Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations and colorectal cancer risk
The World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) released in 2007 eight recommendations for cancer prevention on body fatness, diet and physical activity. Our aim is to evaluate the relation between adherence to these recommendations and colorectal cancer (...
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| Veröffentlicht in: | European journal of cancer (1990) 2017-11, Vol.85, p.86-94 |
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| creator | Turati, Federica Bravi, Francesca Di Maso, Matteo Bosetti, Cristina Polesel, Jerry Serraino, Diego Dalmartello, Michela Giacosa, Attilio Montella, Maurizio Tavani, Alessandra Negri, Eva La Vecchia, Carlo |
| description | The World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) released in 2007 eight recommendations for cancer prevention on body fatness, diet and physical activity. Our aim is to evaluate the relation between adherence to these recommendations and colorectal cancer (CRC) risk.
We pooled data from two Italian case–control studies including overall 2419 patients with CRC and 4723 controls. Adherence to the WCRF/AICR guidelines was summarised through a score incorporating seven of the WCRF/AICR recommendations, with higher scores indicating higher adherence to the guidelines. Odds ratios (ORs) of colorectal cancer were estimated using multiple logistic regression models.
Higher adherence to the WCRF/AICR recommendations was associated with a significantly reduced CRC risk (OR 0.67, 95% confidence interval, CI, 0.56–0.80 for a score ≥5 versus |
| doi_str_mv | 10.1016/j.ejca.2017.08.015 |
| format | Article |
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We pooled data from two Italian case–control studies including overall 2419 patients with CRC and 4723 controls. Adherence to the WCRF/AICR guidelines was summarised through a score incorporating seven of the WCRF/AICR recommendations, with higher scores indicating higher adherence to the guidelines. Odds ratios (ORs) of colorectal cancer were estimated using multiple logistic regression models.
Higher adherence to the WCRF/AICR recommendations was associated with a significantly reduced CRC risk (OR 0.67, 95% confidence interval, CI, 0.56–0.80 for a score ≥5 versus <3.5), with a significant trend of decreasing risk for increasing adherence (p < 0.001). Consistent results were found for colon (OR 0.67) and rectal cancer (OR 0.67). Inverse associations were observed with the diet-specific WCRF/AICR score (OR 0.71, 95% CI, 0.61–0.84 for ≥3.5 versus <2.5 points) and with specific recommendations on body fatness (OR 0.82, 95% CI, 0.70–0.97), physical activity (OR 0.86, 95% CI, 0.75–1.00), foods and drinks that promote weight gain (OR 0.70, 95% CI, 0.56–0.89), foods of plant origin (OR 0.56, 95% CI, 0.42–0.76), limiting alcohol (OR 0.87, 95% CI, 0.77–0.99) and salt intake (OR 0.63, 95% CI, 0.48–0.84).
Our study indicated that adherence to the WCRF/AICR recommendations is inversely related to CRC risk.
•A pooled analysis of 2 Italian studies with 2419 CRC cases and 4723 controls.•The role of adherence to the WCRF/AICR guidelines on CRC was evaluated.•Adherence to the guidelines was summarised through a score based on 7 recommendations.•The WCRF/AICR score was significantly inversely related to CRC risk.•Higher adherence to the WCRF/AICR guidelines was associated to a 30% reduced CRC risk.