Plant sterol intakes and colorectal cancer risk in the Netherlands Cohort Study on Diet and Cancer

Plant sterols in vegetable foods might prevent colorectal cancer. The objective was to study plant sterol intakes in relation to colorectal cancer risk in an epidemiologic study. The study was performed within the framework of the Netherlands Cohort Study on Diet and Cancer in 120852 subjects who co...

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Veröffentlicht in:The American journal of clinical nutrition 2001-07, Vol.74 (1), p.141-148
Hauptverfasser: Normén, A L, Brants, H A, Voorrips, L E, Andersson, H A, van den Brandt, P A, Goldbohm, R A
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container_issue 1
container_start_page 141
container_title The American journal of clinical nutrition
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creator Normén, A L
Brants, H A
Voorrips, L E
Andersson, H A
van den Brandt, P A
Goldbohm, R A
description Plant sterols in vegetable foods might prevent colorectal cancer. The objective was to study plant sterol intakes in relation to colorectal cancer risk in an epidemiologic study. The study was performed within the framework of the Netherlands Cohort Study on Diet and Cancer in 120852 subjects who completed a baseline questionnaire in 1986. After 6.3 y of follow-up, 620 colon and 344 rectal cancer cases were detected. A case-cohort approach was used to calculate confounder-adjusted rate ratios (RRs) and their 95% CIs for quintiles of plant sterol intake. The total mean (+/-SD) intake of campesterol, stigmasterol, beta-sitosterol, campestanol, and beta-sitostanol was 285 +/- 97 mg/d. Major contributors to plant sterol intake were bread (38%), vegetable fats (26%), and fruit and vegetables (21%). For men, there was no clear association between intake of any of the plant sterols and colon cancer risk when age, smoking, alcohol use, family history of colorectal cancer, education level, and cholecystectomy were controlled for. Adjustment for energy did not alter the result. For rectal cancer, adjustment for energy resulted in positive associations between risk and campesterol and stigmasterol intakes. For women, there was no clear association between intake of any of the plant sterols and colorectal cancer risk. A high dietary intake of plant sterols was not associated with a lower risk of colon and rectal cancers in the Netherlands Cohort Study on Diet and Cancer.
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The objective was to study plant sterol intakes in relation to colorectal cancer risk in an epidemiologic study. The study was performed within the framework of the Netherlands Cohort Study on Diet and Cancer in 120852 subjects who completed a baseline questionnaire in 1986. After 6.3 y of follow-up, 620 colon and 344 rectal cancer cases were detected. A case-cohort approach was used to calculate confounder-adjusted rate ratios (RRs) and their 95% CIs for quintiles of plant sterol intake. The total mean (+/-SD) intake of campesterol, stigmasterol, beta-sitosterol, campestanol, and beta-sitostanol was 285 +/- 97 mg/d. Major contributors to plant sterol intake were bread (38%), vegetable fats (26%), and fruit and vegetables (21%). For men, there was no clear association between intake of any of the plant sterols and colon cancer risk when age, smoking, alcohol use, family history of colorectal cancer, education level, and cholecystectomy were controlled for. Adjustment for energy did not alter the result. For rectal cancer, adjustment for energy resulted in positive associations between risk and campesterol and stigmasterol intakes. For women, there was no clear association between intake of any of the plant sterols and colorectal cancer risk. 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subjects Aged
Bread - analysis
Case-Control Studies
Cholesterol - administration & dosage
Cholesterol - analogs & derivatives
Cohort Studies
Colorectal cancer
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - etiology
Colorectal Neoplasms - prevention & control
Confounding Factors (Epidemiology)
Diet
Dietary Fats - analysis
Female
Flowers & plants
Follow-Up Studies
Fruit - chemistry
Health risk assessment
Humans
Hypolipidemic Agents - administration & dosage
Male
Middle Aged
Netherlands - epidemiology
Phytosterols - administration & dosage
Prospective Studies
Rectal Neoplasms - epidemiology
Rectal Neoplasms - etiology
Rectal Neoplasms - prevention & control
Risk Factors
Sitosterols - administration & dosage
Stigmasterol - administration & dosage
Surveys and Questionnaires
Vegetables - chemistry
title Plant sterol intakes and colorectal cancer risk in the Netherlands Cohort Study on Diet and Cancer
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