Cent Eur J Public Health 2014, 22(4):215-222

The Role of Dietary and Lifestyle Factors in the Development of Colorectal Cancer: Case Control Study in Minia, Egypt

Eman Mohamed Mahfouz1, Refaat Raouf Sadek1, Wafaa Mohamed Abdel-Latief2, Fadia Abdel-Hamed Mosallem1, Ebtesam Esmail Hassan1
1 Public Health and Preventive Medicine Department, Faculty of Medicine, Minia University, Egypt
2 Medical Oncology Department, Faculty of Medicine, Minia University, Egypt

Background: Colorectal cancer (CRC) is the third most common cancer worldwide, after lung and breast cancer, and is associated with the population dietary and lifestyle factors.

Aim: To determine the relation between dietary and lifestyle factors and development of CRC in patients attending Minia oncology centre and compare them with their control.

Methods: Study included 150 CRC patients attending Minia oncology centre and 300 control subjects matched by age and sex. Subjects participating in the study filled in a questionnaire including questions about socio-demographic data, medical data concerning CRC and its treatment as well as dietary and lifestyle factors.

Results: The most significant dietary and lifestyle CRC risk factors were higher consumption of red meat (OR=57.1), preserved food (OR=39.4), artificial sweeteners (OR=20.8), fast foods (OR=12.8), soft drinks (OR=4.6), spicy foods (OR=4.2), processed meat (OR=2.4), and smoking (OR=8.8). The most significant protective factors were physical activity (OR=0.001), calcium rich diet (OR=0.08), higher consumption of fruits and vegetable (OR=0.02), cruciferous vegetables (broccoli OR=0.11, cauliflower OR=0.30 and cabbage OR=0.30), high fiber bread (OR=0.15), fruit juice (OR=0.18), and sea foods (tuna OR=0.28 and fish OR=0.38).

Conclusion: Sedentary lifestyle and unhealthy dietary choices were prevalent among CRC cases. This study provides strong evidence that lifestyle and dietary modification are important factors in the prevention of colorectal cancer.

Klíčová slova: colorectal cancer, life style, diet, case-control study, Minia

Vloženo: 26. duben 2013; Revidováno: 4. srpen 2014; Přijato: 4. srpen 2014; Zveřejněno: 1. prosinec 2014  Zobrazit citaci

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Mahfouz EM, Sadek RR, Abdel-Latief WM, Mosallem FA, Hassan EE. The Role of Dietary and Lifestyle Factors in the Development of Colorectal Cancer: Case Control Study in Minia, Egypt. Cent Eur J Public Health. 2014;22(4):215-222. PubMed PMID: 25622477.
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    Reference