</description><identifier>ISSN: 0959-8049</identifier><identifier>EISSN: 1879-0852</identifier><identifier>DOI: 10.1016/j.ejca.2017.08.015</identifier><identifier>PMID: 28892777</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adhesion ; Adiposity ; Adult ; Aged ; Alcohol Drinking - adverse effects ; Alcohol Drinking - epidemiology ; Alcoholic beverages ; Alcohols ; Body weight gain ; Cancer ; Cancer research ; Case-Control Studies ; Case–control ; Colon ; Colorectal cancer ; Colorectal carcinoma ; Colorectal neoplasms ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - prevention & control ; Confidence intervals ; Diet ; Diet - adverse effects ; Exercise ; Female ; Food ; Food plants ; Guidelines ; Health Behavior ; Health risk assessment ; Health risks ; Health savings accounts ; Healthy Diet ; Humans ; Incidence ; Italy - epidemiology ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Nutrition policy ; Nutritional Status ; Odds Ratio ; Patient Compliance ; Physical activity ; Prevention ; Prognosis ; Protective Factors ; Rectum ; Regression analysis ; Regression models ; Risk ; Risk Assessment ; Risk Factors ; Risk reduction ; Risk Reduction Behavior ; Sodium Chloride, Dietary - adverse effects ; Statistical analysis ; Studies ; Young Adult</subject><ispartof>European journal of cancer (1990), 2017-11, Vol.85, p.86-94</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Nov 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-b96099451815d577233bdc33aee19e6c032f692039f063cbdbc8685b2b590bc23</citedby><cites>FETCH-LOGICAL-c384t-b96099451815d577233bdc33aee19e6c032f692039f063cbdbc8685b2b590bc23</cites><orcidid>0000-0002-5841-5773</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0959804917312078$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28892777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turati, Federica</creatorcontrib><creatorcontrib>Bravi, Francesca</creatorcontrib><creatorcontrib>Di Maso, Matteo</creatorcontrib><creatorcontrib>Bosetti, Cristina</creatorcontrib><creatorcontrib>Polesel, Jerry</creatorcontrib><creatorcontrib>Serraino, Diego</creatorcontrib><creatorcontrib>Dalmartello, Michela</creatorcontrib><creatorcontrib>Giacosa, Attilio</creatorcontrib><creatorcontrib>Montella, Maurizio</creatorcontrib><creatorcontrib>Tavani, Alessandra</creatorcontrib><creatorcontrib>Negri, Eva</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><title>Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations and colorectal cancer risk</title><title>European journal of cancer (1990)</title><addtitle>Eur J Cancer</addtitle><description>The World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) released in 2007 eight recommendations for cancer prevention on body fatness, diet and physical activity. Our aim is to evaluate the relation between adherence to these recommendations and colorectal cancer (CRC) risk.
We pooled data from two Italian case–control studies including overall 2419 patients with CRC and 4723 controls. Adherence to the WCRF/AICR guidelines was summarised through a score incorporating seven of the WCRF/AICR recommendations, with higher scores indicating higher adherence to the guidelines. Odds ratios (ORs) of colorectal cancer were estimated using multiple logistic regression models.
Higher adherence to the WCRF/AICR recommendations was associated with a significantly reduced CRC risk (OR 0.67, 95% confidence interval, CI, 0.56–0.80 for a score ≥5 versus <3.5), with a significant trend of decreasing risk for increasing adherence (p < 0.001). Consistent results were found for colon (OR 0.67) and rectal cancer (OR 0.67). Inverse associations were observed with the diet-specific WCRF/AICR score (OR 0.71, 95% CI, 0.61–0.84 for ≥3.5 versus <2.5 points) and with specific recommendations on body fatness (OR 0.82, 95% CI, 0.70–0.97), physical activity (OR 0.86, 95% CI, 0.75–1.00), foods and drinks that promote weight gain (OR 0.70, 95% CI, 0.56–0.89), foods of plant origin (OR 0.56, 95% CI, 0.42–0.76), limiting alcohol (OR 0.87, 95% CI, 0.77–0.99) and salt intake (OR 0.63, 95% CI, 0.48–0.84).
Our study indicated that adherence to the WCRF/AICR recommendations is inversely related to CRC risk.
