Prospective study on milk products, calcium and cancers of the colon and rectum
To study the relationship between consumption of milk and milk products, calcium, lactose and vitamin D and occurrence of colorectal cancers. Prospective cohort study. A total of 9959 men and women aged 15 y or older without history of cancer at baseline. During a 24 y follow-up, 72 new cancers of t...
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Veröffentlicht in: | European journal of clinical nutrition 2001-11, Vol.55 (11), p.1000-1007 |
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description | To study the relationship between consumption of milk and milk products, calcium, lactose and vitamin D and occurrence of colorectal cancers.
Prospective cohort study.
A total of 9959 men and women aged 15 y or older without history of cancer at baseline. During a 24 y follow-up, 72 new cancers of the large bowel (38 in the colon and 34 in the rectum) were detected.
Consumption of milk and total milk products was suggested to be inversely related to colon cancer incidence, whereas no similar association was seen for rectal cancer. The relative risk between the highest and lowest quartiles of intake adjusted for potential confounding factors was 0.46 (95% confidence interval 0.14-1.46, P for trend 0.09) for milk and 0.37 (95% CI=0.12-1.39, P for trend 0.06) for total milk products. Lactose intake showed a similar inverse relationship with colon cancer: the relative risk was 0.31 (95% CI=0.08-1.15, P for trend 0.03). Intake of vitamin D or total dietary calcium was not significantly related to colorectal cancer risk, whereas calcium provided by fermented milk products was associated with increased colorectal cancer incidence; in the highest quartile the multivariate adjusted relative risk for colorectal cancer was 2.07 (95% CI=1.00-4.28).
Our results indicate that individuals showing high consumption of milk have a potentially reduced risk of colon cancer; however, the association does not appear to be due to intake of calcium, vitamin D, or to specific effects of fermented milk.
This study was supported by a grant from the Swedish Cancer Foundation. |
doi_str_mv | 10.1038/sj.ejcn.1601260 |
format | Article |
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Prospective cohort study.
A total of 9959 men and women aged 15 y or older without history of cancer at baseline. During a 24 y follow-up, 72 new cancers of the large bowel (38 in the colon and 34 in the rectum) were detected.
Consumption of milk and total milk products was suggested to be inversely related to colon cancer incidence, whereas no similar association was seen for rectal cancer. The relative risk between the highest and lowest quartiles of intake adjusted for potential confounding factors was 0.46 (95% confidence interval 0.14-1.46, P for trend 0.09) for milk and 0.37 (95% CI=0.12-1.39, P for trend 0.06) for total milk products. Lactose intake showed a similar inverse relationship with colon cancer: the relative risk was 0.31 (95% CI=0.08-1.15, P for trend 0.03). Intake of vitamin D or total dietary calcium was not significantly related to colorectal cancer risk, whereas calcium provided by fermented milk products was associated with increased colorectal cancer incidence; in the highest quartile the multivariate adjusted relative risk for colorectal cancer was 2.07 (95% CI=1.00-4.28).
Our results indicate that individuals showing high consumption of milk have a potentially reduced risk of colon cancer; however, the association does not appear to be due to intake of calcium, vitamin D, or to specific effects of fermented milk.
This study was supported by a grant from the Swedish Cancer Foundation.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/sj.ejcn.1601260</identifier><identifier>PMID: 11641750</identifier><language>eng</language><publisher>Basingstoke: Nature Publishing</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Calciferol ; Calcium ; Calcium (dietary) ; Calcium, Dietary - adverse effects ; Carcinogenesis, carcinogens and anticarcinogens ; Clinical nutrition ; Cohort analysis ; Cohort Studies ; Colon ; Colon cancer ; Colonic Neoplasms - epidemiology ; Colonic Neoplasms - etiology ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - etiology ; Confidence intervals ; Confounding Factors (Epidemiology) ; Dairy products ; Dairy Products - adverse effects ; Female ; Fermented milk products ; Follow-Up Studies ; Foods and miscellaneous ; Health risks ; Humans ; Incidence ; Lactose ; Male ; Medical research ; Medical sciences ; Milk ; Milk products ; Nutrition ; Prospective Studies ; Quartiles ; Rectal Neoplasms - epidemiology ; Rectal Neoplasms - etiology ; Rectum ; Risk ; Risk Factors ; Risk management ; Risk reduction ; Sweden - epidemiology ; Tumors ; Vitamin D ; Vitamin D - adverse effects</subject><ispartof>European journal of clinical nutrition, 2001-11, Vol.55 (11), p.1000-1007</ispartof><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2001 Nature Publishing Group</rights><rights>Copyright Macmillan Journals Ltd. Nov 2001</rights><rights>Macmillan Publishers Limited 2001.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c559t-c7db7bc36f7798dc9b3f2eb902ce26b57890441fa5f5d92084ff677437f6fe73</citedby><cites>FETCH-LOGICAL-c559t-c7db7bc36f7798dc9b3f2eb902ce26b57890441fa5f5d92084ff677437f6fe73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14167777$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11641750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>JÄRVINEN, R</creatorcontrib><creatorcontrib>KNEKT, P</creatorcontrib><creatorcontrib>HAKULINEN, T</creatorcontrib><creatorcontrib>AROMAA, A</creatorcontrib><title>Prospective study on milk products, calcium and cancers of the colon and rectum</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><description>To study the relationship between consumption of milk and milk products, calcium, lactose and vitamin D and occurrence of colorectal cancers.
