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Table 1 Characteristics of the included studies about the association of dietary protein intake on prostate cancer risk

From: Association between dietary protein intake and prostate cancer risk: evidence from a meta-analysis

Study, year

Design

Age

Participants; cases

Country

Follow-up duration

Protein type

Category

RR (95%CI)

Adjustment

Allen NE, 2008

Cohort

60.3 ± 6.7

142,251; 2727

European countries

8.7

Total protein

Total protein

Total protein

Adjusted for education, marital status, height, weight, and energy intake

Animal

80 g/day

1

Vegetable

90 g/day

0.93 (0.82–1.05)

98 g/day

0.90 (0.78–1.04)

105 g/day

1.00 (0.85–1.18)

121 g/day

1.17 (0.96–1.44)

Animal

Animal

47 g/day

1

59 g/day

0.88 (0.77–1.00)

64 g/day

0.84 (0.73–0.97)

69 g/day

0.99 (0.86–1.15)

80 g/day

0.97 (0.81–1.15)

Vegetable

Vegetable

29 g/day

1

33 g/day

1.09 (0.96–1.22)

36 g/day

1.04 (0.91–1.19)

38 g/day

1.08 (0.93–1.26)

47 g/day

1.01 (0.82–1.23)

Andersson SO, 1996

Case-control

70.7 ± 5.9

1056; 524

Sweden

NA

Total protein

Quartile 1

1

Adjusted for age and energy

Quartile 2

0.90 (0.63–1.28)

Quartile 3

1.10 (0.78–1.55)

 

Quartile 4

1.07 (0.76–1.50)

Berndt SI, 2002

Cohort

46–92

454; 69

USA

3.5

Animal

36.8 g/day

1

Adjusted for age and energy

48.0 g/day

0.94 (0.49–1.82)

62.8 g/day

1.06 (0.56–2.01)

Chan JM, 2000

Cohort

50–69

27,062; 184

Finland

8

Total protein

82 g/day

1

Adjusted for supplementation group, education, and quintiles of age, body mass index, energy, and number of years as a smoker

94 g/day

0.9 (0.6–1.3)

102 g/day

0.6 (0.4–1.0)

107 g/day

0.8 (0.5–1.3)

117 g/day

1.0 (0.7–1.6)

Deneo-Pellegrini H, 1999

Case-control

40–89

408; 175

Uruguay

NA

Total protein

Quartile 1

1

Adjusted for age, residence, urban/rural status, education, family history of prostate cancer, body mass index and total energy intake

Quartile 2

1.1 (0.6–1.0)

Quartile 3

1.7 (0.9–1.3)

Quartile 4

1.0 (0.6–1.8)

Kristal AR, 2010

RCT

63.6 ± 5.6

9559; 1703

USA and Canada

NA

Total protein

Quartile 1

1

Adjusted for age, race/ethnicity, treatment arm, and body mass index

Quartile 2

1.00 (0.86–1.17)

Quartile 3

0.96 (0.82–1.12)

Quartile 4

0.93 (0.79–1.08)

Lane JA, 2017

Cohort

63.0 ± 6.5

5245; 1717

UK

13.3

Total protein

Quartile 1

1

Adjusted for age, BMI, socioeconomic, smoking and marital status, diabetes and energy intake

Quartile 2

1.00 (0.82–1.23)

Quartile 3

1.16 (0.95–1.42)

Quartile 4

1.02 (0.83–1.25)

Quartile 5

1.03 (0.83–1.29)

Mills PK, 1989

Cohort

74

14,000; 180

USA

6

Vegetable

< 1 serving/week

1

Adjusted for age

1–4 serving/week

0.83 (0.59–1.16)

>  4 serving/week

0.67 (0.40–1.12)

Schuurman AG, 1999

Cohort

63.9 ± 3.8

58,279; 642

Netherlands

6.3

Total protein

Total protein

Total protein

Adjusted for age, family history of prostate cancer, socioeconomic status and total energy intake

Animal

62 g/day

1

Vegetable

69 g/day

1.04 (0.76–1.43)

75 g/day

1.12 (0.82–1.53)

81 g/day

1.35 (0.98–1.84)

90 g/day

1.10 (0.81–1.51)

Animal

Animal

34 g/day

1

42 g/day

1.29 (0.92–1.81)

47 g/day

1.16 (0.80–1.68)

53 g/day

1.52 (1.01–2.30)

64 g/day

1.32 (0.76–2.29)

Vegetable

Vegetable

22 g/day

1

25 g/day

0.86 (0.63–1.17)

27 g/day

1.00 (0.74–1.36)

30 g/day

0.83 (0.61–1.14)

35 g/day

0.90 (0.66–1.23)

Severson, RK 1989

Cohort

NA

7999; 174

Japanese

18

Total protein

0–74.9 g

1

Adjusted for age

75.0–99.9 g

1.54 (1.07–2.22)

100.0+ g

1.13 (0.76–1.67)

Smit E, 2007

Cohort

45–64

9777; 167

Puerto Rico

12

Total protein

Total protein

Total protein

Adjusted for age, education, body mass index, living, physical activity, smoking and residual energy intake. Calories not adjusted for energy intake

Animal

≤ 61 g

1

Vegetable

62–82 g

0.94 (0.60–1.48)

83–103 g

1.02 (0.64–1.63)

≥ 104 g

1.32 (0.81–2.17)

Animal

Animal

≤ 13 g

1

14–23 g

0.78 (0.49–1.24)

24–40 g

0.91 (0.55–1.51)

≥ 41 g

1.01 (0.52–1.96)

Vegetable

Vegetable

≤ 16 g

1

17–23 g

1.27 (0.82–1.96)

24–31 g

1.07 (0.66–1.75)

≥ 32 g

1.19 (0.66–2.13)

Tsilidis KK, 2013

Case-control

67.3 ± 5.4

10,155; 5221

European countries

NA

Total protein

Total protein

Total protein

Adjusted for continuous age at blood draw, continuous body mass index and energy consumption

Animal

Tertile 1

1

Vegetable

Tertile 2

0.96 (0.87–1.06)

Tertile 3

0.95 (0.86–1.05)

Animal

Animal

Tertile 1

1

Tertile 2

1.05 (0.95–1.16)

Tertile 3

1.00 (0.90–1.11)

Vegetable

Vegetable

Tertile 1

1

Tertile 2

0.98 (0.89–1.09)

Tertile 3

1.00 (0.90–1.11)

  1. Abbreviation: RR relative risk, CI confidence intervals, RCT randomized controlled trial, NA not available