Physical Inactivity, Water Intake and Constipation as Risk Factors for Colorectal Cancer among Adults in Jordan

Tayyem, Reema Fayez; Shehadeh, Ihab Numan; AbuMweis, Suhad Sameer; Bawadi, Hiba Ahmad; Hammad, Shatha Sabri; Bani-Hani, Kamal Eddin; Al-Jaberi, Tareq Mohammad; Alnusai, Majed Mohammed

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자료유형: 학술저널

저자정보: Tayyem, Reema Fayez (Department of Clinical Nutrition and Dietetic, The Hashemite University) Shehadeh, Ihab Numan (Gastroenterology Division, KHCC) AbuMweis, Suhad Sameer (Department of Clinical Nutrition and Dietetic, The Hashemite University) Bawadi, Hiba Ahmad (Department of Nutrition and Food Technology, Hashemite University) Hammad, Shatha Sabri (Department of Clinical Nutrition and Dietetic, The Hashemite University) Bani-Hani, Kamal Eddin (Faculty of Medicine, Hashemite University) Al-Jaberi, Tareq Mohammad (Jordan University of Science and Technology) Alnusai, Majed Mohammed (Gastroenterology Division, Prince Hamza Hospital)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제14권 제9호

발행연도: 2013.1

수록면: 5,207 - 5,212 (6page)

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Background: Physical activity has been found to play a role in cancer prevention. The purpose of this matched case-control study was to investigate the association between physical activity levels, water intake, constipation and colorectal cancer (CRC). Materials and Methods: Two hundred and thirty-two patients diagnosed with CRC (125 male, 107 female) were enrolled in this case-control study. Cases were matched to 271 population controls (137 male, 134 female). Results: Drinking more than 4 cups of water daily decreased the risk of CRC by 33-42%; however, this effect was non-significant. Having constipation was found to be a significant risk factor for developing CRC with an OR=6.284 (95%CI=2.741-14.40). With reference to sedentary behavior, minimum activity (600-3000 Metabolic Equivalents Task (MET)) had 43% protection against CRC and the level of Health Enhancing Physical Activity OR was 0.58 (at 95%CI; 0.37-0.92). A significant negative association was found between CRC and physical activity levels expressed as both METs and MET-hours/week (p for trend=0.017 and 0.03, respectively). Among females, a significant trend of reduction in CRC by 62% was observed with increasing the level of physical activity expressed in MET (p for trend=0.04). Conclusions: The risk of CRC may be reduced by adopting a healthy lifestyle and practicing physically activity regularly, especially among females. Consuming adequate amounts of water and healthy bowel motility could also reduce the risk of CRC.

#Colorectal cancer #physical activity #water intake #constipation

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