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Blood lipid and lipoprotein concentrations and colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition

Item Type:Article
Title:Blood lipid and lipoprotein concentrations and colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition
Creators Name:van Duijnhoven, F.J. and Bueno-De-Mesquita, H.B. and Calligaro, M. and Jenab, M. and Pischon, T. and Jansen, E.H. and Frohlich, J. and Ayyobi, A. and Overvad, K. and Toft-Petersen, A.P. and Tjonneland, A. and Hansen, L. and Boutron-Ruault, M.C. and Clavel-Chapelon, F. and Cottet, V. and Palli, D. and Tagliabue, G. and Panico, S. and Tumino, R. and Vineis, P. and Kaaks, R. and Teucher, B. and Boeing, H. and Drogan, D. and Trichopoulou, A. and Lagiou, P. and Dilis, V. and Peeters, P.H. and Siersema, P.D. and Rodriguez, L. and Gonzalez, C.A. and Molina-Montes, E. and Dorronsoro, M. and Tormo, M.J. and Barricarte, A. and Palmqvist, R. and Hallmans, G. and Khaw, K.T. and Tsilidis, K.K. and Crowe, F.L. and Chajes, V. and Fedirko, V. and Rinaldi, S. and Norat, T. and Riboli, E.
Abstract:Objective: To examine the association between serum concentrations of total cholesterol, high density lipoprotein cholesterol (HDL), low density lipoprotein cholesterol, triglycerides, apolipoprotein A-I (apoA), apolipoprotein B and the incidence of colorectal cancer (CRC). Design: Nested case-control study. Setting: The study was conducted within the European Prospective Investigation into Cancer and Nutrition (EPIC), a cohort of more than 520 000 participants from 10 western European countries. Participants: 1238 cases of incident CRC, which developed after enrolment into the cohort, were matched with 1238 controls for age, sex, centre, follow-up time, time of blood collection and fasting status. Main outcome measures: Serum concentrations were quantitatively determined by colorimetric and turbidimetric methods. Dietary and lifestyle data were obtained from questionnaires. Conditional logistic regression models were used to estimate incidence rate ratios (RRs) and 95% CIs which were adjusted for height, weight, smoking habits, physical activity, education, consumption of fruit, vegetables, meat, fish, alcohol, fibre and energy. Results: After adjustments, the concentrations of HDL and apoA were inversely associated with the risk of colon cancer (RR for 1 SD increase of 16.6 mg/dl in HDL and 32.0 mg/dl in apoA of 0.78 (95% CI 0.68 to 0.89) and 0.82 (95% CI 0.72 to 0.94), respectively). No association was observed with the risk of rectal cancer. Additional adjustment for biomarkers of systemic inflammation, insulin resistance and oxidative stress or exclusion of the first 2 years of follow-up did not influence the association between HDL and risk of colon cancer. Conclusions: These findings show that high concentrations of serum HDL are associated with a decreased risk of colon cancer. The mechanism behind this association needs further elucidation.
Keywords:Biological Tumor Markers, Body Mass Index, Colorectal Neoplasms, Colorimetry, Europe, Follow-Up Studies, Incidence, Lipids, Lipoproteins, Nephelometry and Turbidimetry, Nutrition Surveys, Patient Education as Topic, Prognosis, Prospective Studies, Questionnaires, Risk Factors
Publisher:BMJ Publishing Group
Page Range:1094-1102
Date:August 2011
Official Publication:https://doi.org/10.1136/gut.2010.225011
PubMed:View item in PubMed

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