Meat, Fish, and Colorectal Cancer Risk: The European Prospective Investigation into Cancer and Nutrition
Centre international de recherche sur le cancer · Institut Català d'Ornitologia · +26 more institutions
Abstract
Current evidence suggests that high red meat intake is associated with increased colorectal cancer risk. High fish intake may be associated with a decreased risk, but the existing evidence is less convincing.
We prospectively followed 478 040 men and women from 10 European countries who were free of cancer at enrollment between 1992 and 1998. Information on diet and lifestyle was collected at baseline. After a mean follow-up of 4.8 years, 1329 incident colorectal cancers were documented. We examined the relationship between intakes of red and processed meat, poultry, and fish and colorectal cancer risk using a proportional hazards model adjusted for age, sex, energy (nonfat and fat sources), height, weight, work-related physical activity, smoking status, dietary fiber and folate, and alcohol consumption, stratified by center. A calibration substudy based on 36 994 subjects was used to correct hazard ratios (HRs) and 95% confidence intervals (CIs) for diet measurement errors. All statistical tests were two-sided.
Citation impact
- FWCI
- 60.90
- Percentile
- 100%
- References
- 55
Authors
46- TNTeresa Norat
Centre international de recherche sur le cancer
- SBSheila Bingham
Institut Català d'Ornitologia, Inserm, Malmö University, Lund University, National and Kapodistrian University of Athens, University of Cambridge, Aalborg University Hospital, Cancer Research UK, Institut Gustave Roussy, Aarhus University Hospital, University Medical Center Utrecht, University of Oxford, Instituto de Salud Pública de Navarra, Azienda Usl 8 Arezzo, National Institute for Public Health and the Environment, Institut Català d'Oncologia, Federico II University Hospital, Tumour Institute of Tuscany, Danish Cancer Society, DKFZ-ZMBH Alliance, Fondazione IRCCS Istituto Nazionale dei Tumori, German Institute of Human Nutrition, Centre international de recherche sur le cancer, Imperial College London, Andalusian School of Public Health, UiT The Arctic University of Norway, Umeå University, Medical Research Council
- PFPietro Ferrari
Institut Català d'Ornitologia, Inserm, Malmö University, Lund University, National and Kapodistrian University of Athens, University of Cambridge, Aalborg University Hospital, Cancer Research UK, Institut Gustave Roussy, Aarhus University Hospital, University Medical Center Utrecht, University of Oxford, Instituto de Salud Pública de Navarra, Azienda Usl 8 Arezzo, National Institute for Public Health and the Environment, Institut Català d'Oncologia, Federico II University Hospital, Tumour Institute of Tuscany, Danish Cancer Society, DKFZ-ZMBH Alliance, Fondazione IRCCS Istituto Nazionale dei Tumori, German Institute of Human Nutrition, Centre international de recherche sur le cancer, Imperial College London, Andalusian School of Public Health, UiT The Arctic University of Norway, Umeå University, Medical Research Council
- NSNadia Slimani
Institut Català d'Ornitologia, Inserm, Malmö University, Lund University, National and Kapodistrian University of Athens, University of Cambridge, Aalborg University Hospital, Cancer Research UK, Institut Gustave Roussy, Aarhus University Hospital, University Medical Center Utrecht, University of Oxford, Instituto de Salud Pública de Navarra, Azienda Usl 8 Arezzo, National Institute for Public Health and the Environment, Institut Català d'Oncologia, Federico II University Hospital, Tumour Institute of Tuscany, Danish Cancer Society, DKFZ-ZMBH Alliance, Fondazione IRCCS Istituto Nazionale dei Tumori, German Institute of Human Nutrition, Centre international de recherche sur le cancer, Imperial College London, Andalusian School of Public Health, UiT The Arctic University of Norway, Umeå University, Medical Research Council
- MJMazda Jenab
Institut Català d'Ornitologia, Inserm, Malmö University, Lund University, National and Kapodistrian University of Athens, University of Cambridge, Aalborg University Hospital, Cancer Research UK, Institut Gustave Roussy, Aarhus University Hospital, University Medical Center Utrecht, University of Oxford, Instituto de Salud Pública de Navarra, Azienda Usl 8 Arezzo, National Institute for Public Health and the Environment, Institut Català d'Oncologia, Federico II University Hospital, Tumour Institute of Tuscany, Danish Cancer Society, DKFZ-ZMBH Alliance, Fondazione IRCCS Istituto Nazionale dei Tumori, German Institute of Human Nutrition, Centre international de recherche sur le cancer, Imperial College London, Andalusian School of Public Health, UiT The Arctic University of Norway, Umeå University, Medical Research Council
Topics & keywords
- Red meat
- Medicine
- Colorectal cancer
- Hazard ratio
- Cancer
- Prospective cohort study
- European Prospective Investigation into Cancer and Nutrition
- Confidence interval
- Good health and well-being