Evidence map›Paper›PMID 39689032›Full record

ArticleJournal of the National Cancer Institute2025

Drinking pattern and time lag of alcohol consumption with colorectal cancer risk in US men and women.

Xinyi Li, Jinhee Hur, Yin Zhang, Mingyang Song, Stephanie A Smith-Warner, Liming Liang, Kenneth J Mukamal, Eric B Rimm, Edward L Giovannucci

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
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

9 authors.

Xinyi LiDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0002-0221-0525
Jinhee HurDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0003-0968-208X
Yin ZhangDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0001-6367-6583
Mingyang SongDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0002-1324-0316
Stephanie A Smith-WarnerDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0003-3462-8608
Liming LiangDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.
Kenneth J MukamalDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02115, United States.ORCID 0000-0001-8450-6970
Eric B RimmDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0002-1402-7250
Edward L GiovannucciDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States.ORCID 0000-0002-6123-0219

Funding

Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
The Gut Microbiome, Lifestyle, and Colorectal NeoplasiaU01CA261961 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Mingyang Song · 2022 to 2026
$3.0M
Harnessing DNA methylation in peripheral blood for improved colorectal cancer preventionR01CA285851 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marios Giannakis, Mingyang Song · 2024 to 2026
$2.0M
Marine Omega-3 Polyunsaturated Fatty Acid, Gut Microbiome, and Colorectal Cancer PreventionR00CA215314 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI SONG, MINGYANG · 2018 to 2020
$679k
American Cancer Society Clinical Research CRP-23-1014041American Cancer Society Mentored Research Scholar MRSG-17-220-01-NECMinistry of Science and ICTNational Research Foundation of Korea RS-2024-00349274NCI NIH HHS R01 CA285851NCI NIH HHS U01 CA261961NIH HHSNIH HHS R00 CA215314NIH HHS UM1 CA186107Ottogi Ham Taiho FoundationThe Nurses' Health Study
6 · The paper itself

Abstract

backgroundAssociation between light to moderate alcohol consumption and colorectal cancer (CRC) incidence remains understudied, especially regarding drinking pattern, beverage type, and temporal aspects.

methodsHazard ratios (HRs) and 95% confidence intervals (CIs) for time to CRC diagnosis were estimated among 137 710 participants. Estimates based on remote (eg, >10 years before follow-up) and recent (eg, the preceding 10 years before follow-up) alcohol intake, using different cutoffs (eg, 8, 10, 12 years) and mutual adjustment, enabled separating independent effects and investigating time lag of alcohol-CRC association.

resultsIn total, 3599 CRC cases were documented over 3 decades. Light to moderate drinking was associated with an increased CRC risk only in men: HR (95% CI) for 5-14.9 and 15-29.9 vs 0 g/day of alcohol intake was 1.19 (1.01 to 1.41) and 1.38 (1.13 to 1.67). In women, that for 0.1-4.9 and 5-14.9 vs 0 g/day of alcohol was 1.07 (0.96 to 1.20) and 1.05 (0.91 to 1.20). Drinkers with both high drinking frequency and daily intake had the highest CRC risk, suggesting total alcohol intake was the critical factor. We estimated the time lag between alcohol consumption and CRC occurrence to be 8 to 12 years. Former drinkers did not experience a significant reduction in CRC risk even after 10 years of quitting or reducing consumption.

conclusionsBased on 2 cohorts of health professionals, our findings suggest that the increased risk of CRC associated with alcohol intake is driven mainly by total quantity and remote intake. Former drinkers did not experience an immediate reduction in CRC risk after quitting or reducing consumption.

Indexed as

Alcohol DrinkingColorectal NeoplasmsAdultAgedFemaleHumansIncidenceMaleMiddle AgedProportional Hazards ModelsRisk FactorsSex FactorsTime FactorsUnited States

Identifiers

PMID39689032
PMCPMC12058268

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.