DOI QR코드

DOI QR Code

Relationships of Colorectal Cancer with Dietary Factors and Public Health Indicators: an Ecological Study

  • Abbastabar, Hedayat (Department of Epidemiology, Schools of Health and Nutrition, Shiraz University of Medical Sciences) ;
  • Roustazadeh, Abazar (Department of Biochemistry and Research Center for Non-communicable Disease, Jahrom University of Medical Sciences) ;
  • Alizadeh, Ali (Research Center for Social Determinants in Health Promotion, Department of Research and Technology, Hormozgan University of Medical Sciences) ;
  • Hamidifard, Parvin (Tehran University of Medical Sciences) ;
  • Valipour, Mehrdad (Lorestan University of Medical Sciences) ;
  • Valipour, Ali Asghar (Ahvaz Jundishapur University of Medical Sciences)
  • Published : 2015.05.18

Abstract

Background: Colorectal cancer (CRC) is the third most common cancer in Iranian women and fifth in men. The aims of this study were to investigate the relation of dietary factors and public health indicators to its development. Materials and Methods: The required information (2001-2006) about risk factors was obtained from the Non-Communicable Disease Surveillance Centre (NCDSC) of Iran. Risk factor data (RFD) from 89,404 individuals (15-64 years old) were gathered by questionnaire and laboratory examinations through a cross sectional study in all provinces by systematic clustering sampling method. CRC incidence segregated by age and gender was obtained from Cancer Registry Ministry of Health (CRMH) of Iran. First, correlation coefficients were used for data analysis and then multiple regression analysis was performed to control for confounding factors. Results: Colorectal cancer incidence showed a positive relationship with diabetes mellitus, hypertension, lacking or low physical activity, high education, high intake of dairy products, and non-consumption of vegetables and fruits. Conclusions: We concluded that many dietary factors and public health indicators have positive relationships with CRC and might therefore be targets of preliminary prevention. However, since this is an ecological study limited by potential ecological fallacy the results must be interpreted with caution.

