Dietary Inflammatory Index and Risk of Colorectal Cancer: A Case-Control Study in Korea
The role of diet-associated inflammation in colorectal cancer is of interest. Accordingly, we aimed to examine whether the dietary inflammatory index (DII) was associated with the risk of colorectal cancer in a case-control study conducted in Korea. The DII was based on dietary intake, which was det...
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description | The role of diet-associated inflammation in colorectal cancer is of interest. Accordingly, we aimed to examine whether the dietary inflammatory index (DII) was associated with the risk of colorectal cancer in a case-control study conducted in Korea. The DII was based on dietary intake, which was determined by a 106-item semi-quantitative food frequency questionnaire completed by 923 colorectal cancer cases and 1846 controls. Logistic regression was used to estimate odd ratios (ORs) and 95% confidence intervals (CIs). Subgroup analyses were conducted by the anatomical site of the cancer, sex, and other risk factors. Higher DII scores were associated with an increased incidence of colorectal cancer (OR (95% CI) = 2.16 (1.71, 2.73) for highest vs. lowest tertile). The magnitude differed by anatomical site and sex. This association was slightly weaker in subjects with proximal colon cancer (1.68 (1.08, 2.61)) and was stronger in women (2.50 (1.64, 3.82)). Additionally, stronger associations were observed in subjects who were older than 50 years (p for interaction = 0.004) and engaged in physical activity (p for interaction < 0.001). Results from this study suggest that diet-associated inflammation may increase the risk of colorectal cancer, and this effect may differ by certain factors, such as anatomical site, age, sex, and lifestyle. |
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Accordingly, we aimed to examine whether the dietary inflammatory index (DII) was associated with the risk of colorectal cancer in a case-control study conducted in Korea. The DII was based on dietary intake, which was determined by a 106-item semi-quantitative food frequency questionnaire completed by 923 colorectal cancer cases and 1846 controls. Logistic regression was used to estimate odd ratios (ORs) and 95% confidence intervals (CIs). Subgroup analyses were conducted by the anatomical site of the cancer, sex, and other risk factors. Higher DII scores were associated with an increased incidence of colorectal cancer (OR (95% CI) = 2.16 (1.71, 2.73) for highest vs. lowest tertile). The magnitude differed by anatomical site and sex. This association was slightly weaker in subjects with proximal colon cancer (1.68 (1.08, 2.61)) and was stronger in women (2.50 (1.64, 3.82)). Additionally, stronger associations were observed in subjects who were older than 50 years (p for interaction = 0.004) and engaged in physical activity (p for interaction < 0.001). Results from this study suggest that diet-associated inflammation may increase the risk of colorectal cancer, and this effect may differ by certain factors, such as anatomical site, age, sex, and lifestyle.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu8080469</identifier><identifier>PMID: 27483316</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age Factors ; Aged ; Cancer Care Facilities ; Case-Control Studies ; Colonic Neoplasms - epidemiology ; Colonic Neoplasms - ethnology ; Colonic Neoplasms - etiology ; Colonic Neoplasms - immunology ; Colorectal cancer ; colorectal neoplasms ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - ethnology ; Colorectal Neoplasms - etiology ; Colorectal Neoplasms - immunology ; confidence interval ; Diet ; Diet - adverse effects ; Diet - ethnology ; Enterocolitis - epidemiology ; Enterocolitis - ethnology ; Enterocolitis - etiology ; Enterocolitis - immunology ; Exercise ; Family Health - ethnology ; Fatty acids ; Female ; food frequency questionnaires ; food intake ; Health Transition ; Humans ; Incidence ; inflammation ; Korean Peninsula ; lifestyle ; Logistic Models ; Male ; Middle Aged ; Nutrients ; physical activity ; Questionnaires ; Rectal Neoplasms - epidemiology ; Rectal Neoplasms - ethnology ; Rectal Neoplasms - etiology ; Rectal Neoplasms - immunology ; regression analysis ; Republic of Korea - epidemiology ; Risk Factors ; Scandals ; Self Report ; Sex Factors ; Vitamins ; women</subject><ispartof>Nutrients, 2016-07, Vol.8 (8), p.469-469</ispartof><rights>Copyright MDPI AG 2016</rights><rights>2016 by the authors; licensee MDPI, Basel, Switzerland. