Review Article

Subsite-Specific Dietary Risk Factors for Colorectal Cancer: A Review of Cohort Studies

Table 2

Characteristics of cohort studies included in the review on subsite specific dietary risk factors for colorectal cancer.

ExposureReferenceCohort CasesSexAgeFollow-up, yrAdjustments***Study Cohort, Country or Continent Abbreviation

Red
meat
Shin et al., [36]869725 MM: 3051 CRC, 536 PC, 751 DC, 1535 RCB30–8071Korean National Health System, KoreaKNHS
395501 FF: 1093 CRC, 236 PC, 225 DC, 451 RC
Cross et al., [35]3009482719 CRC, 1150 PC, 787 DC, 724 RCB50–717.22, 3, 5, 6, 7, 12NIH-AARP Diet and Health Study, U.S.NIH-AARP
Sato et al., [34]41835396/368 CRC, 123/115 PC, 85/75 DC, 159/155 RC B40–64 11 1, 2, 3, 4, 5, 6, 7, 8, 11, 12The Miyagi Cohort Study, JapanMCS
Chao et al., [31]1486101667 CRC, 667 PC, 408 DC, 470 RCB50–74 8-9 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 13The Cancer Prevention Study II Nutrition Cohort, U.S.CPS-II
Larsson et al., [32]61433733 CRC, 234 PC, 155 DC, 230 RCF40–75 13.9 1, 3, 6, 7, 8, 12The Swedish Mammography Cohort, SwedenSMC
Norat et al., [33]4780401329 CRC, 351 PC, 391 DC, 474 RCB35–70 4.8 1, 2, 3, 4, 5, 6, 7, 8, 14The European Prospective Investigation into Cancer and Nutrition, EuropeEPIC
Giovannucci et al., [30]47949251 CRC, 69 PC, 89 DC, 46 RCM40–75 6 1, 3, 4, 5, 8, 9, 10, 11, 14 The Health Professionals Follow-up Study, U.S.HPFS

Processed meatCross et al., [35]3009482719 CRC, 1150 PC, 787 DC, 724 RCB50–717.22, 3, 5, 6, 7, 12NIH-AARP Diet and Health Study, U.S.NIH-AARP
Sato et al., [34]41835 474 CRC, 142 PC, 100 DC, 198 RC*B40–64 11 1, 2, 3, 4, 5, 6, 7, 8, 11, 12The Miyagi Cohort Study, JapanMCS
Chao et al., [31]1486101667 CRC, 667 PC, 408 DC, 470 RCB50–74 8-9 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 13The Cancer Prevention Study II Nutrition Cohort, U.S.CPS-II
Larsson et al., [32]61433733 CRC, 234 PC, 155 DC, 230 RCF40–75 13.9 1, 3, 6, 7, 8, 12The Swedish Mammography Cohort, SwedenSMC
Norat et al., [33]4780401329 CRC, 351 PC, 391 DC, 474 RCB35–70 4.8 1, 2, 3, 4, 5, 6,
7, 8, 14
The European Prospective Investigation into Cancer and Nutrition, EuropeEPIC

Fiber/
whole grain
Murphy et al., [44]142250 M
335062 F
4517 CRC, 1298 PC, 1266 DC, 1648 RCB25–70111, 2, 3, 4, 5, 6, 7, 8, 12, 13, 14The European Prospective Investigation into Cancer and Nutrition, EuropeEPIC
Egeberg et al., [43] 26630 MM: 244 CC, 89 PC, 140 DC, 169 RCB50–6410.6 1, 3, 4, 6, 8, 12, 13 The Danish Diet, Cancer and Health Prospective Cohort study, DenmarkDDCHPC
29189 FF: 217 CC, 84 PC, 118 DC, 114 RC
Kabat et al., [42]1588001476 CRC, 798 PC, 351 DC, 303 RCF50–797.81, 3, 4, 5, 6, 7, 11, 12, 13, 14The Women’s Health Initiative, U.S.WHI
Nomura et al., [40] 85903 MM: 1138 CRC, 382 PC, 327 DC, 276 RCB45–757.31, 3, 4, 5, 6, 8, 9, 10, 11, 13, 14The Multiethnic Cohort Study, Hawaii and Los Angeles, U.S. MEC
105108 FF: 972 CRC, 356 PC, 234 DC, 179 RC
Schatzkin et al., [41]4896112974 CRC, 1139 PC, 914 DC, 858 RC*B50–7152, 3, 4, 5, 6, 7, 8, 11, 12, 13, 14NIH-AARP Diet and Health Study, U.S.NIH-AARP
Larsson et al., [39]61433805 CRC, 249 PC, 170 DC, 252 RC F40–76 14.8 1, 3, 6, 7, 12The Swedish Mammography Cohort, SwedenSMC
Fuchs et al., [38]88757787 CRC, 281 PC, 255 DC, 143 RC*F34–59 16 1, 3, 4, 5, 6, 7,
8, 9, 10, 11
The Nurses' Health Study, U.S.NHS
Steinmetz et al., [37]41837212 CC, 86 PC, 120 DC*F55–6951, 7The Iowa Women’s Health Study, U.S.IWHS

GarlicSteinmetz et al., [37]41837212 CC, 86 PC, 120 DC*F55–6951, 7The Iowa Women’s Health Study, U.S.IWHS

