Dingli Song 2019

Vitamin D intake, blood vitamin D levels, and the risk of breast cancer: a dose-response meta-analysis of observational studies

 * Meta-Analysis Aging (Albany NY). 2019 Dec 28;11(24):12708-12732.
 * doi: 10.18632/aging.102597. Epub 2019 Dec 28.
 * Dingli Song, Yujiao Deng, Kang Liu, Linghui Zhou, Na Li, Yi Zheng, Qian Hao, Si Yang, Ying Wu, Zhen Zhai, Hongtao Li, Zhijun Dai
 * PMID: 31884419 PMCID: PMC6949087 DOI: 10.18632/aging.102597
 * Keywords: breast cancer risk; dose-response; menopause; meta-analysis; vitamin D.

Abstract
Epidemiological studies have indicated that blood vitamin D levels are linked to cancer. Here we conducted a dose-response meta-analysis based on published observational studies to evaluate the association of vitamin D intake and blood vitamin D levels with breast cancer susceptibility. PubMed, EMBASE, and Web of Science databases were searched up to January 2019. The pooled odds ratio (OR) and 95% confidence intervals (CIs) were extracted to estimate the risk. We identified 70 relevant studies on blood vitamin D levels (50 studies) and vitamin D intake (20 studies), respectively. Linear and nonlinear trend analyses were performed and showed that an increase in blood vitamin D levels by 5 nmol/l was associated with a 6% decrease in breast cancer risk (OR = 0.94, 95% CI = 0.93-0.96). Similar results were obtained for premenopausal (OR = 0.96, 95% CI = 0.93-0.99) and postmenopausal women (OR = 0.96, 95% CI = 0.94-0.98). The pooled OR of breast cancer risk for a 400IU/day increase in vitamin D intake was 0.97 (95% CI = 0.92-1.02). In conclusion, we found that breast cancer risk was inversely related to blood vitamin D levels; however, no significant association was observed in vitamin D intake.