Changes in the inflammatory potential of diet over time and risk of colorectal cancer in postmenopausal women
Authors
Tabung, Fred K.Steck, Susan E.
Ma, Yunsheng
Liese, Angela D.
Zhang, Jiajia
Lane, Dorothy S.
Ho, Gloria Y. F
Hou, Lifang
Snetselaar, Linda
Ockene, Judith K.
Hebert, James R.
UMass Chan Affiliations
Department of Medicine, Division of Preventive and Behavioral MedicineDocument Type
Accepted ManuscriptPublication Date
2017-05-09Keywords
Women's Health Initiativecolorectal cancer
dietary patterns
inflammation
Clinical Epidemiology
Dietetics and Clinical Nutrition
Epidemiology
Neoplasms
Women's Health
Metadata
Show full item recordAbstract
We examined the associations between changes in dietary inflammatory potential and risk of colorectal cancer (CRC) in 87,042 postmenopausal women recruited from 1993-1998 into the Women's Health Initiative. Food frequency questionnaire data were used to compute patterns of change in dietary inflammatory index (DII) scores and cumulative average DII scores over 3 years. Cox regression models were used to estimate hazard ratios for CRC risk. After a median 16.2 years follow-up, 1,038 CRC cases were diagnosed. DII changes were not substantially associated with overall CRC, but proximal colon cancer risk was higher in the pro-inflammatory change DII compared to the anti-inflammatory stable DII groups (hazard ratio = 1.32; 95% confidence interval: 1.01, 1.74). Among non-users of nonsteroidal anti-inflammatory drugs (NSAID) (Pinteraction = 0.055) the pro-inflammatory stable DII group was at increased risk of overall CRC and proximal colon cancer. Also among non-users of NSAID, risks of overall CRC, colon cancer, and proximal colon cancer were higher in the highest quintile compared to the lowest cumulative average DII quintile (65%, 61%, and 91% increased risk, respectively). Dietary changes towards, or a history of, pro-inflammatory diets are associated with an elevated risk of colon cancer, particularly for proximal colon cancer and among non-users of NSAID.Source
Am J Epidemiol. 2017 May 9. doi: 10.1093/aje/kwx115. Link to article on publisher's site.
DOI
10.1093/aje/kwx115Permanent Link to this Item
http://hdl.handle.net/20.500.14038/29046PubMed ID
28486621Notes
This is a pre-copyedited, author-produced version of an article accepted for publication in American Journal of Epidemiology following peer review.
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Rights
Authors' version posted after 12 months as allowed by the publisher's author rights policy at https://academic.oup.com/journals/pages/access_purchase/rights_and_permissions/self_archiving_policy_b.ae974a485f413a2113503eed53cd6c53
10.1093/aje/kwx115