Vitamin A intake and risk of melanoma: a meta-analysis.

BACKGROUND: Mounting evidence from experimental and animal studies suggests that vitamin A may have a protective effect on melanoma, but the findings on the association of vitamin A intake with risk of melanoma have been inconsistently reported in epidemiologic studies. We attempted to elucidate the...

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Main Authors: Yun-Ping Zhang, Rui-Xue Chu, Hui Liu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4105469?pdf=render
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author Yun-Ping Zhang
Rui-Xue Chu
Hui Liu
author_facet Yun-Ping Zhang
Rui-Xue Chu
Hui Liu
author_sort Yun-Ping Zhang
collection DOAJ
description BACKGROUND: Mounting evidence from experimental and animal studies suggests that vitamin A may have a protective effect on melanoma, but the findings on the association of vitamin A intake with risk of melanoma have been inconsistently reported in epidemiologic studies. We attempted to elucidate the association by performing a meta-analysis. METHODS: Eligible studies were identified by searching PubMed and EMBASE databases, as well as by reviewing the references of retrieved publications. Summary odds ratios (OR) with corresponding 95% confidence interval (CI) were computed with a random-effects model. Study-specific ORs and 95% CIs for the highest vs. lowest categories of vitamin A intake were pooled. RESULTS: A total of 8 case-control studies and 2 prospective studies comprising 3,328 melanoma cases and 233,295 non-case subjects were included. The summary OR for the highest compared with the lowest intake of total vitamin A, retinol and beta-carotene was 0.86 (95% CI = 0.59-1.25), 0.80 (95% CI = 0.69-0.92) and 0.87 (95%CI = 0.62-1.20), respectively. Significant heterogeneity was observed among studies on vitamin A and beta-carotene intake, but not among studies on retinol intake. Subgroup and sensitivity analyses confirmed these findings. There was no indication of publication bias. CONCLUSION: Findings from this meta-analysis suggest that intake of retinol, rather than of total vitamin A or beta-carotene, is significantly associated with reduced risk of melanoma.
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spelling doaj.art-230c89c0e85e4d8fb508e98dd388b8dd2022-12-22T00:53:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10252710.1371/journal.pone.0102527Vitamin A intake and risk of melanoma: a meta-analysis.Yun-Ping ZhangRui-Xue ChuHui LiuBACKGROUND: Mounting evidence from experimental and animal studies suggests that vitamin A may have a protective effect on melanoma, but the findings on the association of vitamin A intake with risk of melanoma have been inconsistently reported in epidemiologic studies. We attempted to elucidate the association by performing a meta-analysis. METHODS: Eligible studies were identified by searching PubMed and EMBASE databases, as well as by reviewing the references of retrieved publications. Summary odds ratios (OR) with corresponding 95% confidence interval (CI) were computed with a random-effects model. Study-specific ORs and 95% CIs for the highest vs. lowest categories of vitamin A intake were pooled. RESULTS: A total of 8 case-control studies and 2 prospective studies comprising 3,328 melanoma cases and 233,295 non-case subjects were included. The summary OR for the highest compared with the lowest intake of total vitamin A, retinol and beta-carotene was 0.86 (95% CI = 0.59-1.25), 0.80 (95% CI = 0.69-0.92) and 0.87 (95%CI = 0.62-1.20), respectively. Significant heterogeneity was observed among studies on vitamin A and beta-carotene intake, but not among studies on retinol intake. Subgroup and sensitivity analyses confirmed these findings. There was no indication of publication bias. CONCLUSION: Findings from this meta-analysis suggest that intake of retinol, rather than of total vitamin A or beta-carotene, is significantly associated with reduced risk of melanoma.http://europepmc.org/articles/PMC4105469?pdf=render
spellingShingle Yun-Ping Zhang
Rui-Xue Chu
Hui Liu
Vitamin A intake and risk of melanoma: a meta-analysis.
PLoS ONE
title Vitamin A intake and risk of melanoma: a meta-analysis.
title_full Vitamin A intake and risk of melanoma: a meta-analysis.
title_fullStr Vitamin A intake and risk of melanoma: a meta-analysis.
title_full_unstemmed Vitamin A intake and risk of melanoma: a meta-analysis.
title_short Vitamin A intake and risk of melanoma: a meta-analysis.
title_sort vitamin a intake and risk of melanoma a meta analysis
url http://europepmc.org/articles/PMC4105469?pdf=render
work_keys_str_mv AT yunpingzhang vitaminaintakeandriskofmelanomaametaanalysis
AT ruixuechu vitaminaintakeandriskofmelanomaametaanalysis
AT huiliu vitaminaintakeandriskofmelanomaametaanalysis