Abstract
Objective
We examined whether dietary intake of isoflavones, lignans, isothiocyanates, antioxidants, or specific foods rich in these compounds is associated with reduced risk of B-cell non-Hodgkin lymphoma (NHL), multiple myeloma (MM), or Hodgkin lymphoma (HL) in a large, prospective cohort of women.
Methods
Between 1995–1996 and 31 December 2007, among 110,215 eligible members of the California Teachers Study cohort, 536 women developed incident B-cell NHL, 104 developed MM, and 34 developed HL. Cox proportional hazards regression, with age as the time scale, was used to estimate adjusted rate ratios (RRs) with 95% confidence intervals (CIs) for risk of lymphoid malignancies.
Results
Weak inverse associations with risk of diffuse large B-cell lymphoma were observed for isothiocyanates (RR for ≥12.1 vs. <2.7 mcM/day = 0.67, 95% CI: 0.43–1.05) and an antioxidant index measuring hydroxyl radical absorbance capacity (RR for ≥2.2 vs. <0.9 μM Trolox equiv/g/day = 0.68, 95% CI: 0.42–1.10; p trend = 0.08). Risk of other NHL subtypes, overall B-cell NHL, MM, or HL was not generally associated with dietary intake of isoflavones, lignans, isothiocyanates, antioxidants, or major food sources of these compounds.
Conclusions
Isoflavones, lignans, isothiocyanates, and antioxidant compounds are not associated with risk of most B-cell malignancies, but some phytocompounds may decrease the risk of selected subtypes.
Similar content being viewed by others
References
Cross AJ, Lim U (2006) The role of dietary factors in the epidemiology of non-Hodgkin’s lymphoma. Leuk Lymphoma 47(12):2477–2487
Chiu BC, Cerhan JR, Folsom AR et al (1996) Diet and risk of non-Hodgkin lymphoma in older women. Jama 275(17):1315–1321
Zhang SM, Hunter DJ, Rosner BA et al (2000) Intakes of fruits, vegetables, and related nutrients and the risk of non-Hodgkin’s lymphoma among women. Cancer Epidemiol Biomarkers Prev 9(5):477–485
Rohrmann S, Becker N, Linseisen J et al (2007) Fruit and vegetable consumption and lymphoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC). Cancer Causes Control 18(5):537–549
Thompson CA, Habermann TM, Wang AH et al (2010) Antioxidant intake from fruits, vegetables and other sources and risk of non-Hodgkin’s lymphoma: the Iowa Women’s Health Study. Int J Cancer 126(4):992–1003
Tavani A, Pregnolato A, Negri E et al (1997) Diet and risk of lymphoid neoplasms and soft tissue sarcomas. Nutr Cancer 27(3):256–260
Brown LM, Pottern LM, Silverman DT et al (1997) Multiple myeloma among Blacks and Whites in the United States: role of cigarettes and alcoholic beverages. Cancer Causes Control 8(4):610–614
Cornwell T, Cohick W, Raskin I (2004) Dietary phytoestrogens and health. Phytochemistry 65(8):995–1016
Keum YS, Jeong WS, Kong AN (2004) Chemoprevention by isothiocyanates and their underlying molecular signaling mechanisms. Mutat Res 555(1–2):191–202
Seifried HE, McDonald SS, Anderson DE, Greenwald P, Milner JA (2003) The antioxidant conundrum in cancer. Cancer Res 63(15):4295–4298
Frankenfeld CL, Cerhan JR, Cozen W et al (2008) Dietary flavonoid intake and non-Hodgkin lymphoma risk. Am J Clin Nutr 87(5):1439–1445
Bernstein L, Allen M, Anton-Culver H et al (2002) High breast cancer incidence rates among California teachers: results from the California Teachers Study (United States). Cancer Causes Control 13(7):625–635
Block G, Hartman AM, Dresser CM, Carroll MD, Gannon J, Gardner L (1986) A data-based approach to diet questionnaire design and testing. Am J Epidemiol 124(3):453–469
Horn-Ross PL, Lee VS, Collins CN et al (2008) Dietary assessment in the California teachers study: reproducibility and validity. Cancer Causes Control 19(6):595–603
Thompson LU, Boucher BA, Liu Z, Cotterchio M, Kreiger N (2006) Phytoestrogen content of foods consumed in Canada, including isoflavones, lignans, and coumestan. Nutr Cancer 54(2):184–201