Keywords

Colorectal cancer, ecologic study;risk factor;developing countries;correlation

References

  1. Jess T, Horvath-Puho E, Fallingborg J, et al (2013). Cancer risk in inflammatory bowel disease according to patient phenotype and treatment: a danish population-based cohort study. Am J Gastroenterol, 108, 1869-76. https://doi.org/10.1038/ajg.2013.249
  2. Kamano T, Mikami Y, Kurasawa T, et al (1999). Ratio of primary and secondary bile acids in feces: possible marker for colorectal cancer? Dis Colon Rectum, 42, 668-72. https://doi.org/10.1007/BF02234147
  3. Kim E, Coelho D, Blachier F (2013). Review of the association between meat consumption and risk of colorectal cancer. Nutr Res, 33, 983-94. https://doi.org/10.1016/j.nutres.2013.07.018
  4. Kushi L, Giovannucci E (2002). Dietary fat and cancer. Am J Med, 113, 63-70. https://doi.org/10.1016/S0002-9343(01)00994-9
  5. Levin B, Lieberman DA, McFarland B, et al (2008). Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US multi-society task force on colorectal cancer, and the American college of radiology. Gastroenterology, 134, 1570-95. https://doi.org/10.1053/j.gastro.2008.02.002
  6. Pais R, Silaghi H, Silaghi AC, et al (2009). Metabolic syndrome and risk of subsequent colorectal cancer. World J Gastroenterol, 15, 5141-8. https://doi.org/10.3748/wjg.15.5141
  7. Quarini C, Gosney M (2002). Review of the evidence for a colorectal cancer screening programme in elderly people. Age Ageing, 38, 503-8.
  8. Riboli E, Norat T (2003). Epidemiologic evidence of the protective effect of fruit and vegetables on cancer risk. Am J Clin Nutr, 78, 559-69.
  9. Robsahm TE, Aagnes B, Hjartaker A, et al (2013). Body mass index, physical activity, and colorectal cancer by anatomical subsites: a systematic review and meta-analysis of cohort studies. Eur J Cancer Prev, 22, 492-505. https://doi.org/10.1097/CEJ.0b013e328360f434
  10. Satia-Abouta J, Galanko JA, Potter JD, et al (2003). Associations of total energy and macronutrients with colon cancer risk in African Americans and Whites: results from the North Carolina colon cancer study. Am J Epidemiol, 158, 951-62. https://doi.org/10.1093/aje/kwg248
  11. Smiechowski B, Azoulay L, Yin H, et al (2013). The use of metformin and colorectal cancer incidence in patients with type ii diabetes mellitus. Cancer Epidemiol Biomarkers Prev, 22, 1877-83. https://doi.org/10.1158/1055-9965.EPI-13-0196
  12. Smith RA, Cokkinides V, Eyre HJ (2007). Cancer screening in the United States, 2007: a review of current guidelines, practices, and prospects. CA Cancer J Clin, 57, 90-104. https://doi.org/10.3322/canjclin.57.2.90
  13. Steindorf K, Jedrychowski W, Schmidt M, et al (2005). Case control study of lifetime occupational and recreational physical activity and risks for colon and rectal cancer. Eur J Cancer Prev, 14, 363-71. https://doi.org/10.1097/00008469-200508000-00009
  14. Stoneham M, Goldacre M, Seagroatt V, et al (2000).Olive oil, diet and colorectal cancer: an ecological study and a hypothesis. J Epidemiol Community Health, 54, 756-60. https://doi.org/10.1136/jech.54.10.756
  15. Taghavidoost N, Dastgiri V (2011). Comparison of risk factors for non-communicable diseases in East Azerbaijan Province. Urmia Medical Journal, 22, 512-20 (article in Persian).
  16. Coups EJ, Manne SL, Meropol NJ, et al (2007). Multiple behavioral risk factors for colorectal cancer and colorectal cancer screening status. Cancer Epidemiol Biomarkers Prev, 16, 510-6. https://doi.org/10.1158/1055-9965.EPI-06-0143
  17. Dominianni C, Huang WY, Berndt S, et al (2013). Prospective study of the relationship between coffee and tea with colorectal cancer risk: The PLCO CancerScreening Trial. Br J Cancer, 109, 1352-9. https://doi.org/10.1038/bjc.2013.434
  18. Elsamany SA, Alzahrani AS, Mohamed MM, et al (2014). Clinico-pathological patterns and survival outcome of colorectal cancer in young patients: western Saudi Arabia experience. Asian Pac J Cancer Prev, 15, 5239-43. https://doi.org/10.7314/APJCP.2014.15.13.5239
  19. Erichsen R, Horvath-Puho E, H Iversen L, et al (2013). Does comorbidity interact with colorectal cancer to increase mortality? A nationwide population-based cohort study. Br J Cancer, 109, 2005-13. https://doi.org/10.1038/bjc.2013.541
  20. Fateh S (2008). An epidemiologic study of colorectal cancer in Arak during 1994-2004. Iranian Surgeon Megazin, 16 (in Persian).