    1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. GLOBOCAN 2008 v2.0, Cancer incidence and mortality worldwide: IARC CancerBase No. 10 [Internet]. Lyon: International Agency for Research on Cancer; 2010 [cited 2012 Jul 12]. Available from: http://globocan. iarc.fr.
    2. World Health Organization. Media centre. Global cancer rates could increase by 50% to 15 million by 2020 [Internet]. Geneva: WHO; 2003 [cited 2011 May 5]. Available from: http://www.who.int/mediacentre/news/releases/2003/pr27/en/.
    3. Mokhtar N. Screening and early diagnosis of colorectal cancer [Internet]. [cited 2010 May 30].Available from: http://www.nci.cu.edu.eg/lectures/Colorectal%20Cancer.pdf.
    4. National Cancer Registry Program of Egypt. Reports and statistics. ELMinia 2009 [Internet]. Ministry of Communications and Information Technology; 2010 [cited 2011 Oct 15]. Available from: http://www.cancerregistry.gov.eg/reports.aspx.
    5. World Health Organization. 2008 - 2013Action plan for the global strategy for the prevention and control of noncommunicable diseases [Internet]. Geneva: WHO; 2008 [cited 2011 Dec 8]. Available from: http://www.who.int/nmh/Actionplan-PC-NCD-2008.pdf?ua=1.
    6. Lyons R, Langille L. Healthy lifestyles: strengthening the effectiveness of lifestyle approaches to improve health [Internet]. Dalhousie university, TheAtlantic Health Promotion Research Center; Canadian Consortium of Health Promotion Research Center; 2000 [cited 2011 Oct 14]. Available from:http://www.phac-aspc.gc.ca/ph-sp/docs/healthysain/pdf/lifestyle.pdf.
    7. Hansen R. Molecular epidemiology of colorectal cancer [Ph.D. thesis]. Copenhagen: University of Copenhagen, Faculty of Health Science, Environmental and Occupational Medicine Department; 2007.
    8. Harriss DJ, Atkinson G, George K, Cable NT, Reilly T, Haboubi N, et al.; C-CLEAR group. Lifestyle factors and colorectal cancer risk (1): systematic review and meta-analysis of associations with body mass index. Colorectal Dis. 2009 Jul;11(6):547-63. Přejít k původnímu zdroji... Přejít na PubMed...
    9. National Institute for Clinical Excellence. Guidance on cancer services improving outcomes in colorectal cancers: manual update [Internet]. London: National Institute for Clinical Excellence; 2004 [cited 2011 Nov 25]. Available from: http://www.nice.org.uk/guidance/csgcc/evidence/improving-outcomes-in-colorectal-cancers-manual-update-2.
    10. Bosetti C, Pelucchi C, La Vecchia C. Diet and cancer in Mediterranean countries: carbohydrates and fats. Public Health Nutr. 2009 Sep;12(9A):1595-600. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Giles GG, English DR.The Melbourne Collaborative Cohort Study. IARC Sci Publ. 2002;156:69-70. Přejít na PubMed...
    12. U. S. Food and Drug Administration. Serving sizes of products that can reasonably be consumed at one eating occasion; updating of reference amounts customarily consumed; approaches for recommending smaller portion sizes federal register advance notice of proposed rulemaking [Internet]. Silver Spring: U.S. Food and DrugAdministration [cited 2012 Jan 25]. Available from: http://www.fda.gov/Food/LabelingNutrition.
    13. Elattar I. Colorectal cancer: magnitude of the problem [Internet]. Annual Cancer Conference of the Egyptian Cancer Society; 2005 [cited 2010 Nov 23]. Available from: http://www.nci.edu.eg/cancer_problem/magnitudeofproblemcoloncancer;2005.
    14. Almurshed KS. Colorectal cancer: case-control study of sociodemographic, lifestyle and anthropometric parameters in Riyadh. East Mediterr Health J. 2009 Jul-Aug;15(4):817-26. Přejít k původnímu zdroji...
    15. van Duijnhoven FJ, Bueno-De-Mesquita HB, Ferrari P, Jenab M, Boshuizen HC, Ros MM, et al. Fruit, vegetables, and colorectal cancer risk: the European Prospective Investigation into Cancer and Nutrition.Am J Clin Nutr. 2009 May;89(5):1441-52. Přejít k původnímu zdroji... Přejít na PubMed...
    16. Limsui D, Vierkant RA, Tillmans LS, WangAH, Weisenberger DJ, Laird PW, et al. Cigarette smoking and colorectal cancer risk by molecularly defined subtypes. J Natl Cancer Inst. 2010 Jul 21;102(14):1012-22. Přejít k původnímu zdroji... Přejít na PubMed...
    17. BenerA, Moore MA,Ali R, ElAyoubi HR. Impacts of family history and lifestyle habits on colorectal cancer risk: a case-control study in Qatar. Asian Pac J Cancer Prev. 2010;11(4):963-8. Přejít na PubMed...
