Evidence from animal models suggests that dietary fatty acids have both anticancer and tumor-promoting effects. Whether dietary fatty acids are associated with colorectal cancer (CRC) in humans remains inconclusive. We investigated associations between dietary fatty acids and risk of CRC among 59 986 men who participated in the Shanghai Men's Health Study (SMHS), an ongoing population-based prospective cohort study. We identified 876 incident CRC cases in the SMHS during a mean follow-up of 9.8 years. Associations between dietary fatty acid intake and CRC risk were evaluated by Cox proportional hazard regression analyses. Consumption of saturated fatty acids (SFA), monounsaturated fatty acids (MUFA) and polyunsaturated fatty acids (PUFA) was not significantly associated with CRC risk. Multivariate hazard ratios (HRs) and respective 95% confidence intervals (CIs) for Quartile 4 vs Quartile 1 were 0.92 (0.74-1.14; P-trend= 0.47) for SFA, 0.95 (0.79-1.16; P-trend= 0.74) for MUFA and 1.18 (0.95-1.46; P-trend= 0.21) for PUFA. No significant associations were found for total n-6 PUFA or total n-3 PUFA. Additionally, we performed a meta-analysis to summarize results from the present study and 28 reports from 26 additional cohorts, which supported the overall null association between dietary fatty acid intake and CRC risk among men. Docosahexanoic acid and eicosapentaenoic acid were associated with 11% to 12% reduced risk, and linoleic acid a 19% increased risk, of CRC in the meta-analysis of combined sexes. In conclusion, this population-based prospective study and meta-analysis of cohort studies found little evidence that dietary fatty acid intake was associated with risk of CRC in men.
基金:
U.S. National Institutes of HealthUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [UM1 CA173640]; National Key Project of Research and Development Program of China [2016YFC1302503]; VECD Global Health Fellowship - National Cancer Institute (NCI); Fogarty International Center (FIC) of the NIH [D43 TW009337]
第一作者机构:[1]Vanderbilt Univ, Sch Med, Vanderbilt Ingram Canc Ctr, Div Epidemiol,Dept Med, Nashville, TN 37212 USA
通讯作者:
通讯机构:[1]Vanderbilt Univ, Sch Med, Vanderbilt Ingram Canc Ctr, Div Epidemiol,Dept Med, Nashville, TN 37212 USA[*1]Vanderbilt Univ, Vanderbilt Epidemiol Ctr, Inst Med & Publ Hlth, 2525 West End Ave,Suite 600, Nashville, TN 37203 USA
推荐引用方式(GB/T 7714):
Nguyen Sang,Li Honglan,Yu Danxia,et al.Dietary fatty acids and colorectal cancer risk in men: A report from the Shanghai Men's Health Study and ameta-analysis[J].INTERNATIONAL JOURNAL OF CANCER.2021,148(1):77-89.doi:10.1002/ijc.33196.
APA:
Nguyen, Sang,Li, Honglan,Yu, Danxia,Cai, Hui,Gao, Jing...&Shu, Xiao-Ou.(2021).Dietary fatty acids and colorectal cancer risk in men: A report from the Shanghai Men's Health Study and ameta-analysis.INTERNATIONAL JOURNAL OF CANCER,148,(1)
MLA:
Nguyen, Sang,et al."Dietary fatty acids and colorectal cancer risk in men: A report from the Shanghai Men's Health Study and ameta-analysis".INTERNATIONAL JOURNAL OF CANCER 148..1(2021):77-89