Omega-3 and -6 Fatty Acid Intake and Colorectal Cancer Risk in Swedish Women’s Lifestyle and Health Cohort
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose We aimed to assess the association between the dietary intake of fish-derived omega-3 polyunsaturated fatty acids and the risk of colorectal cancer among Swedish women. Materials and Methods A total of 48,233 women with information on dietary intake were included in the analysis. Participants were followed for incident colorectal cancer until 31 December 2012. Cox proportional hazard models were used to assess the association between baseline fatty acid intake and colorectal cancer risk. All analyses were stratified by colon and rectal cancers. Results During a median of 21.3 years of follow-up, a total of 344 colorectal cancer cases were ascertained. Although there was no overall association between omega-3 fatty acid intake and colorectal cancer risk, high intake of fish-derived docosahexaenoic acid was associated with reduced risk of rectal cancer (hazard ratios for the third and the highest quartiles were 0.59 (95% confidence interval [CI], 0.37 to 0.96) and 0.62 (95% CI, 0.39 to 0.98), respectively). Conclusion In conclusion, we found only limited support for an association between omega-3 polyunsaturated fatty acids and colorectal cancer in a large Swedish cohort of middle-aged women.
Abstract
Purpose We aimed to assess the association between the dietary intake of fish-derived omega-3 polyunsaturated fatty acids and the risk of colorectal cancer among Swedish women. Materials and Methods A total of 48,233 women with information on dietary intake were included in the analysis. Participants were followed for incident colorectal cancer until 31 December 2012. Cox proportional hazard models were used to assess the association between baseline fatty acid intake and colorectal cancer risk. All analyses were stratified by colon and rectal cancers. Results During a median of 21.3 years of follow-up, a total of 344 colorectal cancer cases were ascertained. Although there was no overall association between omega-3 fatty acid intake and colorectal cancer risk, high intake of fish-derived docosahexaenoic acid was associated with reduced risk of rectal cancer (hazard ratios for the third and the highest quartiles were 0.59 (95% confidence interval [CI], 0.37 to 0.96) and 0.62 (95% CI, 0.39 to 0.98), respectively). Conclusion In conclusion, we found only limited support for an association between omega-3 polyunsaturated fatty acids and colorectal cancer in a large Swedish cohort of middle-aged women.
참고문헌 (26)
- Larsson SC, "Dietary long-chain n-3 fatty acids for the prevention of cancer : a review of potential mechanisms", Am J Clin Nutr, 79, pp.935~945 (2004)
- Chen GC, "N-3 polyunsaturated fatty acids intake and risk of colorectal cancer : meta-analysis of prospective studies", Cancer Causes Control, 26, pp.133~141 (2015)
- "Diet, nutrition, physical activity and cancer: a global perspective. Continuous update project expert report 2018" (2019)[URL]
- Wu S, "Fish consumption and colorectal cancer risk in humans : a systematic review and meta-analysis", Am J Med, 125, pp.551~559 (2012)
- Song M, "Dietary intake of fish, omega-3 and omega-6 fatty acids and risk of colorectal cancer: a prospective study in U.S. men and women", Int J Cancer, 135, pp.2413~2423 (2014)
- Larsson SC, "Red meat consumption and risk of cancers of the proximal colon, distal colon and rectum : the Swedish Mammography Cohort", Int J Cancer, 113, pp.829~834 (2005)
- Roswall N, "Cohort profile : the Swedish Women's Lifestyle and Health cohort", Int J Epidemiol, 46, pp.e8~ (2017)
- Lof M, "Dietary fat and breast cancer risk in the Swedish women's lifestyle and health cohort", Br J Cancer, 97, pp.1570~1576 (2007)
- Hedelin M, "Prospective study of dietary phytoestrogen intake and the risk of colorectal cancer", Nutr Cancer, 68, pp.388~395 (2016)
- Shin A, "Alcohol consumption, body mass index and breast cancer risk by hormone receptor status : Women' Lifestyle and Health Study", BMC Cancer, 15, pp.881~ (2015)
- Korn EL, "Time-to-event analysis of longitudinal follow-up of a survey : choice of the time-scale", Am J Epidemiol, 145, pp.72~80 (1997)
- Kato I, "Prospective study of diet and female colorectal cancer : the New York University Women's Health Study", Nutr Cancer, 28, pp.276~281 (1997)
- Norat T, "Meat, fish, and colorectal cancer risk : the European Prospective Investigation into cancer and nutrition", J Natl Cancer Inst, 97, pp.906~916 (2005)
- Engeset D, "Consumption of fish and risk of colon cancer in the Norwegian Women and Cancer(NOWAC)study", Br J Nutr, 98, pp.576~582 (2007)
- Pham NM, "Fish consumption and colorectal cancer risk : an evaluation based on a systematic review of epidemiologic evidence among the Japanese population", Jpn J Clin Oncol, 43, pp.935~941 (2013)
- Tiemersma EW, "Meat consumption, cigarette smoking, and genetic susceptibility in the etiology of colorectal cancer : results from a Dutch prospective study", Cancer Causes Control, 13, pp.383~393 (2002)
- Spencer EA, "Meat, poultry and fish and risk of colorectal cancer : pooled analysis of data from the UK dietary cohort consortium", Cancer Causes Control, 21, pp.1417~1425 (2010)
- Yu XF, "Fish consumption and risk of gastrointestinal cancers : a meta-analysis of cohort studies", World J Gastroenterol, 20, pp.15398~15412 (2014)
- Aglago EK, "Consumption of fish and long-chain n-3polyunsaturated fatty acids is associated with reduced risk of colorectal cancer in a large European cohort", Clin Gastroenterol Hepatol, 18, pp.654~666 (2020)
- Shin A, "Site-specific risk factors for colorectal cancer in a Korean population", PLoS One, 6, pp.e23196~ (2011)
- Lu C, "Microbial diversity and composition in different gut locations of hyperlipidemic mice receiving krill oil", Appl Microbiol Biotechnol, 102, pp.355~366 (2018)
- Iigo M, "Inhibitory effects of docosahexaenoic acid on colon carcinoma 26 metastasis to the lung", Br J Cancer, 75, pp.650~655 (1997)
- Cha MC, "Low dose docosahexaenoic acid protects normal colonic epithelial cells from araC toxicity", BMC Pharmacol, 5, pp.7~ (2005)
- Gomez de Segura IA, "Protective effects of dietary enrichment with docosahexaenoic acid plus protein in 5-fluorouracil-induced intestinal injury in the rat", Eur J Gastroenterol Hepatol, 16, pp.479~485 (2004)
- "Riksmaten 2010" (2012)[URL]
- Terry P, "No association between fat and fatty acids intake and risk of colorectal cancer", Cancer Epidemiol Biomarkers Prev, 10, pp.913~914 (2001)