    18. Arafa MA, Waly MI, Jriesat S, Al Khafajei A, Sallam S. Dietary and lifestyle characteristics of colorectal cancer in Jordan: a case-control study. Asian Pac J Cancer Prev. 2011;12(8):1931-6. Přejít na PubMed...
    19. Alexander DD, Cushing CA. Red meat and colorectal cancer: a critical summary of prospective epidemiologic studies. Obes Rev. 2011 May;12(5):e472-93. Přejít k původnímu zdroji... Přejít na PubMed...
    20. World Cancer Research Fund; American Institute for Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: a global perspective [Internet]. Washington DC:AICR; 2007 [cited 2012 Sep 15]. Available from: http://www.wcrf.org/sites/default/files/Second-ExpertReport.pdf.
    21. Santarelli RL, Pierre F, Corpet DE. Processed meat and colorectal cancer: a review of epidemiologic and experimental evidence. Nutr Cancer. 2008;60(2):131-44. Přejít k původnímu zdroji... Přejít na PubMed...
    22. Hall MN, Chavarro JE, Lee IM, Willett WC, Ma J.A22-year prospective study of fish, n-3 fatty acid intake, and colorectal cancer risk in men. Cancer Epidemiol Biomarkers Prev. 2008 May;17(5):1136-43. Přejít k původnímu zdroji... Přejít na PubMed...
    23. Sanjoaquin MA,Appleby PN, Thorogood M, Mann JI, Key TJ. Nutrition, lifestyle and colorectal cancer incidence: a prospective investigation of 10998 vegetarians and non-vegetarians in the United Kingdom. Br J Cancer. 2004 Jan 12;90(1):118-21. Přejít k původnímu zdroji... Přejít na PubMed...
    24. Mizoue T, Kimura Y, Toyomura K, Nagano J, Kono S, Mibu R, et al. Calcium, dairy foods, vitamin D, and colorectal cancer risk: the Fukuoka Colorectal Cancer Study. Cancer Epidemiol Biomarkers Prev. 2008 Oct;17(10):2800-7. Přejít k původnímu zdroji... Přejít na PubMed...
    25. Nayak SP, Sasi MP, Sreejayan MP, Mandal S. A case-control study of roles of diet in colorectal carcinoma in a South Indian Population. Asian Pac J Cancer Prev. 2009 Oct-Dec;10(4):565-8. Přejít na PubMed...
    26. Chiu BC, Ji BT, Dai Q, Gridley G, McLaughlin JK, GaoYT, et al. Dietary factors and risk of colon cancer in Shanghai, China. Cancer Epidemiol Biomarkers Prev. 2003 Mar;12(3):201-8.
    27. Sriamporn S, Wiangnon S, Suwanrungruang K, Rungsrikaji D, Sukprasert A, Thipsuntornsak N, et al. Risk factors for colorectal cancer in northeast Thailand: lifestyle related. Asian Pac J Cancer Prev. 2007 Oct-Dec;8(4):573-7. Přejít na PubMed...
    28. Squires J, Roebothan B, Buehler S, Sun Z, Cotterchio M, Younghusband B, et al. Pickled meat consumption and colorectal cancer (CRC): a casecontrol study in Newfoundland and Labrador, Canada. Cancer Causes Control. 2010 Sep;21(9):1513-21. Přejít k původnímu zdroji... Přejít na PubMed...
    29. Slattery ML, Edwards S, Curtin K, Ma K, Edwards R, Holubkov R, et al. Physical activity and colorectal cancer. Am J Epidemiol. 2003 Aug 1;158(3):214-24. Přejít k původnímu zdroji... Přejít na PubMed...
    30. Hu J, La Vecchia C, Negri E, Mery L. Nutrients and risk of colon cancer. Cancers (Basel). 2010 Feb 10;2(1):51-67. Přejít k původnímu zdroji... Přejít na PubMed...
    31. Sun Z, Liu L, Wang PP, Roebothan B, Zhao J, Dicks E, et al.Association of total energy intake and macronutrient consumption with colorectal cancer risk: results from a large population-based case-control study in Newfoundland and Labrador and Ontario, Canada. Nutr J. 2012 Mar 26;11:18. doi:10.1186/1475-2891-11-18. Přejít k původnímu zdroji... Přejít na PubMed...
    32. Williams CD, Satia JA, Adair LS, Stevens J, Galanko J, Keku TO, et al. Associations of red meat, fat, and protein intake with distal colorectal cancer risk. Nutr Cancer. 2010;62(6):701-9. Přejít k původnímu zdroji... Přejít na PubMed...
    33. Chiu BC, Gapstur SM. Changes in diet during adult life and risk of colorectal adenomas. Nutr Cancer. 2004;49(1):49-58. Přejít k původnímu zdroji... Přejít na PubMed...
    34. Ramadas A, Kandiah M. Food intake and colorectal adenomas: a casecontrol study in Malaysia. Asian Pac J Cancer Prev. 2009;10(5):925-32. Přejít na PubMed...
    35. Nashar RM, Almurshed KS. Colorectal cancer: a case control study of dietary factors, King Faisal Specialist Hospital and Researh Center, Riyadh, SaudiArabia. J Family Community Med. 2008 May;15(2):57-64.

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