|ß-Carotene Supplementation for Patients with Low Baseline Levels and Decreased Risks of Total and Prostate Carcinoma|
|Nancy R. Cook, Meir J. Stampfer, Jing Ma, et. al.|
|Abramson Cancer Center of the University of Pennsylvania|
| Last Modified: November 1, 2001
Reviewers: Li Liu, MD
BackgroundSome recent studies have suggested that several dietary antioxidants may reduce the risks of developing prostate cancer. The Physicians' Health Studyis a well-known, randomized, double blind placebo-controlled trial of ß-carotene (50 mg every other day) and aspirin, designed to evaluate a number of health outcomes. A previous analysis of data failed to demonstrate any protective effect of ß-carotene supplementation on total or prostate cancer incidence in the cohort. The current study looked at the potential benefits of ß-carotene supplements in the subgroup of participants who had lower than average plasma baseline levels of ß-carotene.
MethodsBaseline plasma ß-carotene levels were measured from nearly 15,000 male physicians prior to randomization. The team focused on the effects of ß-carotene on cancer risk in 1,439 men who subsequently developed cancer during 12 years of follow-up and 2,204 matched controls from the cohort.
Discussionß-carotene supplements appeared to reduce risk of developing prostate carcinoma among men with low baseline plasma ß-carotene levels. In contrast, men with higher concentrations of plasma ß-carotene may not benefit or may even show an increased risk of prostate carcinoma with ß-carotene supplementation. Additional investigation is needed to assess efficacy and optimal dosing of ß-carotene supplements for men with low baseline plasma ß-carotene level.