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Association between Dietary Vitamin A and HPV Infection in American Women: Data from NHANES 2003-2016.

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机构: [1]First School of Clinical Medicine, Guangzhou University of Chinese Medicine, # No. 12 Ji Chang Road, 510405, Guangzhou City, Guangdong Province, China [2]Department of Immunology and Microbiology, Guiyang College of Traditional Chinese Medicine, 84# Shi Dong Road, 550001 Guiyang, Guizhou, China [3]Department of Gynecology, # No. 16 Ji Chang Road, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, 510405 Guangzhou City, Guangdong Province, China
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Evidence regarding the relationship between vitamin A and HPV infection was limited. Therefore, this study is designed to investigate whether vitamin A was independently related to HPV infection in 13412 American women from NHANES for seven cycles. The present study is a cross-sectional study. A total of 13412 eligible participants who had available HPV tests and vitamin A intake data were registered in the NHANE database from 2003 to 2016. The targeted independent variable and the dependent variable were vitamin A measured at baseline and HPV infection, respectively. We analyzed the association between dietary vitamin A intake and the prevalence of HPV infection. Besides, GAM and smooth curve fittings were used to address the nonlinear relationship between vitamin A and HPV infection to determine the effect of HPV infection. The result of fully adjusted binary logistic regression showed vitamin A was not associated with the risk of HPV infection after adjusting confounders (odds ratio = 0.97, 95% confidence interval: 0.97-1.02). A nonlinear relationship was detected between vitamin A and HPV infection, whose inflection point was 10.5 of log2 vitamin A (by the recursive algorithm). One unit increase of log2 vitamin A is associated with the 10% reduced risk of HPV infection when dietary vitamin A is < 1448.155mcg. Conversely, when the dietary vitamin A intake is ≧1448.155 mcg, for each additional log2 of vitamin A, the risk of HPV infection increased by 70%. We found that dietary vitamin A was quite different from the trend of HPV infection in different confidence intervals. The results suggested that an appropriate amount (95% CI: 0.9-1.0, <10.5 of log2 transformer, i.e., 1448.155 mcg) of dietary vitamin A may be beneficial to prevent HPV infection. However, excessive intake of dietary vitamin A (95% CI: 1.1-2.8, ≧10.5 of log2 transformer, i.e., 1448.155 mcg) may increase the risk of HPV infection. Copyright © 2020 Xian Huang et al.

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出版当年[2019]版:
大类 | 3 区 生物
小类 | 3 区 生物工程与应用微生物 4 区 医学:研究与实验
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 生物工程与应用微生物 4 区 医学:研究与实验
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第一作者机构: [1]First School of Clinical Medicine, Guangzhou University of Chinese Medicine, # No. 12 Ji Chang Road, 510405, Guangzhou City, Guangdong Province, China
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