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Dietary intakes of red meat, poultry, and fish during high school and risk of colorectal adenomas in women

Item Type:Article
Title:Dietary intakes of red meat, poultry, and fish during high school and risk of colorectal adenomas in women
Creators Name:Nimptsch, K. and Bernstein, A.M. and Giovannucci, E. and Fuchs, C.S. and Willett, W.C. and Wu, K.
Abstract:Adolescent diet may be etiologically relevant for colorectal carcinogenesis. We examined the association between meat and fish intakes during adolescence and the risk of colorectal adenomas later in life among 19,771 women participating in the Nurses' Health Study II. Subjects had completed a validated food frequency questionnaire in 1998 (when aged 34-51 years) about their diets during high school and subsequently underwent at least 1 lower-bowel endoscopy during the study period (1998-2007). During this period, 1,494 subjects were diagnosed with colorectal adenomas. Intake of red meat during adolescence was not associated with colorectal adenoma risk when comparing those in the highest versus lowest category of intake (odds ratio (OR) = 1.04, 95% confidence interval (CI): 0.81, 1.35). Similarly, intake of fish during adolescence was not associated with colorectal adenoma risk (OR = 0.96, 95% CI: 0.78, 1.17). Intake of poultry during adolescence was associated with a lower risk of total colorectal (OR = 0.80, 95% CI: 0.64, 0.99), distal (OR = 0.71, 95% CI: 0.51, 0.99), rectal (OR = 0.51, 95% CI: 0.29, 0.90), and advanced (OR = 0.60, 95% CI: 0.38, 0.93) adenomas. Replacement of 1 serving per day of red meat with 1 serving per day of poultry or fish was associated with 41% and 35% decreased risks for rectal adenomas and advanced adenomas, respectively. Our findings do not suggest an association between red meat intake during adolescence and colorectal adenomas later in life, but higher poultry intake during this time was associated with a lower risk of colorectal adenomas.
Keywords:Adenomatous Polyps, Adolescent, Fish, Food Intake, Meat, Poultry, Animals, Cattle
Source:American Journal of Epidemiology
ISSN:0002-9262
Publisher:Oxford University Press
Volume:178
Number:2
Page Range:172-183
Date:15 July 2013
Official Publication:https://doi.org/10.1093/aje/kwt099
PubMed:View item in PubMed

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