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자료유형
학술저널
저자정보
전신영 (국립암센터국제암대학원대학교) 이정희 (국립암센터) 오재환 (국립암센터) Chang Hee Jin (Center for Colorectal Cancer Research Institute and Hospital National Cancer Center Goyang KoreaDep) Sohn Dae Kyung (Center for Colorectal Cancer Research Institute and Hospital National Cancer Center) Shin Aesun (Department of Preventive Medicine Seoul National University College of Medicine Seoul 03080 Republi) 김정선 (국립암센터국제암대학원대학교)
저널정보
한국역학회 Epidemiology and Health Epidemiology and Health Vol.44
발행연도
2022.1
수록면
1 - 9 (9page)
DOI
10.4178/epih.e2022084

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OBJECTIVES: Dietary and lifestyle exposures may affect the risk of colorectal cancer (CRC) by promoting chronic inflamma tion. Therefore, we assessed the separate and joint associations of dietary and lifestyle inflammation scores (DIS and LIS, respec tively) with CRC. METHODS: Data from 919 pathologically confirmed CRC cases and 1,846 age-matched and sex-matched controls recruited at the National Cancer Center Korea were analyzed. We calculated the DIS and LIS, which characterize the collective contributions of 19 dietary and 4 lifestyle factors, respectively, to systemic inflammation by applying weights based on high-sensitivity C-reac tive protein. A higher score represented a higher balance of pro- inflammatory to anti-inflammatory exposures. Unconditional logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for CRC risk compared across the DIS and LIS tertile categories, with the lowest tertile as the reference group. RESULTS: The highest DIS tertile had significantly increased odds of having CRC (OR, 2.65; 95% CI, 2.10 to 3.36), and the odds increased with increasing DIS. The highest LIS tertile group had 1.28-fold higher odds of having CRC (95% CI, 1.03 to 1.58). In the cross-classification analysis, the odds of having CRC increased as the DIS and LIS jointly increased until the DIS reached the highest tertile, where the risk was very high (3-fold or more) regardless of the LIS. CONCLUSIONS: In conclusion, a higher balance of pro-inflammatory relative to anti-inflammatory dietary and lifestyle fac tors, especially dietary factors, was associated with higher CRC risk among Korean adults.

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