Evidence map›Paper›PMID 36063305›Full record

ArticleEuropean journal of epidemiology2022

A longitudinal evaluation of alcohol intake throughout adulthood and colorectal cancer risk.

Ana-Lucia Mayén, Vivian Viallon, Edoardo Botteri, Cecile Proust-Lima, Vincenzo Bagnardi, Veronica Batista, Amanda J Cross, Nasser Laouali, Conor J MacDonald, Gianluca Severi and 32 more

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Article in European journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.0field-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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  4. Colorectal Cancer Incidence in Steatotic Liver Disease (MASLD, MetALD, and ALD).Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
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  9. Deciphering the impact of dietary habits and behavioral patterns on colorectal cancer.International journal of surgery (London, England) · 2025
    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

42 authors at 20 institutions in 10 countries.

Ana-Lucia MayénInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France.ORCID http://orcid.org/0000-0001-9635-0416
Vivian ViallonInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Edoardo BotteriSection for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway, Department of Research, Cancer Registry of Norway, Oslo, Norway.
Cecile Proust-LimaUniv. Bordeaux, INSERM, Bordeaux Population Health Research Center, U1219, 33000, Bordeaux, France.
Vincenzo BagnardiDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy.
Veronica BatistaInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Amanda J CrossDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Nasser LaoualiUniversité Paris-Saclay, UVSQ, Gustave Roussy, CESP U1018 Inserm, "Exposome and Heredity" Group, Villejuif, France.
Conor J MacDonaldUniversité Paris-Saclay, UVSQ, Gustave Roussy, CESP U1018 Inserm, "Exposome and Heredity" Group, Villejuif, France.
Gianluca SeveriUniversité Paris-Saclay, UVSQ, Gustave Roussy, CESP U1018 Inserm, "Exposome and Heredity" Group, Villejuif, France.
Verena KatzkeDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Manuela M BergmannGerman Institute of Human Nutrition, Potsdam-Rehbruecke, Nuthetal, Germany.
Mattias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbruecke, Nuthetal, Germany.
Anne TjønnelandDanish Cancer Society Research Center, Diet, Genes and Environment, Copenhagen, Denmark.
Anne Kirstine EriksenDanish Cancer Society Research Center, Diet, Genes and Environment, Copenhagen, Denmark.
Christina C DahmDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Christian S AntoniussenDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Paula JakszynUnit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.
Maria-Jose SánchezEscuela Andaluza de Salud Pública (EASP), 18011, Granada, Spain.
Pilar AmianoCentro de Investigación Biomédica en Red de Epidemiología Y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Sandra M Colorado-YoharCentro de Investigación Biomédica en Red de Epidemiología Y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Eva ArdanazCentro de Investigación Biomédica en Red de Epidemiología Y Salud Pública (CIBERESP), 28029, Madrid, Spain.
Ruth TravisCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Oxford, OX3 7LF, UK.
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Sieri SabinaEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
Rosario TuminoHyblean Association for Epidemiological Research AIRE-ONLUS Ragusa, Milan, Italy.
Fulvio RicceriDepartment of Clinical and Biological Sciences, University of Turin, Regione Gonzole 10, Orbassano, TO, Italy.
Salvatore PanicoDipartimento Di Medicina Clinica E Chirurgia, Federico II University, Naples, Italy.
Bas Bueno-de-MesquitaFormer Senior Scientist, Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Jeroen W G DerksenDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Emily SonestedtNutritional Epidemiology, Department of Clinical Sciences Malmö, Lund University, 21428, Malmö, Sweden.
Anna WinkvistDepartment of Public Health and Clinical Medicine, Sustainable Health, Umeå University, 901 85, Umeå, Sweden.
Sophia HarlidDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
Tonje BraatenDepartment of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Inger Torhild GramDepartment of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Marko LukicDepartment of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Mazda JenabInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Heinz FreislingInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Elisabete WeiderpassInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Marc J GunterInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France.
Pietro FerrariInternational Agency for Research On Cancer (IARC), World Health Organization, 150, cours Albert Thomas, 69372, Lyon CEDEX 08, France. ferrarip@iarc.fr.ORCID http://orcid.org/0000-0001-9358-7338
Centre international de recherche sur le cancer · FRInserm · FRUiT The Arctic University of Norway · NOAarhus University · DKDanish Cancer Society · DKImperial College London · GBUmeå University · SEBasque Government · ESCancer Registry of Norway · NOFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Cancer Research Center · DEGerman Institute of Human Nutrition · DEInstitut Català d'Oncologia · ESInstituto de Salud Pública de Navarra · ESItalian Association for Cancer Research · ITMalmö University · SENational Institute for Public Health and the Environment · NLPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversidad de Antioquia · CO

Funding

Cancer Research UK 14136 to EPIC-NorfolkCancer Research UK 25004Cancer Research UK C8221/A29017 to EPIC-OxfordMedical Research Council 1000143 to EPIC-NorfolkMedical Research Council MR/M012190/1Medical Research Council MR/M012190/1 to EPIC-OxfordWorld Health Organization 001
6 · The paper itself

Abstract

backgroundAlcohol intake is an established risk factor for colorectal cancer (CRC); however, there is limited knowledge on whether changing alcohol drinking habits during adulthood modifies CRC risk.

objectiveLeveraging longitudinal exposure assessments on alcohol intake at different ages, we examined the relationship between change in alcohol intake and subsequent CRC risk.

methodsWithin the European Prospective Investigation into Cancer and Nutrition, changes in alcohol intake comparing follow-up with baseline assessments were investigated in relation to CRC risk. The analysis included 191,180, participants and 1530 incident CRC cases, with exclusion of the first three years of follow-up to minimize reverse causation. Trajectory profiles of alcohol intake, assessed at ages 20, 30, 40, 50 years, at baseline and during follow-up, were estimated using latent class mixed models and related to CRC risk, including 407,605 participants and 5,008 incident CRC cases.

resultsMean age at baseline was 50.2 years and the follow-up assessment occurred on average 7.1 years later. Compared to stable intake, a 12 g/day increase in alcohol intake during follow-up was positively associated with CRC risk (HR = 1.15, 95%CI 1.04, 1.25), while a 12 g/day reduction was inversely associated with CRC risk (HR = 0.86, 95%CI 0.78, 0.95). Trajectory analysis showed that compared to low alcohol intake, men who increased their alcohol intake from early- to mid- and late-adulthood by up to 30 g/day on average had significantly increased CRC risk (HR = 1.24; 95%CI 1.08, 1.42), while no associations were observed in women. Results were consistent by anatomical subsite.

conclusionsIncreasing alcohol intake during mid-to-late adulthood raised CRC risk, while reduction lowered risk.

Indexed as

Colorectal NeoplasmsAdultAlcohol DrinkingFemaleHumansMaleProspective StudiesRisk FactorsSurveys and QuestionnairesAlcohol changeAlcohol intakeColorectal cancerLatent class mixed modelsLongitudinal exposureTrajectory profile analysis

Identifiers

PMID36063305
OpenAlexW4294586440

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Registered trials

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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.