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-40808d4fb413ba67ed83505f27dc4f8c7315e8f1860e1c95e0079c4228f4de893</citedby><cites>FETCH-LOGICAL-c535t-40808d4fb413ba67ed83505f27dc4f8c7315e8f1860e1c95e0079c4228f4de893</cites><orcidid>0000-0002-0889-2686</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4997382/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4997382/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27483316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, Young Ae</creatorcontrib><creatorcontrib>Lee, Jeonghee</creatorcontrib><creatorcontrib>Oh, Jae Hwan</creatorcontrib><creatorcontrib>Shin, Aesun</creatorcontrib><creatorcontrib>Kim, Jeongseon</creatorcontrib><title>Dietary Inflammatory Index and Risk of Colorectal Cancer: A Case-Control Study in Korea</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>The role of diet-associated inflammation in colorectal cancer is of interest. Accordingly, we aimed to examine whether the dietary inflammatory index (DII) was associated with the risk of colorectal cancer in a case-control study conducted in Korea. The DII was based on dietary intake, which was determined by a 106-item semi-quantitative food frequency questionnaire completed by 923 colorectal cancer cases and 1846 controls. Logistic regression was used to estimate odd ratios (ORs) and 95% confidence intervals (CIs). Subgroup analyses were conducted by the anatomical site of the cancer, sex, and other risk factors. Higher DII scores were associated with an increased incidence of colorectal cancer (OR (95% CI) = 2.16 (1.71, 2.73) for highest vs. lowest tertile). The magnitude differed by anatomical site and sex. This association was slightly weaker in subjects with proximal colon cancer (1.68 (1.08, 2.61)) and was stronger in women (2.50 (1.64, 3.82)). Additionally, stronger associations were observed in subjects who were older than 50 years (p for interaction = 0.004) and engaged in physical activity (p for interaction < 0.001). Results from this study suggest that diet-associated inflammation may increase the risk of colorectal cancer, and this effect may differ by certain factors, such as anatomical site, age, sex, and lifestyle.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Cancer Care Facilities</subject><subject>Case-Control Studies</subject><subject>Colonic Neoplasms - epidemiology</subject><subject>Colonic Neoplasms - ethnology</subject><subject>Colonic Neoplasms - etiology</subject><subject>Colonic Neoplasms - immunology</subject><subject>Colorectal cancer</subject><subject>colorectal neoplasms</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - ethnology</subject><subject>Colorectal Neoplasms - etiology</subject><subject>Colorectal Neoplasms - immunology</subject><subject>confidence interval</subject><subject>Diet</subject><subject>Diet - adverse effects</subject><subject>Diet - ethnology</subject><subject>Enterocolitis - epidemiology</subject><subject>Enterocolitis - ethnology</subject><subject>Enterocolitis - etiology</subject><subject>Enterocolitis - immunology</subject><subject>Exercise</subject><subject>Family Health - ethnology</subject><subject>Fatty acids</subject><subject>Female</subject><subject>food frequency questionnaires</subject><subject>food intake</subject><subject>Health Transition</subject><subject>Humans</subject><subject>Incidence</subject><subject>inflammation</subject><subject>Korean Peninsula</subject><subject>lifestyle</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrients</subject><subject>physical activity</subject><subject>Questionnaires</subject><subject>Rectal Neoplasms - epidemiology</subject><subject>Rectal Neoplasms - ethnology</subject><subject>Rectal Neoplasms - etiology</subject><subject>Rectal Neoplasms - immunology</subject><subject>regression analysis</subject><subject>Republic of Korea - epidemiology</subject><subject>Risk Factors</subject><subject>Scandals</subject><subject>Self Report</subject><subject>Sex Factors</subject><subject>Vitamins</subject><subject>women</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkktLHjEUhkOxVLEu-gdKoBtdjM1tJkkXgoytioLQC12GfJmTOjqTaDJT6r9vPi8f6kazyTnk4eW8bw5CHyjZ5VyTz2FWRBHR6DdogxHJqqYRfO1RvY62cr4gyyOJbPg7tM6kUJzTZgP9PuhhsukGHwc_2HG0U7xtOviHbejw9z5f4uhxG4eYwE12wK0NDtIXvF-qDFUbw5TigH9Mc3eD-4BPCmjfo7feDhm27u9N9Ovb15_tUXV6dnjc7p9Wrub1VIkyuuqEXwjKF7aR0Clek9oz2TnhlZOc1qA8VQ0B6nQNxYN2gjHlRQdK8020d6d7NS9G6ByUYexgrlI_Flcm2t48fQn9ufkT_xqhteSKFYHte4EUr2fIkxn77GAYbIA4Z8OYpIpKqfmLaOFquYyZvgIlmghJdFPQT8_QizinUEJbCnJGSE1loXbuKJdizgn8yiIlZrkHZrUHhf34OJMV-fDr_D-cpqrE</recordid><startdate>20160730</startdate><enddate>20160730</enddate><creator>Cho, Young Ae</creator><creator>Lee, Jeonghee</creator><creator>Oh, Jae Hwan</creator><creator>Shin, Aesun</creator><creator>Kim, Jeongseon</creator><general>MDPI AG</general><general>MDPI</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>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0889-2686</orcidid></search><sort><creationdate>20160730</creationdate><title>Dietary Inflammatory Index and Risk of Colorectal Cancer: A Case-Control Study in Korea</title><author>Cho, Young Ae ; Lee, Jeonghee ; Oh, Jae Hwan ; Shin, Aesun ; Kim, Jeongseon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-40808d4fb413ba67ed83505f27dc4f8c7315e8f1860e1c95e0079c4228f4de893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Cancer Care Facilities</topic><topic>Case-Control Studies</topic><topic>Colonic Neoplasms - epidemiology</topic><topic>Colonic Neoplasms - ethnology</topic><topic>Colonic Neoplasms - etiology</topic><topic>Colonic Neoplasms - immunology</topic><topic>Colorectal