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American Journal of Epidemiology Vol. 127, No. 2: 283-296
Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health


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THE RELATION OF DIET, CIGARETTE SMOKING, AND ALCOHOL CONSUMPTION TO PLASMA BETA-CAROTENE AND ALPHA-TOCOPHEROL LEVELS

W. SCOTT STRYKER1,2, LAWRENCE A. KAPLAN3, EVAN A. STEIN3, MEIR J. STAMPFER2, ARTHUR SOBER4 and WALTER C. WILLETT1,2

1Department of Epidemiology, Harvard School of Public Health Boston, MA
2The Channing Laboratory, Department of Medicine, Harvard Medical School and Brigham and Women's Hospital Boston, MA
3Department of Clinical Chemistry, University Hospital, University of Cincinnati Medical School Cincinnati, OH
4Department of Dermatology, Massachusetts General Hospital Boston, MA

The relation of diet and nutritional supplements, cigarette use, alcohol consumption, and blood lipids to plasma levels of beta-carotene and alpha-tocopherol was studied among 330 men and women aged 18–79 years. Dietary carotene, preformed vitamin A, and vitamin E intake were estimated by a self-administered semiquantitative food frequency questionnaire. The correlation of dietary carotene with plasma beta-carotene was reduced in smokers compared with non-smokers (r = 0.02 vs. 0.44 among men; r = 0.19 vs. 0.45 among women). Smokers had much lower plasma levels of beta-carotene than did nonsmokers (geometric mean 8.5 vs. 15.3 µg/dl for men; 17.3 vs. 26.3 µg/dl for women) despite only slightly lower Intakes of carotenoids. In multiple regression analyses, men who smoked one pack per day had 72% (95% confidence interval (Cl) 58–89) of the plasma beta-carotene levels of nonsmokers after accounting for dietary carotene and other variables; for women, the corresponding percentage was 79% (Cl 64–99). In similar models, men drinking 20 g of alcohol per day had 76% (Cl 65–88) of the beta-carotene levels of nondrinkers; women had 89% (Cl 73–108) of the levels of nondrinkers. An interaction term for carotene intake and smoking was statistically significant in a model combining both sexes. These results suggest that plasma levels of beta-carotene among smokers and, perhaps, heavy consumers of alcohol may be reduced substantially below levels due to differences in diet. The correlation of calorie-adjusted intake of vitamin E with lipid-adjusted plasma levels of vitamin alpha-tocopherol was 0.53 for men (n = 137) and 0.51 for women (n = 193) and did not differ by alcohol consumption and cigarette use; these correlations were largely accounted for by use of vitamin supplements. In linear regression models, vitamin E Intake and plasma lipids were significant predictors of plasma alpha-tocopherol levels.

alcohol drinking; carotene; carotenoids; nutrition; smoking; vitamin A; vitamin E


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Dietary Carotenoids, Vitamins A, C, and E, and Advanced Age-Related Macular Degeneration
JAMA, November 9, 1994; 272(18): 1413 - 1420.
[Abstract] [PDF]


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NEJMHome page
D. J. Hunter, J. E. Manson, G. A. Colditz, M. J. Stampfer, B. Rosner, C. H. Hennekens, F. E. Speizer, and W. C. Willett
A Prospective Study of the Intake of Vitamins C, E, and A and the Risk of Breast Cancer
N. Engl. J. Med., July 22, 1993; 329(4): 234 - 240.
[Abstract] [Full Text]


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NEJMHome page
M. J. Stampfer, C. H. Hennekens, J. E. Manson, G. A. Colditz, B. Rosner, and W. C. Willett
Vitamin E Consumption and the Risk of Coronary Disease in Women
N. Engl. J. Med., May 20, 1993; 328(20): 1444 - 1449.
[Abstract] [Full Text]


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NEJMHome page
E. B. Rimm, M. J. Stampfer, A. Ascherio, E. Giovannucci, G. A. Colditz, and W. C. Willett
Vitamin E Consumption and the Risk of Coronary Heart Disease in Men
N. Engl. J. Med., May 20, 1993; 328(20): 1450 - 1456.
[Abstract] [Full Text]


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NEJMHome page
G. P. Browman, G. Wong, I. Hodson, J. Sathya, R. Russell, L. McAlpine, P. Skingley, and M. N. Levine
Influence of Cigarette Smoking on the Efficacy of Radiation Therapy in Head and Neck Cancer
N. Engl. J. Med., January 21, 1993; 328(3): 159 - 163.
[Abstract] [Full Text]


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Arch OphthalmolHome page
Eye Disease Case-Control Study Group
Antioxidant Status and Neovascular Age-Related Macular Degeneration
Arch Ophthalmol, January 1, 1993; 111(1): 104 - 109.
[Abstract] [PDF]


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JAMAHome page
W. G. Christen, J. E. Manson, J. M. Seddon, R. J. Glynn, J. E. Buring, B. Rosner, and C. H. Hennekens
A Prospective Study of Cigarette Smoking and Risk of Cataract in Men
JAMA, August 26, 1992; 268(8): 989 - 993.
[Abstract] [PDF]


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JAMAHome page
S. E. Hankinson, W. C. Willett, G. A. Colditz, J. M. Seddon, B. Rosner, F. E. Speizer, and M. J. Stampfer
A Prospective Study of Cigarette Smoking and Risk of Cataract Surgery in Women
JAMA, August 26, 1992; 268(8): 994 - 998.
[Abstract] [PDF]


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Arch Intern MedHome page
J. D. Neaton, H. Blackburn, D. Jacobs, L. Kuller, D.-J. Lee, R. Sherwin, J. Shih, J. Stamler, and D. Wentworth
Serum Cholesterol Level and Mortality Findings for Men Screened in the Multiple Risk Factor Intervention Trial
Arch Intern Med, July 1, 1992; 152(7): 1490 - 1500.
[Abstract] [PDF]


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ScienceHome page
B. Henderson, R. Ross, and M. Pike
Toward the primary prevention of cancer
Science, November 22, 1991; 254(5035): 1131 - 1138.
[Abstract] [PDF]



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