking, work exposure.

Supplement: β-carotene

Total: β-carotene

[30]

PCC

USA

1997 to 2001

M/F

25 to 74

322/561

Bladder

Total: carotenoids, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein

8

Age, sex, smoking status, total energy intake

[31]

Cohort

USA

2000 to 2007

M/F

50 to 76

330/77,050

Bladder

Supplement: β-carotene and retinol

8

Age, sex, race, education, family history of bladder cancer, smoking status/recency of smoking, pack-years of smoking, servings per day of fruits, servings per day of vegetables

[33]

PCC

USA

2001 to 2004

M/F

30 to 79

1,418/2,589

Bladder

Diet: vitamin A, α-carotene, β-carotene

8

Age, gender, region, race, Hispanic status, smoking status, usual body mass index, total energy

[32]

Cohort (nested)

Europe

1990 to 2005

M/F

25 to 70

856/1,712

Urothelium

Diet: β-carotene

8

Age at blood collection, study center, sex, date of blood collection, time of blood collection, fasting status; further adjusted for smoking status, duration, and intensity

Plasma: carotenoids, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein, zeaxanthin

[34]

Cohort

USA

1993 to 2007

M/F

45 to 75

581/185,885

Bladder

Diet: vitamin A, α-carotene, β-carotene, β-cryptoxanthin, lycopene, lutein

8

Age, ethnicity, total energy intake, family history, employment in a high-risk industry, smoking, number of years since quitting, interactions of ethnicity with status

  1. aEvaluated by the nine-star Newcastle-Ottawa Scale. HCC, hospital-based case–control study; PCC, population-based case–control study.