| Author | Cohort name | Subjects | Years of follow-up | Cases | End point | Consumption of | Relative Risk (RR) | Adjustments |
| 30) Wang L (2009) | The Women's Health Study | 38,408 female health professionals aged ≥ 45. (USA) | 11.5 (1992-95 to 2007) | 241? | Lung cancer incidence | Broccoli | Risk did not materially change with intake (data not shown). | Age, race, total energy, randomized treatment assignment, smoking, alcohol use, physical activity, postmenopausal status, hormone replacement therapy use, multivitamin use, family history of colorectal cancer, ovary cancer, or breast cancer, and intake of fruit and vegetables, fiber, folate, and saturated fat. |
| 24) Smith-Warner SA (2003) | Pooled analysis of 5 prospective studies. | 272,303 | 7-16 | 2,172 | Lung cancer risk | Broccoli |
INCLUSION CRITERIA:
- At least 50 incident lung cancer cases.
- Assessment of usual diet.
- Conduct of a validation of the diet assessment method or a closely related instrument.
- Assessment of smoking habits.
INCLUDED STUDIES (Follow-up years/No. of lung cancer cases):
- The Canadian National Breast Screening Study. (1980-1993/149 women)
Rohan TE, Jain M, Howe GR, Miller AB. A cohort study of dietary carotenoids and lung cancer risk in women (Canada). Cancer Causes Control. 2002 Apr;13(3):231-7. Abstract
- The Health Professionals' Follow-up Study. (1986-1996/244 men)
Feskanich D, Ziegler RG, Michaud DS, Giovannucci EL, Speizer FE, Willet WC. Prospective study of fruit and vegetable consumption and risk of lung cancer among men and women. J Natl Cancer Intst. 2000 Nov 15;92(22):1812-23. Full text
- The Iowa Women's Health Study. (1986-1996/433 women)
Steinmetz KA, Potter JD, Folsom AR. Vegetables, fruit, and lung cancer in the Iowa Women's Health Study. Cancer Res. 1993 Feb 1;53(3):536-43. Full text
- The New York State Cohort. (1980-1987/392 men, 130 women)
Bandera EV, Freudenheim JL, Marshall JR, Zielezny M, Priore RL, Basure J. Diet and alcohol consumption and lung cancer risk in the New York State Cohort (United States). Cancer Causes Control. 1997 Nov;8(6):828-40. Abstract
- The Nurses' Health Study. A + B (A = 1980-1986/156 women. B = 1986-1996/379 women)
Feskanich D, Ziegler RG, Michaud DS, Giovannucci EL, Speizer FE, Willet WC. Prospective study of fruit and vegetable consumption and risk of lung cancer among men and women. J Natl Cancer Intst. 2000 Nov 15;92(22):1812-23. Full text
RELATIVE RISK:
RR = 1.05 (0.89-1.24; P = 0.33) for the highest vs lowest tertile of consumption.
Amount specific data (servings/week):
0: RR = 1.
> 0 to < 1: RR = 1.00 (0.85-1.18).
≥ 1: RR = 1.05 (0.89-1.24).
One serving = 1/2 cup.
P for between-study heterogeneity: 0.68. P for between-study heterogeneity due to sex: 0.38.
| Adjusted for education, BMI, alcohol intake, calories, smoking status, smoking duration for past/current smokers, amount smoked for current smokers. |
| 14) Feskanich D (2000) | The Nurses' Health Study
&
The Health Professionals' Follow-up Study | 77,283 US women (38-63 years) and 47,778 men (40-75 years) | Women: 1984-1996.
Men: 1986-1996. | 516? women, and 258? men | Total lung cancer risk | Broccoli | No significant association with risk (no data shown). | Not defined, but probably: age, follow-up cycle, smoking status,years since quitting among past smokers, cigarettes smoked/day among current smokers, age at start of smoking, total energy intake, and availability of diet data after baseline measure. |
| 14) Speizer FE (1999) | The Nurses' Health Study. | 89,284 women aged 34-59 years. (USA) | 12 (1980-1992) | 399? | Lung cancer risk | Broccoli |
RR = 0.2 (No 95% CI; P = 0.03) for the highest vs the lowest quintile of consumption.
Amount specific data (Frequency of consumption):
Never: RR = 1.
1-3/mo: RR = 1.0.
1/wk: RR = 0.8.
2-4/wk: RR = 0.9.
≥ 5/wk: RR = 0.2.
The association for broccoli became non-significant when carrots were included in the model. | age, smoking (past, current, amount in 1980), and age of starting to smoke |
| 10) Steinmetz KA (1993) | The Iowa Women's Health Study. | 35,115 women aged 55-69. | 4 (1986-1989) | 138? | Lung cancer incidence | Broccoli |
OR = 0.72 (0.40-1.29; P = 0.3) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 0.74 (0.44-1.26).
1.0: OR = 0.67 (0.40-1.12).
≥ 3.0: OR = 0.72 (0.40-1.29).
Stratified by histological type:
Adenocarcinoma (45 cases) | Small cell carcinoma (37 cases) | Squamous cell carcinoma (25 cases) | Large cell carcinoma (12 cases) |
OR = 0.46 (0.15-1.42; P = 0.24) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 0.76 (0.32-1.81).
1.0: OR = 0.88 (0.39-2.00).
≥ 3.0: OR = 0.46 (0.15-1.42).
|
OR = 1.52 (0.44-5.19; P = 0.51) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 1.32 (0.41-4.26).
1.0: OR = 1.38 (0.44-4.29).
≥ 3.0: OR = 1.52 (0.44-5.19).
|
OR = 1.05 (0.28-3.95; P = 0.86) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 0.96 (0.27-3.37).
1.0: OR = 0.68 (0.19-2.42).
≥ 3.0: OR = 1.05 (0.28-3.95).
|
OR = 0.09 (0.01-0.77; P = 0.02) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 0.13 (0.03-0.62).
1.0: OR = 0.05 (0.01-0.42).
≥ 3.0: OR = 0.09 (0.01-0.77).
|
Stratified by smoking status:
Current smokers (81 cases) | Exsmokers (38 cases) | Never smokers (19 cases) |
OR = 0.95 (0.43-2.12; P = 0.88) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 0.92 (0.46-1.89).
1.0: OR = 0.90 (0.45-1.83).
≥ 3.0: OR = 0.95 (0.43-2.12).
|
OR = 0.37 (0.13-1.08; P = 0.16) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 0.26 (0.09-0.77).
1.0: OR = 0.35 (0.14-0.88).
≥ 3.0: OR = 0.37 (0.13-1.08).
|
OR = 2.01 (0.36-11.20; P = 0.63) for the highest vs lowest quartile of consumption.
Amount specific data (servings/wk):
0.0: OR = 1.
0.5: OR = 2.39 (0.51-11.28).
1.0: OR = 1.42 (0.27-7.40).
≥ 3.0: OR = 2.01 (0.36-11.20).
|
Age, energy intake, and pack-years of smoking. |
|