•A pooled analysis of 2 Italian studies with 2419 CRC cases and 4723 controls.•The role of adherence to the WCRF/AICR guidelines on CRC was evaluated.•Adherence to the guidelines was summarised through a score based on 7 recommendations.•The WCRF/AICR score was significantly inversely related to CRC risk.•Higher adherence to the WCRF/AICR guidelines was associated to a 30% reduced CRC risk.</description><subject>Adhesion</subject><subject>Adiposity</subject><subject>Adult</subject><subject>Aged</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcoholic beverages</subject><subject>Alcohols</subject><subject>Body weight gain</subject><subject>Cancer</subject><subject>Cancer research</subject><subject>Case-Control Studies</subject><subject>Case–control</subject><subject>Colon</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal neoplasms</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - prevention & control</subject><subject>Confidence intervals</subject><subject>Diet</subject><subject>Diet - adverse effects</subject><subject>Exercise</subject><subject>Female</subject><subject>Food</subject><subject>Food plants</subject><subject>Guidelines</subject><subject>Health Behavior</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Health savings accounts</subject><subject>Healthy Diet</subject><subject>Humans</subject><subject>Incidence</subject><subject>Italy - epidemiology</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Nutrition policy</subject><subject>Nutritional Status</subject><subject>Odds Ratio</subject><subject>Patient Compliance</subject><subject>Physical activity</subject><subject>Prevention</subject><subject>Prognosis</subject><subject>Protective Factors</subject><subject>Rectum</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Risk reduction</subject><subject>Risk Reduction Behavior</subject><subject>Sodium Chloride, Dietary - adverse effects</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Young Adult</subject><issn>0959-8049</issn><issn>1879-0852</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMGK1TAUhoMozp3RF3AhAdftnCRNm4Cby2VGBwYEUVyGNDnlpt42Y9IOuPDdTbmjG8HVgcP3_4fzEfKGQc2AtddjjaOzNQfW1aBqYPIZ2THV6QqU5M_JDrTUlYJGX5DLnEcA6FQDL8kFV0rzrut25NfeHzHh7JAukS5HpN9iOnl6sGWV6GfMaJM70tt19tf7CVNwdqZ3c17Csi5Ih5j-YRO6OE04e7uEOGdqZ09dPMWyX-yJujOeQv7-irwY7Cnj66d5Rb7e3nw5fKzuP324O-zvKydUs1S9bkHrRjLFpJddx4XovRPCIjKNrQPBh1ZzEHqAVrje9061Sva8lxp6x8UVeXfufUjxx4p5MWNc01xOmpJquJagu0LxM-VSzDnhYB5SmGz6aRiYzbgZzWbcbMYNKFOMl9Dbp-q1n9D_jfxRXID3ZwDLg48Bk8kubMJ92IQYH8P_-n8D9BGSeA</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Turati, Federica</creator><creator>Bravi, Francesca</creator><creator>Di Maso, Matteo</creator><creator>Bosetti, Cristina</creator><creator>Polesel, Jerry</creator><creator>Serraino, Diego</creator><creator>Dalmartello, Michela</creator><creator>Giacosa, Attilio</creator><creator>Montella, Maurizio</creator><creator>Tavani, Alessandra</creator><creator>Negri, Eva</creator><creator>La Vecchia, Carlo</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0002-5841-5773</orcidid></search><sort><creationdate>201711</creationdate><title>Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations and colorectal cancer risk</title><author>Turati, Federica ; Bravi, Francesca ; Di Maso, Matteo ; Bosetti, Cristina ; Polesel, Jerry ; Serraino, Diego ; Dalmartello, Michela ; Giacosa, Attilio ; Montella, Maurizio ; Tavani, Alessandra ; Negri, Eva ; La Vecchia, Carlo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-b96099451815d577233bdc33aee19e6c032f692039f063cbdbc8685b2b590bc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adhesion</topic><topic>Adiposity</topic><topic>Adult</topic><topic>Aged</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcoholic beverages</topic><topic>Alcohols</topic><topic>Body weight gain</topic><topic>Cancer</topic><topic>Cancer research</topic><topic>Case-Control Studies</topic><topic>Case–control</topic><topic>Colon</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal neoplasms</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - prevention & control</topic><topic>Confidence intervals</topic><topic>Diet</topic><topic>Diet - adverse effects</topic><topic>Exercise</topic><topic>Female</topic><topic>Food</topic><topic>Food plants</topic><topic>Guidelines</topic><topic>Health Behavior</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Health savings accounts</topic><topic>Healthy Diet</topic><topic>Humans</topic><topic>Incidence</topic><topic>Italy - epidemiology</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Nutrition policy</topic><topic>Nutritional Status</topic><topic>Odds Ratio</topic><topic>Patient Compliance</topic><topic>Physical activity</topic><topic>Prevention</topic><topic>Prognosis</topic><topic>Protective Factors</topic><topic>Rectum</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Risk