Review Article

Folate Intake, MTHFR Polymorphisms, and the Risk of Colorectal Cancer: A Systematic Review and Meta-Analysis

Table 5

Case Control Studies: comparison of high versus low folate intake.

StudyCountryYearStudy designPopulation of controlsRecruitment periodCancerGenderNumber of quantilesDietary folate (mcg/day)Total folate (mcg/day)Adjustments

Chen et al. [90]USA1996Nested case control Healthy persons1986–1994CRCMen3<317 versus >461Adjusted for age, family history, and intake of folate, methionine, and alcohol

Slattery et al. [91]USA1999Matched case controlHealthy persons1991–1994ColonBoth3<126 versus >197
per 1000 kcals
Adjusted for age, BMI, physical activity, energy intake, dietary fiber, and smoking

Le Marchand et al. [23]USA2002Matched case controlHealthy persons1994–1998CRCBoth3<278 versus >372<336 versus >1583Adjusted for age, gender, ethnicity, pack years of cigarette smoking, lifetime recreational physical activity, lifetime aspirin use, BMI 5 years ago, years of schooling, and intakes of nonstarch polysaccharides from vegetables and calcium from foods and supplements

Jiang et al. [42]China2005Nested case controlHealthy persons1989-1990Colon
rectal
Both4<115.6 versus >172
per 1000 kcals
Adjusted for sex, age, methionine, smoking status drinking status, and zinc

Le Marchand et al. [46]USA (Hawaii and California)2005Nested case controlHealthy persons1993–1996CRCBoth3<253 versus >412<322 versus >590Adjusted for age, gender, and ethnicity

Otani et al. [45]Japan2005Matched case controlHospital patients1998–2002CRCBoth3<343 versus >485Matching factors and adjusted for smoking, alcohol consumption, BMI, and total dietary fiber intake

Lightfoot et al. [58]United Kingdom2008Matched case controlHospital patients1997–2000CRCBoth3<267 versus >397Adjusted for gender, and age

Sharp et al. [60]United Kingdom2008Matched case controlHealthy persons1998–2000CRCBoth4<263.9 versus >348.6Adjusted for age, gender and total energy intake.

Guerreiro et al. [31]Portugal2008Case controlHealthy personsNot reportedCRCBoth2 ≤406.7>Adjusted for age, gender and CRC history

Haghighi et al. [22]Iran2009Case controlHospital patients2004–2007CRCBoth2 ≤320> ≤450>Not reported

BMI: body mass index, CRC: colorectal cancer.