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Is the association with fiber from foods in colorectal cancer confounded by folate intake?

Bingham, SA ; Norat, T ; Moskal, A ; Ferrari, P ; Slimani, N ; Clavel-Chapelon, F ; Kesse, E ; Nieters, A ; Boeing, H and Tjonneland, A , et al. (2005) In Cancer Epidemiology Biomarkers & Prevention 14(6). p.1552-1556
Abstract
The effect of multivariate adjustment including folate on the strong protective effect of fiber in foods on colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition was investigated in 1,721 cases identified in the latest follow-up. The inclusion of an additional 656 cases confirmed our previously published results, with a strong and significant reduction in colorectal cancer risk of similar to 9% for each uncalibrated quintile increase in fiber (P-linear trend < 0.001) compared with an 8% reduction in our previous report, which had not been adjusted for folate. Inclusion of the other covariates (physical activity, alcohol, smoking, and red and processed meat) confirmed this significant inverse... (More)
The effect of multivariate adjustment including folate on the strong protective effect of fiber in foods on colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition was investigated in 1,721 cases identified in the latest follow-up. The inclusion of an additional 656 cases confirmed our previously published results, with a strong and significant reduction in colorectal cancer risk of similar to 9% for each uncalibrated quintile increase in fiber (P-linear trend < 0.001) compared with an 8% reduction in our previous report, which had not been adjusted for folate. Inclusion of the other covariates (physical activity, alcohol, smoking, and red and processed meat) confirmed this significant inverse association for colon cancer and strengthened the association with left-sided colon cancer (P < 0.001). After maximum adjustment, the association between fiber and rectal cancer was not significant, as in our previous analysis. The association with fiber from different food sources was analyzed, but again, there were no significance trends after maximum adjustment. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Cancer Epidemiology Biomarkers & Prevention
volume
14
issue
6
pages
1552 - 1556
publisher
American Association for Cancer Research
external identifiers
  • wos:000229766600037
  • pmid:15941971
  • scopus:20444375100
ISSN
1538-7755
language
English
LU publication?
yes
id
6e26454e-1825-4239-81d1-16600adee86e (old id 236251)
alternative location
http://cebp.aacrjournals.org/cgi/content/full/14/6/1552
date added to LUP
2016-04-01 16:44:46
date last changed
2022-03-22 20:52:20
@article{6e26454e-1825-4239-81d1-16600adee86e,
  abstract     = {{The effect of multivariate adjustment including folate on the strong protective effect of fiber in foods on colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition was investigated in 1,721 cases identified in the latest follow-up. The inclusion of an additional 656 cases confirmed our previously published results, with a strong and significant reduction in colorectal cancer risk of similar to 9% for each uncalibrated quintile increase in fiber (P-linear trend &lt; 0.001) compared with an 8% reduction in our previous report, which had not been adjusted for folate. Inclusion of the other covariates (physical activity, alcohol, smoking, and red and processed meat) confirmed this significant inverse association for colon cancer and strengthened the association with left-sided colon cancer (P &lt; 0.001). After maximum adjustment, the association between fiber and rectal cancer was not significant, as in our previous analysis. The association with fiber from different food sources was analyzed, but again, there were no significance trends after maximum adjustment.}},
  author       = {{Bingham, SA and Norat, T and Moskal, A and Ferrari, P and Slimani, N and Clavel-Chapelon, F and Kesse, E and Nieters, A and Boeing, H and Tjonneland, A and Overvad, K and Martinez, C and Dorronsoro, M and Gonzalez, CA and Ardanaz, E and Navarro, C and Quiros, JR and Key, TJ and Day, NE and Trichopoulou, A and Naska, A and Krogh, V and Tumino, R and Palli, D and Panico, S and Vineis, P and Bueno-de-Mesquita, HB and Ocke, MC and Peeters, PHM and Berglund, Göran and Hallmans, G and Lund, E and Skeie, G and Kaaks, R and Riboli, E}},
  issn         = {{1538-7755}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{1552--1556}},
  publisher    = {{American Association for Cancer Research}},
  series       = {{Cancer Epidemiology Biomarkers & Prevention}},
  title        = {{Is the association with fiber from foods in colorectal cancer confounded by folate intake?}},
  url          = {{http://cebp.aacrjournals.org/cgi/content/full/14/6/1552}},
  volume       = {{14}},
  year         = {{2005}},
}