Evidence map›Paper›PMID 41811526›Full record

ArticleCancer causes & control : CCC2026

Interplay between colorectal cancer-related lifestyles and the gut microbiome: an exploratory analysis of metagenomic data.

Rilla Tammi, Mirkka Maukonen, Niina E Kaartinen, Kari Koponen, Teemu Niiranen, Guillaume Méric, Demetrius Albanes, Johan G Eriksson, Pekka Jousilahti, Seppo Koskinen and 5 more

Abstract read
In one paragraph

Article in Cancer causes & control : CCC, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

15 authors.

Rilla TammiDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland. rilla.tammi@thl.fi.ORCID http://orcid.org/0000-0002-5507-2314
Mirkka MaukonenDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Niina E KaartinenDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Kari KoponenDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Teemu NiiranenDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Guillaume MéricSystems Medicine & Population Health Division, Department of Life Sciences, University of Bath, Claverton Down, Bath, UK.
Demetrius AlbanesDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD, USA.
Johan G ErikssonFolkhälsan Research Center, Helsinki, Finland.
Pekka JousilahtiDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Seppo KoskinenDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Anne-Maria PajariDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.
Rob KnightUniversity of California San Diego, La Jolla, CA, USA.
Aki S HavulinnaInstitute for Molecular Medicine Finland, FIMM-HiLIFE, Helsinki, Finland.
Veikko SalomaaDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Satu MännistöDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Funding

Strategic Research Council 352481Strategic Research Council 352483
6 · The paper itself

Abstract

purposeThe gut microbiome may modify the associations between lifestyle factors and colorectal cancer (CRC) risk, but their complex interplay, including the interactions between lifestyle factors, remain underexplored. We examined associations between CRC-related lifestyle patterns and gut microbiome diversity and composition in Finnish adults.

methodsOur data included 1,228 adults aged 25-64 years from the National FINRISK/FINDIET 2002 Study. Information on lifestyle and background factors was obtained through self-administered questionnaires. Dietary data were gathered using a 48-h dietary recall. CRC-related lifestyles were modelled using a CRC lifestyle index based on nine major risk factors for CRC. Lower index points reflected higher-risk lifestyles. The gut microbiome profiles were analyzed using shallow shotgun metagenome sequencing. Associations between the index and microbial diversity and composition were assessed using, e.g., linear regression and permutational multivariate ANOVA adjusted for relevant confounders.

resultsThe index explained 0.2% of the variation in microbial composition between participants (p < 0.05). Higher-risk lifestyles for CRC were associated with lower microbial diversity (β 0.037, p 0.009). Higher-risk lifestyles were also associated with a higher relative abundance of species representing primarily the family Lachnospiraceae and genera such as Dorea and Mediterraneibacter, and lower relative abundance of species within the genus Bifidobacterium (< 0.0001).

conclusionsParticipants with higher- and lower-risk lifestyles showed clear differences in their gut microbiome diversity and composition, higher-risk lifestyles being associated with potentially adverse microbial traits. These findings contribute to identifying microbial features that may characterize early stages of CRC development in individuals with high-risk lifestyles.

Indexed as

Colorectal NeoplasmsGastrointestinal MicrobiomeLife StyleAdultDietFemaleFinlandHumansMaleMetagenomeMetagenomicsMiddle AgedRisk FactorsDietEpidemiologyLifestyle indexObesityPhysical activityPrevention

Identifiers

PMID41811526
PMCPMC12979301

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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.