  21. Fernandez E, La Vecchia C, Talamini R, et al (2002). Joint effects of family history and adult life dietary risk factors on colorectal cancer risk. Epidemiology, 13, 360-3. https://doi.org/10.1097/00001648-200205000-00019
  22. Globocan (2008). Available at: http://globocan.iarc.fr/factsheet.aspx.
  23. Gluecker T, Dorta G, Keller W, et al (2002). Performance of multidetector computed tomography colonography compared with conventional colonoscopy. Gut, 51, 207-11. https://doi.org/10.1136/gut.51.2.207
  24. Granci V, Cai F, Lecumberri E, et al (2013). Colon cancer cell chemosensitisation by fish oil emulsion involves apoptotic mitochondria pathway. Br J Nutr, 109, 1188-95. https://doi.org/10.1017/S000711451200308X
  25. Gruenberger B, Tamandl D, Schueller J, et al (2008). Bevacizumab, capecitabine, and oxaliplatin as neoadjuvant therapy for patients with potentially Curable metastatic colorectal cancer. J Clin Oncol, 26, 1830-5. https://doi.org/10.1200/JCO.2007.13.7679
  26. Han Y, Xue XF, Shen HG, et al (2014). Prognostic significance of Beclin-1 expression in colorectal cancer: a meta-analysis. Asian Pac J Cancer Prev, 15, 4583-7. https://doi.org/10.7314/APJCP.2014.15.11.4583
  27. Heshmati R, Fakhrzadeh H, Porebrahim R, et al (2013). Assessment of obesity and overweight patterns and changes in the population aged 25-64 population research center tehran university of medical sciences. J Diabetes and Lipid Disorders, 3, 63-70. (in Persian)
  28. Higuchi T, Jass JR (2004). My approach to serrated polyps of the colorectum. J Clin Pathol, 57, 682-6. https://doi.org/10.1136/jcp.2003.015230
  29. Hind D, Tappenden P, Tumur I, et al (2008). The use of irinotecan, oxaliplatin and raltitrexed for the treatment of advanced colorectal cancer: systematic review and economic evaluation. Health Technol Assess, 12, 162.
  30. Hjartaker A, Aagnes B, Robsahm TE, et al (2013). Subsitespecific dietary risk factors for colorectal cancer: a review of cohort studies. J Oncol, 2013, 703854.
  31. Iran Ministry of Health (2008). Annual cancer report. 2005-2007 (in Persian).
  32. Trichopoulou A, Lagiou P, Kuper H, et al (2000). Cancer and mediterranean dietary traditions. Cancer Epidemiol Biomarkers Prev, 9, 869-73.
  33. Turati F, Edefonti V, Bosetti C, et al (2013). Family history of cancer and the risk of cancer: a network of case-control studies. Ann Oncol, 24, 2651-6. https://doi.org/10.1093/annonc/mdt280
  34. World Health Organization (WHO). Overview of Major Noncommunicable Disease (NCD). Available at: http://www.wpro.who.int/philippines/publications/module1.pdf.
  35. Wu S, Feng B, Li K, et al (2012). Fish consumption and colorectal cancer risk in humans: a systematic review and meta-analysis. Am J Med, 125, 551-9. https://doi.org/10.1016/j.amjmed.2012.01.022
  36. Akhavan A, Binesh F, Soltani A (2014). Survival of rectal cancer in Yazd, Iran. Asian Pac J Cancer Prev, 15, 4857-60. https://doi.org/10.7314/APJCP.2014.15.12.4857
  37. Ansari R, Mahdavinia M, Sadjadi A, et al (2006). Incidence and age distribution of colorectal cancer in Iran: Results of a population-based cancer registry. Cancer Lett, 240, 143-7. https://doi.org/10.1016/j.canlet.2005.09.004
  38. Baghestani AR, Daneshvar T, Pourhoseingholi MA, et al (2014). Survival of colorectal cancer patients in the presence of competing-risk. Asian Pac J Cancer Prev, 15, 6253-5. https://doi.org/10.7314/APJCP.2014.15.15.6253
  39. Bamia C, Lagiou P, Buckland G, et al (2013). Mediterranean diet and colorectal cancer risk: results from a European cohort. Eur J Epidemiol, 28, 317-28. https://doi.org/10.1007/s10654-013-9795-x
  40. Boyle P, Leon ME (2002). Epidemiology of colorectal cancer. Br Med Bull, 64, 1-25. https://doi.org/10.1093/bmb/64.1.1
  41. Caygill CP, Charlett A, Hill MJ (1996). Fat, fish, fish oil and cancer. Br J Cancer, 74, 159-64. https://doi.org/10.1038/bjc.1996.332
  42. Center MM, Jemal A, Smith RA, et al (2009). Worldwide variations in colorectal cancer. CA Cancer J Clin, 59, 366-78. https://doi.org/10.3322/caac.20038
  43. Chao A, Thun MJ, Connell CJ, et al (2005). Meat consumption and risk of colorectal cancer. JAMA, 293, 172-82. https://doi.org/10.1001/jama.293.2.172

Cited by

  1. Meats, milk and fat consumption in colorectal cancer vol.29, pp.6, 2016, https://doi.org/10.1111/jhn.12391
  2. Dairy products and colorectal cancer in middle eastern and north African countries: a systematic review vol.18, pp.1, 2018, https://doi.org/10.1186/s12885-018-4139-6