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BioMed Research International
Volume 2013 (2013), Article ID 183204, 10 pages
http://dx.doi.org/10.1155/2013/183204
Review Article

Trends in Dietary Patterns, Alcohol Intake, Tobacco Smoking, and Colorectal Cancer in Polish Population in 1960–2008

Department of Nutrition and Dietetics with Clinic of Metabolic Diseases and Gastroenterology National Food and Nutrition Institute, Powsińska St. 61/63, 02-903 Warsaw, Poland

Received 24 July 2013; Revised 25 September 2013; Accepted 15 October 2013

Academic Editor: Sabine Rohrmann

Copyright © 2013 Mirosław Jarosz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The study examined the relationships between long-term trends in food consumption, alcohol intake, tobacco smoking, and colorectal cancer (CRC) incidence. Data on CRC incidence rates were derived from the National Cancer Registry, on food consumption from the national food balance sheets; data on alcohol and tobacco smoking reflected official statistics of the Central Statistical Office. It was shown that CRC incidence rates were increasing between 1960 and 1995, which could have been affected by adverse dietary patterns (growing consumption of edible fats, especially animal fats, sugar, red meat, and declining fibre and folate intake), high alcohol consumption, and frequent tobacco smoking noted until the end of the 1980s. Since 1990, the dietary pattern changed favourably (decrease in consumption of red meat, animal fats, and sugar, higher vitamin D intake, increase in vegetables and fruit quantities consumed, and decline in tobacco smoking). These changes could contribute to the stabilisation of CRC incidence among women seen after 1996 and a reduction in the rate of increase among men.