Dietary patterns and risk of advanced colorectal neoplasms: A large population based screening study in Germany

Erben, Vanessa; Carr, Prudence R.; Holleczek, Bernd; Stegmaier, Christa; Hoffmeister, Michael; Brenner, Hermann

doi:10.1016/j.ypmed.2018.02.025

Cited by 12 publications

(8 citation statements)

References 45 publications

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“…The included studies considered 7-10 dietary components associated with a decrease in the risk of hypertension. Moreover, the protective effect of a high DASH score on CRC risk remained consistent despite the individual studies applying different methods to calculate the scores, including the use of quintiles/servings as cutoff points or setting sex-specific standards (Erben et al 2018;Miller et al 2013;Park et al 2017;Petimar et al 2018;Torres Stone et al 2017), applying the same standards for both sexes (Miller et al 2013), and setting standards for sex, age, and physical activity (Miller et al 2013). In contrast to our findings, Dixon et al and Petimar et al found that high DASH scores had no effect on CRC risk among men (Petimar et al 2018;Torres Stone et al 2017).…”

Section: Dash and Crcmentioning

confidence: 94%

“…Despite the discrepancies with the overall findings and the variation in the scoring system, we detected minor heterogeneity in the findings of benefit. All but one study ((Erben et al 2018)) were conducted in North America, precluding global generalization. The lack of geographic variation coupled with the small effect size implied indirectness in the findings of benefit, necessitating that we down rate the quality and transparency of the results for developing dietary recommendations.…”

Section: Dash and Crcmentioning

confidence: 99%

“…Some studies have demonstrated no association between CRC risk and the DII (Boden et al 2019;Brouwer et al 2017;Liu et al 2017;Tabung et al 2017), MDS (Fasanelli et al 2017;Jafari Nasab et al 2019;Lavalette et al 2018;Petimar et al 2018;Torres Stone et al 2017), or HEI (Lavalette et al 2018), whereas a large cohort study reported an approximate 30% risk reduction in CRC when people consumed a diet constituting a low DII, as an indicator of less inflammatory and high diet quality (Tabung et al 2018). Similarly, consuming diet components that yield a high score of DASH, HEI (Erben et al 2018) and MDS (Jones et al 2017), are likely to reduce CRC risk. However, there were inconsistencies in the effects and in the directions of the effects between the diet indices and CRC risk arising from differences in the dietary components, applied dietary indices due to the course of time, study duration, study design, follow-up duration, study population, and tumor site (Galbete et al 2018).…”

Section: Introductionmentioning

confidence: 99%

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Systematic review and meta-analysis of diet quality and colorectal cancer risk: is the evidence of sufficient quality to develop recommendations?

Moazzen

Sloot

Bock

et al. 2020

Critical Reviews in Food Science and Nutrition

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The quality of existing evidence about the impact of diet quality on colorectal cancer (CRC) risk has only rarely been assessed. In the current review, we searched PubMed, EMBASE, Web of Science, Cochrane, and the resulting references (up to January 2020) for studies that evaluated the role of high diet quality by extreme dietary index categorization and the risk of CRC. Two researchers independently performed the study selection, data extraction, and quality assessment. We then applied a random-effects meta-analysis to estimate the pooled odds ratios (ORs) and 95% confidence intervals (CIs) for CRC at the extremes of each dietary index, and we assessed the quality of the pooled results using the Grading of Recommendations Assessment, Development and Evaluation approach. A high diet quality was significantly associated with reduced CRC risk when patients had a low Diet Inflammatory Index score (OR, 0.66; 95%CI, 0.56-0.78), a high Mediterranean Diet Score (OR, 0.84; 95%CI, 0.78-0.90), high Dietary Approaches to Stop Hypertension adherence (OR, 0.83; 95%CI, 0.78-0.89), and a high Healthy Eating Index score (OR, 0.72; 95%CI, 0.64-0.80). The pooled results for all dietary indices were rated as being of low quality due to concerns over inconsistency or imprecision. We conclude that, despite a high diet quality appearing to have a preventive role in CRC, the evidence is currently of insufficient quality to develop dietary recommendations.

