Evidence map›Paper›PMID 35211850›Full record

ArticleEuropean journal of nutrition2022

Food processing groups and colorectal cancer risk in Morocco: evidence from a nationally representative case-control study.

Khaoula El Kinany, Inge Huybrechts, Zineb Hatime, Achraf El Asri, Hanae Abir Boudouaya, Meimouna Mint Sidi Deoula, Ellen Kampman, Karima El Rhazi

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Article in European journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
4.8field-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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  10. Review
  11. Ultra-processed foods and food additives in gut health and disease.Nature reviews. Gastroenterology & hepatology · 2024
    Review
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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

8 authors at 3 institutions in 3 countries.

Khaoula El KinanyDepartment of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Fez. Km 2, 200 Sidi Harazem Road, 1893, Fez, Morocco.
Inge HuybrechtsSection of Nutrition and Metabolism, International Agency for Research on Cancer, World Health Organization, Lyon, France.
Zineb HatimeDepartment of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Fez. Km 2, 200 Sidi Harazem Road, 1893, Fez, Morocco.
Achraf El AsriDepartment of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Fez. Km 2, 200 Sidi Harazem Road, 1893, Fez, Morocco.
Hanae Abir BoudouayaDepartment of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Fez. Km 2, 200 Sidi Harazem Road, 1893, Fez, Morocco.
Meimouna Mint Sidi DeoulaDepartment of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Fez. Km 2, 200 Sidi Harazem Road, 1893, Fez, Morocco.
Ellen KampmanDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
Karima El RhaziDepartment of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Fez. Km 2, 200 Sidi Harazem Road, 1893, Fez, Morocco. karima.elrhazi@usmba.ac.ma.ORCID http://orcid.org/0000-0002-8135-9044
Sidi Mohamed Ben Abdellah University · MACentre international de recherche sur le cancer · FRWageningen University & Research · NL

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the association between the consumption of foods and drinks from different food processing categories using the NOVA classification and CRC risk among Moroccan adults.

methods1453 cases and 1453 matched controls aged at least 18 years and recruited from the 5 greater Moroccan regions were interviewed by trained investigators about their habitual diet using a standardized food frequency questionnaire (FFQ). Foods were categorized according to their degree of processing by the NOVA classification. Intakes of each food processing group were categorized into tertiles based on the distribution of controls with the lowest tertile considered as the reference category. Multivariable conditional logistic regression models were used to assess the association between each group and CRC risk (Odds Ratio (OR) and 95% Confidence Intervals (CI)), taking relevant confounders into account.

resultsHigh consumption of unprocessed or minimally processed foods (NOVA group 1) was significantly inversely (OR = 0.82, 95%CI = 0.72-0.93), while high consumption of ultra-processed foods and drink products (NOVA group 4) was significantly positively (OR = 1.40, 95% CI = 1.22-1.61) associated with CRC risk as compared to the lowest intake group. These results were similar for colon and rectum sub-sites.

conclusionThis is the first study to evaluate the association between the NOVA classification groups and CRC risk in an African country. Our results suggest that the consumption of ultra-processed foods and drink products may be associated with an increased risk of developing CRC, but longitudinal studies are needed to confirm these results.

Indexed as

Colorectal NeoplasmsFast FoodsAdolescentAdultCase-Control StudiesDietFood HandlingHumansLogistic ModelsMoroccoColorectal cancerMoroccoNOVA classification

Identifiers

PMID35211850
OpenAlexW4213415993

What OpenQuestion holds

Textmetadata
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.