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Table 2 Epidemiologic studies on serum phytoestrogens concentrations in association with prostate cancer risk

From: Phytoestrogens and risk of prostate cancer: a meta-analysis of observational studies

Reference

Study site/race

Design

Cases/controls

Serum phytoestrogens

Contrast

Adjusted OR (95 % CI)

Adjustment

Heald et al. [25] 2007

Scotland/Scottish

PCC

249/205

Equol

0 vs. ≥0.10 nmol/l

1.07 (0.71–1.61)

Age, total energy intake, family history of PCa and BrCa, Carstairs Deprivation Index, smoking and energy intake: BMR ratio.

Daidzein

≤8.26 vs. >29.11 nmol/l

1.34 (0.76–2.38)

Genistein

≤14.23 vs. >64.53 nmol/l

1.36 (0.76–2.43)

Enterolactone

≤8.41 vs. >28.90 nmol/l

0.40 (0.22–0.71)

Hedelin et al. [32] 2006

Sweden/Swedish

PCC

1499/1130

Enterolactone

≤15.2 vs. >37.8 nmol/l

0.74 (0.41–1.32)

Age, intake of antibiotics, zinc, animal fat, total energy intake, alcohol, vegetable fat, red meat during the last year

Kurahashi et al. [40] 2007

Japan/Japanese

NCC

307/43,509

Genistein

<57 vs. ≥151.7 ng/ml

0.66 (0.40–1.08)

Smoking status, alcohol intake, marital status, and intake of green tea, protein, fiber, and green or yellow vegetables.

Daidzein

<22 vs. ≥61.5 ng/ml

0.78 (0.49–1.25)

Equol

<1.0 vs. ≥15.0 ng/ml

0.60 (0.36–0.99)

Ozasa et al. [41] 2004

Japan/Japanese

NCC

52/151

Genistein

<239 vs. >682 nM

0.76 (0.32–1.82)

Age

Daidzein

<89 vs. >239 nM

0.74 (0.31–1.76)

Equol

<1.9 vs. >56.1 nM

0.39 (0.15–0.98)

Travis et al. [42] 2009

EPIC

NCC

950/1042

Genistein

<0.30 vs. ≥7.00 ng/ml

0.74 (0.54–1.00)

Smoking, education, BMI, physical activity, alcohol intake, and marital status

Daidzein

<0.30 vs. ≥4.10 ng/ml

0.80 (0.60–1.07)

Equol

<0.05 vs. ≥0.80 ng/ml

0.99 (0.70–1.39)

Enterolactone

<0.05 vs. ≥0.80 ng/ml

0.77 (0.57–1.04)

Kilkkinen et al. [38] 2003

Finland

NCC

214/214

Enterolactone

<5.9 vs. ≥24.4 nmol/l

0.71 (0.42–1.21)

Age match

Stattin et al. [37] 2002

Norway, Finland, Sweden

NCC

794/2550

Enterolactone

<8.9 vs. ≥27.89 nmol/l

Finland 1.21 (0.91–1.60)

Age match

<3.49 vs. ≥11.58 nmol/l

Norway 1.02 (0.59–1.76)

<7.15 vs. ≥25.14 nmol/l

Sweden 0.87 (0.45–1.67)

Stattin et al. [39] 2004

Sweden

NCC

265/525

Enterolactone

<9.38 vs. ≥28.31 nmol/l

1.05 (0.65–1.69)

Age, BMI, smoking, and fasting

  1. EPIC European Prospective Investigation into Cancer and Nutrition (include 23 centers in 10 European countries), BMI body mass index, NCC nested case–control, PCC population-based case–control, PCa prostate cancer