Evidence map›Paper›PMID 35243812›Full record

ArticleCancer reports (Hoboken, N.J.)2022

Pairwise association of key lifestyle factors and risk of colorectal cancer: a prospective pooled multicohort study.

Eira Roos, Karri Seppä, Olli Pietiläinen, Heidi Ryynänen, Sanna Heikkinen, Johan G Eriksson, Tommi Härkänen, Pekka Jousilahti, Paul Knekt, Seppo Koskinen and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

17 authors at 5 institutions in 2 countries.

Eira RoosDepartment of Public Health, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-5924-1381
Karri SeppäFinnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
Olli PietiläinenDepartment of Public Health, University of Helsinki, Helsinki, Finland.
Heidi RyynänenFinnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
Sanna HeikkinenFinnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.ORCID 0000-0001-9995-5605
Johan G ErikssonThe Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Tommi HärkänenThe Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Pekka JousilahtiThe Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Paul KnektThe Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Seppo KoskinenThe Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Maarit LaaksonenThe Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Satu MännistöThe Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Teemu RoosDepartment of Computer Science, University of Helsinki, Helsinki, Finland.
Ossi RahkonenDepartment of Public Health, University of Helsinki, Helsinki, Finland.
Nea MalilaFinnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
Janne PitkäniemiFinnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
METCA Study Group
Finnish Institute for Health and Welfare · FIFinnish Cancer Registry · FIUniversity of Helsinki · FITampere University · FIUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral lifestyle factors are associated with an increased risk of colorectal cancer (CRC). Although lifestyle factors co-occur, in most previous studies these factors have been studied focusing upon a single risk factor or assuming independent effects between risk factors.

aimTo examine the pairwise effects and interactions of smoking, alcohol consumption, physical inactivity, and body mass index (BMI) with risk of subsequent colorectal cancer (CRC). METHODS AND

resultsWe used METCA cohort data (pooled data from seven population-based Finnish health behavior survey studies during years 1972-2015) consisting of 171 063 women and men. Participants' smoking, alcohol consumption, physical inactivity and BMI measures were gathered, and participants were categorized into those exposed and those not exposed. The incidence of CRC was modeled by Poisson regression with main and interaction effects of key lifestyle factors. The cohort members were followed-up through register linkage to the Finnish Cancer Registry for first primary CRC case until the end of 2015. Follow-up time was 1715, 690 person years. The highest pairwise CRC risk was among male smokers who had overweight (BMI ≥ 25 kg/m

conclusionsThis study strengthens the evidence of overweight, smoking, and alcohol consumption as CRC risk factors. Substantial protective benefits in CRC risk can be achieved by preventing smoking, maintaining BMI to <25 kg/m

Indexed as

Colorectal NeoplasmsOverweightBody Mass IndexFemaleHumansLife StyleMaleProspective Studiesalcoholcohort studycolorectal cancerobesityphysical inactivitysmoking

Identifiers

PMID35243812
PMCPMC9675367
OpenAlexW4214911061

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.