Vitamin E intake and pancreatic cancer risk: a meta-analysis of observational studies

Med Sci Monit. 2015 May 1:21:1249-55. doi: 10.12659/MSM.893792.

Abstract

Background: Some epidemiological studies have suggested that vitamin E intake reduces the risk of pancreatic cancer; however, this conclusion has not been supported by all the published studies. We conducted a meta-analysis to assess the relationship between vitamin E intake and the risk of pancreatic cancer by combining the results from published articles.

Material/methods: We searched the published studies that reported the relationship between vitamin E intake and pancreatic cancer risk using the PubMed, Web of Science, and Embase databases through December 31st, 2014. Based on a fixed-effects or random-effects model, the RR and 95% CI were used to assess the combined risk.

Results: In total, 10 observational studies (6 case-control studies and 4 cohort studies) were included. The overall RR (95% CI) of pancreatic cancer for the highest vs. the lowest level of vitamin E intake was 0.81 (0.73, 0.89). We found little evidence of heterogeneity (I2=19.8%, P=0.255). In the subgroup analyses, we found an inverse association between vitamin E intake and pancreatic cancer risk both in the case-control and cohort studies. Additionally, this inverse association was not modified by different populations.

Conclusions: In our meta-analysis, there was an inverse association between vitamin E intake and the risk of pancreatic cancer. A high level of vitamin E might be a protective factor for populations at risk for pancreatic cancer.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anticarcinogenic Agents* / administration & dosage
  • Antioxidants / administration & dosage
  • Antioxidants / physiology*
  • Asia / epidemiology
  • Case-Control Studies
  • Cohort Studies
  • Dietary Supplements
  • Europe / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Observational Studies as Topic / statistics & numerical data*
  • Pancreatic Neoplasms / epidemiology*
  • Pancreatic Neoplasms / prevention & control
  • Research Design
  • Risk
  • Risk Factors
  • Sample Size
  • United States / epidemiology
  • Vitamin E / administration & dosage
  • Vitamin E / physiology*
  • Young Adult

Substances

  • Anticarcinogenic Agents
  • Antioxidants
  • Vitamin E