Background
Oxidative stress causes damage to many components of human cells (i.e., proteins, lipids, and DNA) and is involved in carcinogenesis. Nutrients with antioxidant properties may protect against oxidative stress. We examined intake of antioxidants from diet and supplements in relation to pancreatic cancer risk among participants of the VITamins And Lifestyle (VITAL) Study.
Methods
Participants were 77,446 men and women, ages 50–76 years, who were residents of western Washington State and completed a baseline questionnaire between 2000 and 2002. Participants reported usual diet over the past year and use of supplements over the past 10 years, in addition to demographic and lifestyle factors. During a median follow-up of 7.1 years, 184 participants developed pancreatic adenocarcinoma. Cox regression models were used to estimate multivariable-adjusted hazard ratios (HR) and 95% confidence intervals (CI) for seven antioxidants: β-carotene, lutein and zeaxanthin, lycopene, vitamin C, vitamin E, selenium and zinc.
Results
We observed an inverse association between dietary selenium and pancreatic cancer risk (medium vs. low intake: HR 0.58, 95% CI 0.35–0.94; high vs. low intake: HR 0.44, 95% CI 0.23–0.85; p-trend = 0.01); however, when supplemental and dietary exposures were combined, the association was no longer statistically significant.
Conclusions
Dietary selenium intake is inversely associated with risk of pancreatic cancer and the observed association is attenuated by selenium supplementation.