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Section: Dash and Crcmentioning

confidence: 94%

Section: Dash and Crcmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Systematic review and meta-analysis of diet quality and colorectal cancer risk: is the evidence of sufficient quality to develop recommendations?

Moazzen

Sloot

Bock

et al. 2020

Critical Reviews in Food Science and Nutrition

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“…Findings of previous studies on the association between AHEI and risk of other cancers were also in line with our findings. In a large population-based study in Germany, after controlling for potential confounders, individuals in the highest category of AHEI were less likely to have colorectal cancer compared with those in the lowest category (43) . Another study revealed an inverse association for ovarian cancer (44) .…”

Section: Discussionmentioning

confidence: 97%

A case–control study on dietary quality indices and glioma

et al. 2019

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No study is available that has assessed the association of dietary diversity score (DDS) and alternative healthy eating index (AHEI) with glioma. The present study aimed to assess this association in Iranian adults. Overall, 128 pathologically confirmed cases of glioma were enrolled from hospitals and 256 age- and sex-matched controls were recruited from other wards of the hospital between 2009 and 2011. Dietary assessment was done using a validated block-format 123-item semi-quantitative FFQ. Dietary indices including DDS and AHEI-2010 were constructed according to standard methods. After controlling for potential confounders, a significant inverse association was found between DDS and risk of glioma (OR 0·42, 95 % CI 0·19, 0·94). Such finding was also seen when further adjustment was made for BMI; such that participants in the highest quartile of DDS were 56 % less likely to have glioma compared with those in the lowest quartile (OR 0·44, 95 % CI, 0·20, 0·97). In addition, a significant inverse association was found between adherence to AHEI and glioma; such that in the fully adjusted model, participants in the fourth quartile of AHEI had 74 % lower risk of glioma compared with those in the first quartile (OR 0·26, 95 % CI 0·12, 0·56). In conclusion, we found that greater adherence to the healthy, as measured by AHEI, and diverse, as measured by DDS, diets was associated with decreased odds of glioma.

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“…Accordingly, rather than concentrating on single foods and nutrients, utilization of the whole DASH plan in investigating diet-CRA- CRC relations can be beneficial [ 14 ]. Indeed, some studies have reported an inverse association between adherence to the DASH pattern and CRC [ 22 , 23 ], and two studies have shown this association with CRA [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

A case-control study of Dietary Approaches to Stop Hypertension (DASH) diets, colorectal cancer and adenomas among Iranian population

et al. 2021

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Background and aims Colorectal cancer (CRC) is the third most common cancer, worldwide. Recently, much attention has been given to the association between Dietary Approaches to Stop Hypertension (DASH) and CRC, however, data on colorectal adenomas (CRAs) as its precursor are scarce. Thus, the purpose of this case-control study was to investigate the association of DASH score with the risk of CRC and CRA in Iranian adults. Method A total of 499 participants, including 129 CRC and 130 CRA cases, along with 240 controls, were asked about their dietary intake via a validated questionnaire. The DASH score was then calculated based on a priori methods and categorized in quartiles. Multivariate logistic regression was performed to assess the association of DASH score and the risk of CRC and CRA. Results After adjusting for confounding variables, adherence to the DASH diet was associated with a reduction in the risk of CRC and CRA, respectively (OR of 4th versus 1st quartile = 0.04, 95% CI: 0.01–0.11, OR = 0.10, 95% CI: 0.04–0.22). Also, subgroup analysis based on gender showed that women and men with a higher DASH score had a significantly lower risk of CRC and CRAs. Conclusion The results of this study demonstrated that adherence to a DASH dietary pattern could reduce the risk of CRC and CRA in men and women. Promoting a DASH eating plan can be helpful in reducing the risk of CRC.

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Dietary patterns and risk of advanced colorectal neoplasms: A large population based screening study in Germany

Cited by 12 publications

References 45 publications

Systematic review and meta-analysis of diet quality and colorectal cancer risk: is the evidence of sufficient quality to develop recommendations?

Systematic review and meta-analysis of diet quality and colorectal cancer risk: is the evidence of sufficient quality to develop recommendations?

A case–control study on dietary quality indices and glioma

A case-control study of Dietary Approaches to Stop Hypertension (DASH) diets, colorectal cancer and adenomas among Iranian population

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