reduction</topic><topic>Risk Reduction Behavior</topic><topic>Sodium Chloride, Dietary - adverse effects</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turati, Federica</creatorcontrib><creatorcontrib>Bravi, Francesca</creatorcontrib><creatorcontrib>Di Maso, Matteo</creatorcontrib><creatorcontrib>Bosetti, Cristina</creatorcontrib><creatorcontrib>Polesel, Jerry</creatorcontrib><creatorcontrib>Serraino, Diego</creatorcontrib><creatorcontrib>Dalmartello, Michela</creatorcontrib><creatorcontrib>Giacosa, Attilio</creatorcontrib><creatorcontrib>Montella, Maurizio</creatorcontrib><creatorcontrib>Tavani, Alessandra</creatorcontrib><creatorcontrib>Negri, Eva</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>European journal of cancer (1990)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turati, Federica</au><au>Bravi, Francesca</au><au>Di Maso, Matteo</au><au>Bosetti, Cristina</au><au>Polesel, Jerry</au><au>Serraino, Diego</au><au>Dalmartello, Michela</au><au>Giacosa, Attilio</au><au>Montella, Maurizio</au><au>Tavani, Alessandra</au><au>Negri, Eva</au><au>La Vecchia, Carlo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations and colorectal cancer risk</atitle><jtitle>European journal of cancer (1990)</jtitle><addtitle>Eur J Cancer</addtitle><date>2017-11</date><risdate>2017</risdate><volume>85</volume><spage>86</spage><epage>94</epage><pages>86-94</pages><issn>0959-8049</issn><eissn>1879-0852</eissn><abstract>The World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) released in 2007 eight recommendations for cancer prevention on body fatness, diet and physical activity. Our aim is to evaluate the relation between adherence to these recommendations and colorectal cancer (CRC) risk.
We pooled data from two Italian case–control studies including overall 2419 patients with CRC and 4723 controls. Adherence to the WCRF/AICR guidelines was summarised through a score incorporating seven of the WCRF/AICR recommendations, with higher scores indicating higher adherence to the guidelines. Odds ratios (ORs) of colorectal cancer were estimated using multiple logistic regression models.
Higher adherence to the WCRF/AICR recommendations was associated with a significantly reduced CRC risk (OR 0.67, 95% confidence interval, CI, 0.56–0.80 for a score ≥5 versus <3.5), with a significant trend of decreasing risk for increasing adherence (p < 0.001). Consistent results were found for colon (OR 0.67) and rectal cancer (OR 0.67). Inverse associations were observed with the diet-specific WCRF/AICR score (OR 0.71, 95% CI, 0.61–0.84 for ≥3.5 versus <2.5 points) and with specific recommendations on body fatness (OR 0.82, 95% CI, 0.70–0.97), physical activity (OR 0.86, 95% CI, 0.75–1.00), foods and drinks that promote weight gain (OR 0.70, 95% CI, 0.56–0.89), foods of plant origin (OR 0.56, 95% CI, 0.42–0.76), limiting alcohol (OR 0.87, 95% CI, 0.77–0.99) and salt intake (OR 0.63, 95% CI, 0.48–0.84).
Our study indicated that adherence to the WCRF/AICR recommendations is inversely related to CRC risk.
•A pooled analysis of 2 Italian studies with 2419 CRC cases and 4723 controls.•The role of adherence to the WCRF/AICR guidelines on CRC was evaluated.•Adherence to the guidelines was summarised through a score based on 7 recommendations.•The WCRF/AICR score was significantly inversely related to CRC risk.•Higher adherence to the WCRF/AICR guidelines was associated to a 30% reduced CRC risk.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28892777</pmid><doi>10.1016/j.ejca.2017.08.015</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5841-5773</orcidid></addata></record> |
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| subjects | Adhesion Adiposity Adult Aged Alcohol Drinking - adverse effects Alcohol Drinking - epidemiology Alcoholic beverages Alcohols Body weight gain Cancer Cancer research Case-Control Studies Case–control Colon Colorectal cancer Colorectal carcinoma Colorectal neoplasms Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Colorectal Neoplasms - prevention & control Confidence intervals Diet Diet - adverse effects Exercise Female Food Food plants Guidelines Health Behavior Health risk assessment Health risks Health savings accounts Healthy Diet Humans Incidence Italy - epidemiology Logistic Models Male Middle Aged Multivariate Analysis Nutrition policy Nutritional Status Odds Ratio Patient Compliance Physical activity Prevention Prognosis Protective Factors Rectum Regression analysis Regression models Risk Risk Assessment Risk Factors Risk reduction Risk Reduction Behavior Sodium Chloride, Dietary - adverse effects Statistical analysis Studies Young Adult |
| title | Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations and colorectal cancer risk |
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