MilkLarsson et al., [47]45306449 CRC, 124 PC, 131 DC, 173 RCM45–796.7 1, 3, 4, 5, 6, 7, 8, 10, 11, 12, 14The Cohort of Swedish Men, SwedenCOSM
Larsson et al., [46]60708798 CRC, 246 PC, 170 DC, 249 RCF40–7614.81, 3, 6, 7, 12The Swedish Mammography Cohort, SwedenSMC
McCullough et al., [45]60866421 CRC, 124 PC, 103 DC, 119 RCM 50–744-5 1, 3, 4, 5, 6, 7, 11, 12The Cancer Prevention Study II Nutrition Cohort, U.S.CPS-II

CalciumIshihara et al., [51]35194464 CRC, 129 PC, 183 DC, 146 RC*M45–747.81, 3, 4, 5, 6, 7, 8, 14The Japan Public Health Center-based Prospective Study, JapanJPHC
Larsson et al., [47]45306449 CRC, 124 PC, 131 DC, 173 RCM45–796.71, 3, 4, 5, 6, 7, 8, 10, 11, 12, 14The Cohort of Swedish Men, SwedenCOSM
Flood et al., [50]45354482 CRC, 172 PC, 112 DC, 74 RCF61.9 (mean)8.51, 7The Breast Cancer Detection Demonstration Project, U.S.BCDDP
McCullough et al., [45]60866421 CRC, 124 PC, 103 DC, 119 RCM 50–744-5 1, 3, 4, 5, 6, 7, 11, 12 The Cancer Prevention Study II Nutrition Cohort, U.S.CPS-II
Terry et al., [48]61463572 CRC, 164 PC, 121 DC, 191 RCF39–7511.31, 3, 6, 7, 8, 12The Swedish Mammography Cohort, SwedenSMC
Wu et al., [49]87998 F
47344 M
1025 CC, 426 PC, 411 DCB30–55 F
40–75 M
16
10
1, 3, 4, 5, 6, 8, 10, 11, 13, 14The Nurses' Health Study, U.S. and The Health Professionals Follow-up Study, U.S.NHS & HPFS
Stemmermann et al., [28]8006277 CRC, 43 PC, 33 TDC, 113 SC, 88 RCM46–6819–221Japan Hawaii Cancer Study, JapanJHCS

AlcoholRazzak et al., [29]418361255 CRC, 633 PC, 594 DCRF55–69121, 3, 4, 5, 6, 7, 13The Iowa Women's Health study, U.S.IWHS
Shin et al., [36] 869725 MM: 3051 CRC, 536 PC, 751 DC, 1535 RCB30–8071Korean National Health System, KoreaKNHS
395501 FF: 1093 CRC, 236 PC, 225 DC, 451 RC
Park et al., [58]153000M: 241 CRC, 78 PC, 65 DC, 81 RC
F: 217 CRC, 76 PC, 54 DC, 69 RC
B26–841, 3, 4, 5, 6, 7, 12, 14UK Dietary Cohort Consortium, UKUKDCC
Bongaerts et al., [57]4118**M: 881 CRC, 240 PC, 293 DC, 232 RC
F: 622 CRC, 254 PC, 189 DC, 108 RC
B55–6913.31, 2, 3, 4, 6, 7, 11The Netherlands Cohort study, The NetherlandsNLCS
Akhter et al., [55]21199307 CRC, 78 PC, 78 DC, 131 RCM40–64111, 3, 4, 5, 6, 11, 12The Miyagi Cohort study, JapanMCS
Ferrari et al., [56]4787321833 CRC, 476 PC, 528 DC, 649 RCB35–706.2 1, 2, 3, 4, 5, 7, 12The European Prospective Investigation into Cancer and Nutrition, EuropeEPIC
Pedersen et al., [54]29132613 CRC, 159 PC, 202 DC, 202 RCB23–9514.7 1, 2, 5, 14The Copenhagen Centre for Prospective Population Studies, DenmarkCCPPS
Giovannucci et al., [53]47931205 CC, 69 PC, 89 DC, 46 RCM40–7561, 3, 4, 5, 6, 7, 9, 10, 11, 14The Health Professionals Follow-up Study, U.S.HPFS
Klatsky et al., [27]106203203 CC, 69 PC, 52 TDC, 77 SC, 66 RC B71, 2, 5, 6, 12, 14Northern California Kaiser Permanente Study, U.S.NCKPS
Wu et al., [52]11644M: 58 CRC
F: 68 CRC
B4.51Retirement Community of Los Angeles, U.S. RCLA

M: male, F: female, B: both sexes, CRC: colorectal cancer, PC: proximal colon cancer, DC: distal colon cancer, RC: rectal cancer, DCR: distal colorectal cancer, TDC: transverse and descending colon cancer, SC: sigmoid colon cancer. *The numbers come, all or partly, from tables, and may thus not include all cases in the cohort. **Subcohort. ***The risk estimates are adjusted for: 1: age, 2: sex, 3: BMI, 4: physical activity, 5: smoking, 6: dietary items, 7: energy intake, 8: alcohol intake, 9: history of polyps, 10: NSAIDS/aspirin, 11: family history of CRC, 12: education, 13: hormone replacement therapy or oral contraceptive use, 14: others. The numbers vary according to the exposure analyzed.