Prospective cohort study.
A total of 9959 men and women aged 15 y or older without history of cancer at baseline. During a 24 y follow-up, 72 new cancers of the large bowel (38 in the colon and 34 in the rectum) were detected.
Consumption of milk and total milk products was suggested to be inversely related to colon cancer incidence, whereas no similar association was seen for rectal cancer. The relative risk between the highest and lowest quartiles of intake adjusted for potential confounding factors was 0.46 (95% confidence interval 0.14-1.46, P for trend 0.09) for milk and 0.37 (95% CI=0.12-1.39, P for trend 0.06) for total milk products. Lactose intake showed a similar inverse relationship with colon cancer: the relative risk was 0.31 (95% CI=0.08-1.15, P for trend 0.03). Intake of vitamin D or total dietary calcium was not significantly related to colorectal cancer risk, whereas calcium provided by fermented milk products was associated with increased colorectal cancer incidence; in the highest quartile the multivariate adjusted relative risk for colorectal cancer was 2.07 (95% CI=1.00-4.28).
Our results indicate that individuals showing high consumption of milk have a potentially reduced risk of colon cancer; however, the association does not appear to be due to intake of calcium, vitamin D, or to specific effects of fermented milk.
This study was supported by a grant from the Swedish Cancer Foundation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Calciferol</subject><subject>Calcium</subject><subject>Calcium (dietary)</subject><subject>Calcium, Dietary - adverse effects</subject><subject>Carcinogenesis, carcinogens and anticarcinogens</subject><subject>Clinical nutrition</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Colon</subject><subject>Colon cancer</subject><subject>Colonic Neoplasms - epidemiology</subject><subject>Colonic Neoplasms - etiology</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - etiology</subject><subject>Confidence intervals</subject><subject>Confounding Factors (Epidemiology)</subject><subject>Dairy products</subject><subject>Dairy Products - adverse effects</subject><subject>Female</subject><subject>Fermented milk products</subject><subject>Follow-Up Studies</subject><subject>Foods and miscellaneous</subject><subject>Health risks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Lactose</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Milk</subject><subject>Milk products</subject><subject>Nutrition</subject><subject>Prospective Studies</subject><subject>Quartiles</subject><subject>Rectal Neoplasms - epidemiology</subject><subject>Rectal Neoplasms - etiology</subject><subject>Rectum</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Risk management</subject><subject>Risk reduction</subject><subject>Sweden - epidemiology</subject><subject>Tumors</subject><subject>Vitamin D</subject><subject>Vitamin D - adverse effects</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kk1r3DAQhkVpaLZpz70V09LmUm8kWx-rYwhJUwikh9yFLI-ycm1rK9mB_PvOsoa0JUEHCc0zL_PxEvKB0TWj9eYsd2vo3LhmkrJK0ldkxbiSpZCcviYrqgUva0rVMXmbc0cpBlX1hhwzJjlTgq7I7c8U8w7cFB6gyNPcPhZxLIbQ_yp2Kbazm_K3wtnehXko7Njie3SQchF9MW2hcLFHfh9IKDIP78iRt32G98t9Qu6uLu8ursub2-8_Ls5vSieEnkqn2kY1rpZeKb1pnW5qX0GjaeWgko1QG005Z94KL1pd0Q33XirFa-WlB1WfkNODLBb5e4Y8mSFkB31vR4hzNtg4TkRohuTn_8guzmnE2kwleSVryphA6tOLFNNSSE0pQuUBurc9mDD6OCXr7mGEZHEK4AN-nzOtdKVRGvn1MzyeFobgnk34-lfCFmw_bXPs5ynEMf8Lnh1Ah9vLCbzZpTDY9GgYNXtjmNyZvTHMYgzM-Lg0ODcDtE_84gQEviyAzbhvn3DPIT9xnOH8lar_AG_hvog</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>JÄRVINEN, R</creator><creator>KNEKT, P</creator><creator>HAKULINEN, T</creator><creator>AROMAA, A</creator><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><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>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7U1</scope><scope>7U2</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>20011101</creationdate><title>Prospective study on milk products, calcium and cancers of the colon and rectum</title><author>JÄRVINEN, R ; KNEKT, P ; HAKULINEN, T ; AROMAA, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c559t-c7db7bc36f7798dc9b3f2eb902ce26b57890441fa5f5d92084ff677437f6fe73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Calciferol</topic><topic>Calcium</topic><topic>Calcium (dietary)</topic><topic>Calcium, Dietary - adverse effects</topic><topic>Carcinogenesis, carcinogens and anticarcinogens</topic><topic>Clinical nutrition</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Colon</topic><topic>Colon cancer</topic><topic>Colonic Neoplasms - epidemiology</topic><topic>Colonic Neoplasms - etiology</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - etiology</topic><topic>Confidence intervals</topic><topic>Confounding Factors (Epidemiology)</topic><topic>Dairy products</topic><topic>Dairy Products - adverse effects</topic><topic>Female</topic><topic>Fermented milk products</topic><topic>Follow-Up Studies</topic><topic>Foods and miscellaneous</topic><topic>Health risks</topic><topic>Humans</topic><topic>Incidence</topic><topic>Lactose</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Milk</topic><topic>Milk products</topic><topic>Nutrition</topic><topic>Prospective Studies</topic><topic>Quartiles</topic><topic>Rectal Neoplasms - epidemiology</topic><topic>Rectal Neoplasms - etiology</topic><topic>Rectum</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Risk management</topic><topic>Risk reduction</topic><topic>Sweden - epidemiology</topic><topic>Tumors</topic><topic>Vitamin D</topic><topic>Vitamin D - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>JÄRVINEN, R</creatorcontrib><creatorcontrib>KNEKT, P</creatorcontrib><creatorcontrib>HAKULINEN, T</creatorcontrib><creatorcontrib>AROMAA, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>JÄRVINEN, R</au><au>KNEKT, P</au><au>HAKULINEN, T</au><au>AROMAA, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective study on milk products, calcium and cancers of the colon and rectum</atitle><jtitle>European journal of clinical nutrition</jtitle><addtitle>Eur J Clin Nutr</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>55</volume><issue>11</issue><spage>1000</spage><epage>1007</epage><pages>1000-1007</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>To study the relationship between consumption of milk and milk products, calcium, lactose and vitamin D and occurrence of colorectal cancers.
Prospective cohort study.
A total of 9959 men and women aged 15 y or older without history of cancer at baseline. During a 24 y follow-up, 72 new cancers of the large bowel (38 in the colon and 34 in the rectum) were detected.
Consumption of milk and total milk products was suggested to be inversely related to colon cancer incidence, whereas no similar association was seen for rectal cancer. The relative risk between the highest and lowest quartiles of intake adjusted for potential confounding factors was 0.46 (95% confidence interval 0.14-1.46, P for trend 0.09) for milk and 0.37 (95% CI=0.12-1.39, P for trend 0.06) for total milk products. Lactose intake showed a similar inverse relationship with colon cancer: the relative risk was 0.31 (95% CI=0.08-1.15, P for trend 0.03). Intake of vitamin D or total dietary calcium was not significantly related to colorectal cancer risk, whereas calcium provided by fermented milk products was associated with increased colorectal cancer incidence; in the highest quartile the multivariate adjusted relative risk for colorectal cancer was 2.07 (95% CI=1.00-4.28).
Our results indicate that individuals showing high consumption of milk have a potentially reduced risk of colon cancer; however, the association does not appear to be due to intake of calcium, vitamin D, or to specific effects of fermented milk.
This study was supported by a grant from the Swedish Cancer Foundation.</abstract><cop>Basingstoke</cop><pub>Nature Publishing</pub><pmid>11641750</pmid><doi>10.1038/sj.ejcn.1601260</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Nature; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SpringerLink Journals - AutoHoldings |
subjects | Adolescent Adult Biological and medical sciences Calciferol Calcium Calcium (dietary) Calcium, Dietary - adverse effects Carcinogenesis, carcinogens and anticarcinogens Clinical nutrition Cohort analysis Cohort Studies Colon Colon cancer Colonic Neoplasms - epidemiology Colonic Neoplasms - etiology Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - epidemiology Colorectal Neoplasms - etiology Confidence intervals Confounding Factors (Epidemiology) Dairy products Dairy Products - adverse effects Female Fermented milk products Follow-Up Studies Foods and miscellaneous Health risks Humans Incidence Lactose Male Medical research Medical sciences Milk Milk products Nutrition Prospective Studies Quartiles Rectal Neoplasms - epidemiology Rectal Neoplasms - etiology Rectum Risk Risk Factors Risk management Risk reduction Sweden - epidemiology Tumors Vitamin D Vitamin D - adverse effects |
title | Prospective study on milk products, calcium and cancers of the colon and rectum |
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