Evidence map›Paper›PMID 22449145›Full record

ArticleNutrition journal2012

Association of total energy intake and macronutrient consumption with colorectal cancer risk: results from a large population-based case-control study in Newfoundland and Labrador and Ontario, Canada.

Zhuoyu Sun, Lin Liu, Peizhong Peter Wang, Barbara Roebothan, Jin Zhao, Elizabeth Dicks, Michelle Cotterchio, Sharon Buehler, Peter T Campbell, John R McLaughlin and 1 more

Open access · goldAbstract read
In one paragraph

Article in Nutrition journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  10. Dietary Factors and Early-Onset Colorectal Cancer in the United States-an Ecologic Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
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  15. Prospective Association of Serum and Dietary Magnesium with Colorectal Cancer Incidence.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Zhuoyu SunDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St, John's, NL, Canada.
Lin Liu
Peizhong Peter Wang
Barbara Roebothan
Jin Zhao
Elizabeth Dicks
Michelle Cotterchio
Sharon Buehler
Peter T Campbell
John R McLaughlin
Patrick S Parfrey
Memorial University of Newfoundland · CAAmerican Cancer Society · USCancer Care Ontario · CATianjin Medical University · CN

Funding

ONTARIO REGISTRY FOR STUDIES OF FAMILIAL COLON CANCERU01CA074783 · NCI · CANCER CARE ONTARIO · PI GALLINGER, STEVEN · 1997 to 2008
$12.5M
The Colon Cancer Family Registry: OntarioU24CA074783 · NCI · CANCER CARE ONTARIO · PI GALLINGER, STEVEN · 2008 to 2011
$4.1M
THE ROLE OF WOUNDING IN VIRAL CARCINOGENESISF32CA008502 · NCI · UNIVERSITY OF CALIF-LAWRENC BERKELEY LAB · PI MARTINS-GREEN, MANUELA M. · 1988 to 1990
–
CIHR 205835CIHR CPT79845NCI NIH HHS CA-08-502NCI NIH HHS U01 CA074783NCI NIH HHS U24 CA074783
6 · The paper itself

Abstract

backgroundDiet is regarded as one of the most important environmental factors associated with colorectal cancer (CRC) risk. A recent report comprehensively concluded that total energy intake does not have a simple relationship with CRC risk, and that the data were inconsistent for carbohydrate, cholesterol and protein. The objective of this study was to identify the associations of CRC risk with dietary intakes of total energy, protein, fat, carbohydrate, fiber, and alcohol using data from a large case-control study conducted in Newfoundland and Labrador (NL) and Ontario (ON), Canada.

methodsIncident colorectal cancer cases (n = 1760) were identified from population-based cancer registries in the provinces of ON (1997-2000) and NL (1999-2003). Controls (n = 2481) were a random sample of residents in each province, aged 20-74 years. Family history questionnaire (FHQ), personal history questionnaire (PHQ), and food frequency questionnaire (FFQ) were used to collect study data. Logistic regression was used to evaluate the association of intakes of total energy, macronutrients and alcohol with CRC risk.

resultsTotal energy intake was associated with higher risk of CRC (OR: 1.56; 95% CI: 1.21-2.01, p-trend = 0.02, 5th versus 1st quintile), whereas inverse associations emerged for intakes of protein (OR: 0.85, 95%CI: 0.69-1.00, p-trend = 0.06, 5th versus 1st quintile), carbohydrate (OR: 0.81, 95%CI: 0.63-1.00, p-trend = 0.05, 5th versus 1st quintile) and total dietary fiber (OR: 0.84, 95% CI:0.67-0.99, p-trend = 0.04, 5th versus 1st quintile). Total fat, alcohol, saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids, and cholesterol were not associated with CRC risk.

conclusionThis study provides further evidence that high energy intake may increase risk of incident CRC, whereas diets high in protein, fiber, and carbohydrate may reduce the risk of the disease.

Indexed as

Energy IntakeAdolescentAdultAgedCase-Control StudiesCholesterolColorectal NeoplasmsDietary CarbohydratesDietary FiberDietary ProteinsFatty AcidsFatty Acids, UnsaturatedFemaleHumansLogistic ModelsMaleCholesterolDietary CarbohydratesDietary FiberDietary ProteinsFatty AcidsFatty Acids, Unsaturated

Identifiers

PMID22449145
PMCPMC3378449
OpenAlexW2038123867

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.