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Vitamin D and Health

SACN_Vitamin_D_and_Health_report

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Study Methods Results Conclusions<br />

Kim & Je (2014)<br />

Prostate cancer<br />

Gilbert et al (2011)<br />

Ovarian cancer<br />

Yin et al (2011)<br />

Non melanoma skin cancer<br />

Caini et al (2014)<br />

Selection criteria:<br />

Inclusion: original data from cohort/nested case-control<br />

studies of vitamin D intake or blood 25(OH)D<br />

concentrations; provided relative risks & confidence<br />

intervals.<br />

Exclusion: not reported.<br />

Outcome measure: Breast cancer incidence or mortality<br />

Selection criteria:<br />

Inclusion: primary epidemiological data & either: serum<br />

25(OH)D or 1,25(OH) 2 D) concentrations or dietary<br />

<strong>and</strong>/or supplement vitamin D intake. 25(OH)D measured<br />

prior to cancer diagnosis.<br />

Exclusion: Animal or case studies. Chemotherapy also<br />

included. Studies on vit D & prostate cancer survival.<br />

Outcome measure: Prostate cancer<br />

Selection criteria:<br />

Inclusion: Original longitudinal human studies.<br />

Exclusion: Reviews, ecological & case control studies;<br />

only vitamin D intake reported; only ovarian cancer<br />

mortality assessed.<br />

Outcome measure Ovarian cancer incidence & mortality.<br />

Selection criteria:<br />

Inclusion: RCTs, case-control, nested case control, cohort<br />

studies examining association between vitamin D intake/<br />

25(OH)D concentration & cutaneous melanoma/non<br />

melanoma skin cancer risk which included measure of<br />

relative risk with 95% CI or another measure of statistical<br />

uncertainty & measure of tumour thickness.<br />

Exclusion: Ecological studies, case reports, reviews,<br />

editorials.<br />

Outcome measure<br />

Cutaneous melanoma & non melanoma skin cancer.<br />

Breast cancer risk (13 nested case control/1 cohort study; 9526 cases)<br />

25(OH)D concentration (nmol/L): Highest (>77.4) vs lowest (72.6) vs lowest ( 72.6 vs < 52.4 nmol/L<br />

was significantly associated with<br />

better breast cancer survival.<br />

No association between 25(OH)D<br />

<strong>and</strong> total <strong>and</strong> aggressive prostate<br />

cancer risk.<br />

No significant association between<br />

25(OH)D <strong>and</strong> ovarian cancer risk.<br />

No association between 25(OH)D<br />

& cutaneous melanoma risk.<br />

Higher 25(OH)D concentration<br />

associated with significant<br />

increase in basal cell skin cancer &<br />

non melanoma skin cancer risk.<br />

219

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