期刊
EUROPEAN JOURNAL OF NUTRITION
卷 58, 期 4, 页码 1495-1505出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00394-018-1674-5
关键词
Colonic neoplasms; Rectal neoplasms; Prevention and control; Principal component analysis; Dietary patterns; Diet; Diet; Western; Diet; Mediterranean
资金
- Carlos III Institute of Health [PI12/00488, PI12/00265, PI12/00715, PI12/01270, PI11/01403, PI11/01889, PI11/00226, PI11/01810, PI11/02213, PI09/00773, PI09/01286, PI09/01903, PI09/02078, PI09/01662, PI08/1770, PI08/0533, PI08/1359]
- Spanish Ministry of Economy and Competitiveness [IJCI-2014-20900]
- Consejeria de Salud de la Junta de Andalucia [2009-S0143, PI-0306-2011, PI-0571-2009]
- Catalan Government DURSIgrant [2014SGR647]
- Instituto de Salud Carlos III
- FEDER funds [PI14-00613]
- Fundacion Marques de Valdecilla [API 10/09]
- Accion Transversal del Cancer
- Red Tematica de Investigacion del Cancer del ISCIII [RD12/0036/0036]
- Junta de Castilla y Leon [LE22A10-2]
- Conselleria de Sanitat de la Generalitat Valenciana [AP_061/10]
- Recercaixa [2010ACUP 00310]
- Regional Government of the Basque Country
- Consejeria de Sanidad de la Region de Murcia
- European Commission grants [FOOD-CT-2006-036224-HIWATE]
- Spanish Association Against Cancer Scientific Foundation
- Fundacion Caja de Ahorros de Asturias
- University of Oviedo
PurposeTo assess if the associations found between three previously identified dietary patterns with breast, prostate and gastric cancer are also observed for colorectal cancer (CRC).MethodsMCC-Spain is a multicase-control study that collected information of 1629 incident cases of CRC and 3509 population-based controls from 11 Spanish provinces. Western, Prudent and Mediterranean data-driven dietary patternsderived in another Spanish case-control studywere reconstructed in MCC-Spain. Their association with CRC was assessed using mixed multivariable logistic regression models considering a possible interaction with sex. Risk by tumor site (proximal colon, distal colon, and rectum) was evaluated using multinomial regression models.ResultsWhile no effect of the Prudent pattern on CRC risk was observed, a high adherence to the Western dietary pattern was associated with increased CRC risk for both males [ORfourth(Q4) vs. first(Q1)quartile (95% CI): 1.45 (1.11;1.91)] and females [ORQ4 vs. Q1 (95% CI): 1.50 (1.07;2.09)] but seem to be confined to distal colon [ORfourth(Q4) vs. first(Q1)quartile (95% CI): 2.02 (1.44;2.84)] and rectal [ORQ4 vs. Q1 (95% CI): 1.46 (1.05;2.01)] tumors. The protective effect of the Mediterranean dietary pattern against CRC was observed for both sexes [males: ORQ4 vs. Q1 (95% CI): 0.71 (0.55;0.92); females: ORQ4 vs. Q1 (95% CI): 0.56 (0.40;0.77)] and for all cancer sites: proximal colon [ORQ4 vs. Q1 (95% CI): 0.70 (0.51;0.97)], distal colon [ORQ4 vs. Q1 (95% CI): 0.65 (0.48;0.89)], and rectum (ORQ4 vs. Q1 (95% CI): 0.60 (0.45;0.81)].ConclusionOur results are consistent with most of the associations previously found between these patterns and breast, prostate and gastric cancer risk and indicate that consuming whole fruits, vegetables, legumes, olive oil, nuts, and fish and avoiding red and processed meat, refined grains, sweets, caloric drinks, juices, convenience food, and sauces might reduce CRC risk.
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