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American Journal of Clinical Nutrition, Vol. 73, No. 4, 777-785, April 2001
© 2001 American Society for Clinical Nutrition


ORIGINAL RESEARCH COMMUNICATION

Serum concentrations of ß-carotene and {alpha}-tocopherol are associated with diet, smoking, and general and central adiposity1,2,3

Peter Wallström, Elisabet Wirfält, Petra H Lahmann, Bo Gullberg, Lars Janzon and Göran Berglund

1 From the Departments of Medicine and Community Medicine, Lund University, Malmö University Hospital, Malmö, Sweden.

Background: Previous studies of associations between diet, obesity, and blood concentrations of {alpha}-tocopherol and ß-carotene have been equivocal. Furthermore, most studies used only body mass index (BMI) as an obesity measure.

Objectives: Our objectives were to examine the associations between energy and nutrient intakes, alcohol consumption, tobacco use, and serum cholesterol and serum concentrations of {alpha}-tocopherol and ß-carotene, and to examine the associations between different measures of general and central adiposity and serum concentrations of {alpha}-tocopherol and ß-carotene.

Design: This was a cross-sectional, population-based study of 253 men and 276 women aged 46–67 y. Nutrient data were collected by a modified diet history method. Measures of obesity included BMI, percentage of body fat (impedance analysis), waist-to-hip ratio, and waist circumference. The associations between serum nutrient concentrations and the other factors were examined by multiple linear regression.

Results: Twenty-one percent of men and 34% of women used antioxidant supplements. The mean BMI was 26.1 in men and 25.4 in women. Serum ß-carotene concentration was positively associated with serum cholesterol concentration, fiber intake, and ß-carotene intake, and negatively associated with smoking and all measures of obesity. In men, serum ß-carotene concentration was not significantly associated with central adiposity after adjustment for body fat. Serum {alpha}-tocopherol concentration was positively correlated with serum cholesterol, obesity, and vitamin E intake. In women, serum {alpha}-tocopherol concentration was also positively associated with intakes of ascorbic acid and selenium. Serum {alpha}-tocopherol concentration was associated with central adiposity after adjustment for body fat.

Conclusion: Serum ß-carotene and {alpha}-tocopherol concentrations have different associations with diet, smoking, general adiposity, and central adiposity.

Key Words: Vitamin E • ß-carotene • {alpha}-tocopherol • diet • obesity • body composition • body mass index • waist-to-hip ratio • smoking • alcohol • cross-sectional studies




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