Horn-Ross PL, Barnes S, Lee M et al (2000) Assessing phytoestrogen exposure in epidemiologic studies: development of a database (United States). Cancer Causes Control 11(4):289–298
Horn-Ross PL, Barnes S, Lee VS et al (2006) Reliability and validity of an assessment of usual phytoestrogen consumption (United States). Cancer Causes Control 17(1):85–93
Horn-Ross PL, Hoggatt KJ, West DW et al (2002) Recent diet and breast cancer risk: the California teachers study (USA). Cancer Causes Control 13(5):407–415
Cao G, Sofic E, Prior RL (1996) Antioxidant capacity of tea and common vegetables. J Agric Food Chem 44:3428–3431
Wang H, Cao G, Prior RL (1996) Total antioxidant capacity of fruits. J Agric Food Chem 44:701–705
Breslow NE, Day NE (1980) Statistical methods in cancer research. Volume 1—the analysis of case–control studies. International Agency for Research on Cancer, Lyon
Chrysohoou C, Panagiotakos DB, Pitsavos C et al (2007) The implication of obesity on total antioxidant capacity in apparently healthy men and women: the ATTICA study. Nutr Metab Cardiovasc Dis 17(8):590–597
Alberg A (2002) The influence of cigarette smoking on circulating concentrations of antioxidant micronutrients. Toxicology 180(2):121–137
McDonough KH (2003) Antioxidant nutrients and alcohol. Toxicology 189(1–2):89–97
Willett WC (2010) Fruits, vegetables, and cancer prevention: turmoil in the produce section. J Natl Cancer Inst 102(8):510–511
Cheng FC, Jen JF, Tsai TH (2002) Hydroxyl radical in living systems and its separation methods. J Chromatogr B Analyt Technol Biomed Life Sci 781(1–2):481–496
Manach C, Hubert J, Llorach R, Scalbert A (2009) The complex links between dietary phytochemicals and human health deciphered by metabolomics. Mol Nutr Food Res 53(10):1303–1315
Acknowledgments
The authors would like to thank the CTS Steering Committee members who are responsible for the formation and maintenance of the cohort within which this study was conducted, but who did not directly contribute to the current paper: Hoda Anton-Culver, Dennis Deapen, Katherine D. Henderson, James V. Lacey, Jr., Huiyan Ma, David O. Nelson, Susan L. Neuhausen, Rich Pinder, Peggy Reynolds, Fredrick Schumacher, Daniel O. Stram, Giske Ursin, and Argyrios Ziogas. This research was supported by grants R03-CA135687, R01-CA77398, and K05-CA136967 from the National Cancer Institute and contract 97-10500 from the California Breast Cancer Research fund. The funding sources did not contribute to the design or conduct of the study, nor to the writing or submission of this manuscript. The collection of cancer incidence data used in this study was supported by the California Department of Health Services as part of the statewide cancer reporting program mandated by California Health and Safety Code Section 103885; the National Cancer Institute’s Surveillance, Epidemiology and End Results Program under contract N01-PC-35136 awarded to the Cancer Prevention Institute of California (formerly the Northern California Cancer Center), contract N01-PC-35139 awarded to the University of Southern California, and contract N02-PC-15105 awarded to the Public Health Institute; and the Centers for Disease Control and Prevention’s National Program of Cancer Registries, under agreement #U55/CCR921930-02 awarded to the Public Health Institute. The ideas and opinions expressed herein are those of the author(s) and endorsement by the State of California, Department of Health Services, the National Cancer Institute, and the Centers for Disease Control and Prevention or their contractors and subcontractors is not intended nor should be inferred.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chang, E.T., Canchola, A.J., Clarke, C.A. et al. Dietary phytocompounds and risk of lymphoid malignancies in the California Teachers Study cohort. Cancer Causes Control 22, 237–249 (2011). https://doi.org/10.1007/s10552-010-9692-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-010-9692-5