𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Diet and colorectal cancer with special reference to fiber intake

✍ Scribed by Lance K. Heilbrun; Abraham Nomura; Jean H. Hankin; Grant N. Stemmermann


Book ID
102868626
Publisher
John Wiley and Sons
Year
1989
Tongue
French
Weight
719 KB
Volume
44
Category
Article
ISSN
0020-7136

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✦ Synopsis


In this nested case-control study, 8,006 American Japanese men were examined and interviewed with a dietary questionnaire from 1965 to 1968. After a follow-up period of over 16 years, 102 colon and 60 rectal cancer incident cases were identified. Dietary data from these patients and from 361 cancerfree controls were analyzed for intake of dietary fiber (DF), vitamins, minerals, macronutrients, and selected food groups. We found a significant (p = 0.042) negative association of DF and colon cancer risk among low fat intake men (<61 g/d). In this subgroup, the men consuming <7.5 gld of DF had an adjusted relative risk (RR) for colon cancer of 2.28 (95% CI 0.93-5.60), compared to those consuming 3 14.8 g/d of DF. We also observed (among the complete group of subjects) a sig- nificant (p = 0.01 I) negative association between vitamin C intake and the risk of colon cancer. Men in the lowest quintile of vitamin C intake ( 4 7 mgld) had an adjusted colon cancer RR of I .87 (95% CI I .03-3.37), compared to men in the highest quintile (3160 mg/d). We view these dietary associations with colon cancer risk with caution. There were no other significant associations of dietary variables with colon cancer risk. Also, there were no significant associations between intake levels of DF, micronutrients, or food groups and rectal cancer risk.


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