cancer</topic><topic>colorectal neoplasms</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - ethnology</topic><topic>Colorectal Neoplasms - etiology</topic><topic>Colorectal Neoplasms - immunology</topic><topic>confidence interval</topic><topic>Diet</topic><topic>Diet - adverse effects</topic><topic>Diet - ethnology</topic><topic>Enterocolitis - epidemiology</topic><topic>Enterocolitis - ethnology</topic><topic>Enterocolitis - etiology</topic><topic>Enterocolitis - immunology</topic><topic>Exercise</topic><topic>Family Health - ethnology</topic><topic>Fatty acids</topic><topic>Female</topic><topic>food frequency questionnaires</topic><topic>food intake</topic><topic>Health Transition</topic><topic>Humans</topic><topic>Incidence</topic><topic>inflammation</topic><topic>Korean Peninsula</topic><topic>lifestyle</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrients</topic><topic>physical activity</topic><topic>Questionnaires</topic><topic>Rectal Neoplasms - epidemiology</topic><topic>Rectal Neoplasms - ethnology</topic><topic>Rectal Neoplasms - etiology</topic><topic>Rectal Neoplasms - immunology</topic><topic>regression analysis</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Factors</topic><topic>Scandals</topic><topic>Self Report</topic><topic>Sex Factors</topic><topic>Vitamins</topic><topic>women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Young Ae</creatorcontrib><creatorcontrib>Lee, Jeonghee</creatorcontrib><creatorcontrib>Oh, Jae Hwan</creatorcontrib><creatorcontrib>Shin, Aesun</creatorcontrib><creatorcontrib>Kim, Jeongseon</creatorcontrib><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>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</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 Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</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 China</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Young Ae</au><au>Lee, Jeonghee</au><au>Oh, Jae Hwan</au><au>Shin, Aesun</au><au>Kim, Jeongseon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dietary Inflammatory Index and Risk of Colorectal Cancer: A Case-Control Study in Korea</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2016-07-30</date><risdate>2016</risdate><volume>8</volume><issue>8</issue><spage>469</spage><epage>469</epage><pages>469-469</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>The role of diet-associated inflammation in colorectal cancer is of interest. Accordingly, we aimed to examine whether the dietary inflammatory index (DII) was associated with the risk of colorectal cancer in a case-control study conducted in Korea. The DII was based on dietary intake, which was determined by a 106-item semi-quantitative food frequency questionnaire completed by 923 colorectal cancer cases and 1846 controls. Logistic regression was used to estimate odd ratios (ORs) and 95% confidence intervals (CIs). Subgroup analyses were conducted by the anatomical site of the cancer, sex, and other risk factors. Higher DII scores were associated with an increased incidence of colorectal cancer (OR (95% CI) = 2.16 (1.71, 2.73) for highest vs. lowest tertile). The magnitude differed by anatomical site and sex. This association was slightly weaker in subjects with proximal colon cancer (1.68 (1.08, 2.61)) and was stronger in women (2.50 (1.64, 3.82)). Additionally, stronger associations were observed in subjects who were older than 50 years (p for interaction = 0.004) and engaged in physical activity (p for interaction < 0.001). Results from this study suggest that diet-associated inflammation may increase the risk of colorectal cancer, and this effect may differ by certain factors, such as anatomical site, age, sex, and lifestyle.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>27483316</pmid><doi>10.3390/nu8080469</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0889-2686</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Age Factors Aged Cancer Care Facilities Case-Control Studies Colonic Neoplasms - epidemiology Colonic Neoplasms - ethnology Colonic Neoplasms - etiology Colonic Neoplasms - immunology Colorectal cancer colorectal neoplasms Colorectal Neoplasms - epidemiology Colorectal Neoplasms - ethnology Colorectal Neoplasms - etiology Colorectal Neoplasms - immunology confidence interval Diet Diet - adverse effects Diet - ethnology Enterocolitis - epidemiology Enterocolitis - ethnology Enterocolitis - etiology Enterocolitis - immunology Exercise Family Health - ethnology Fatty acids Female food frequency questionnaires food intake Health Transition Humans Incidence inflammation Korean Peninsula lifestyle Logistic Models Male Middle Aged Nutrients physical activity Questionnaires Rectal Neoplasms - epidemiology Rectal Neoplasms - ethnology Rectal Neoplasms - etiology Rectal Neoplasms - immunology regression analysis Republic of Korea - epidemiology Risk Factors Scandals Self Report Sex Factors Vitamins women |
title | Dietary Inflammatory Index and Risk of Colorectal Cancer: A Case-Control Study in Korea |
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