THE RELATION OF DIET, CIGARETTE-SMOKING, AND ALCOHOL-CONSUMPTION TO PLASMA BETA-CAROTENE AND ALPHA-TOCOPHEROL LEVELS
THE RELATION OF DIET, CIGARETTE-SMOKING, AND ALCOHOL-CONSUMPTION TO PLASMA BETA-CAROTENE AND ALPHA-TOCOPHEROL LEVELS
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DOI:
10.1093/oxfordjournals.aje.a114804
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发表时间:
1988-02-01
影响因子:
5
通讯作者:
WILLETT, WC
中科院分区:
文献类型:
--
作者:
STRYKER, WS;KAPLAN, LA;WILLETT, WC
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 .mu.g/dl for men; 17.3 vs. 26.3 .mu.g/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) 58-59) 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 intakes and smoking was statistically signficant 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.