Diet and colorectal cancer: A case‐control study in Greece

Manousos, O. N.; Day, Nick; Trichopoulos, D.; Gerovassilis, F.; Τζώνου, Αναστασία; Polychronopoulou, Argy

doi:10.1002/ijc.2910320102

Cited by 290 publications

(104 citation statements)

References 15 publications

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“…The questionnaire was not validated, since this was not the norm at that time. However, a similar questionnaire has been used in other studies, the results of which have been confirmed in later and larger investigations (Manousos et al, 1983Trichopoulos et al, 1985). Nutrient intakes were estimated using the University of Massachusetts food composition database (Willett et al, 1985) and information on typical portion sizes from a Greek database (Katsouyanni et al, 1991).…”

Section: Methodsmentioning

confidence: 84%

Flavonoid classes and risk of peripheral arterial occlusive disease: a case–control study in Greece

et al. 2005

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Objective: To assess the relation between specific flavonoid classes and peripheral arterial occlusive disease (PAOD), an important manifestation of atherosclerosis. Design: Using data from a case-control study conducted in Greece in 1980 on the nutritional epidemiology of PAOD, we have exploited recently published databases on the content of foods in specific flavonoid classes to assess the relation between intake of these compounds and PAOD. Setting: A major teaching hospital in Athens, Greece. Subjects: Cases were 100 patients with PAOD and controls 100 patients with minor surgical conditions admitted to the same hospital. Interventions: No interventions. All cases and controls were interviewed in the hospital wards, and a 110-food item semiquantitative food frequency questionnaire was administered by the same interviewer. Results: Flavonols, flavones and perhaps flavan-3-ols were inversely associated with PAOD risk, the odds ratios (and 95% confidence intervals) for increments equal to the corresponding standard deviations being 0.41 (0.20-0.86), 0.56 (0.32-0.96) and 0.53 (0.26-1.05), respectively. Total flavonoids were also significantly inversely associated with PAOD. Conclusions: On the basis of these results, the biological properties of flavonoids and evidence concerning their relation to other manifestations of atherosclerosis, we conclude that dietary intake of specific classes of flavonoids, as well as total flavonoids, may have a protective effect against PAOD.

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Section: Methodsmentioning

confidence: 84%

Flavonoid classes and risk of peripheral arterial occlusive disease: a case–control study in Greece

et al. 2005

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“…shown by others (Higginson 1966;Manousos et al 1983; Tajima and Tominaga 1985; Kono et al 1986; Adami et al 1992). Recent publications have suggested that beer drinking may increase the risk of rectal cancer (Kabat et al 1986; Kune et al 1987; Riboli et al 1991), although others found no increase (Manousos et al 1983; Pickle et al 1984;Potter and McMichael 1986;Tuyns et al 1988).…”

mentioning

confidence: 75%

A Case-Control Study of Colorectal Cancer and Its Relation to Diet, Cigarettes, and Alcohol Consumption in Saitama Prefecture, Japan.

Hoshiyama

Sekine

Sasaba

1993

Tohoku J. Exp. Med.

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HOSHIYAMA, Y., SEKINE, T. and SASABA, T. A Case-Control Study of Colorectal Cancer and Its Relation to Diet, Cigarettes, and Alcohol Consumption in Saitama Prefecture, Japan. Tohoku J. Exp. Med., 1993, 171(2), 153-165 A case-control study of colorectal cancer in relation to dietary, smoking, and drinking habits was undertaken in Saitama Prefecture, Japan. The study was based on 181 newly diagnosed cases of adenocarcinoma of the colorectum at a single institution and 653 general population controls. Dietary habits were investigated on the basis of the intake of 12 foods and 12 food groups in a food intake frequency questionnaire, together with individual food preferences. Preference for salty foods was positively related to the risk of both colon and rectal cancer, and the consumption of seaweed was inversely related to these cancers, both with a dose-response relation. Cigarette smoking was inversely related to colon cancer risk, but not to rectal cancer risk. Alcohol intake tended to be associated inversely with colon cancer, but not with rectal cancer. In the multiple logistic regression, preference for salty foods (positively) and the consumption of seaweed (inversely) were independently related to both colon and rectal cancer risks,

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“…Since bivariate correlations between particular food groups and mortality from speci®c diseases over a total of only ten countries do not allow control for mutual confounding, likely to be generated by the inter-relations of the various food groups, we have used a composite score to summarise the postulated in¯uence of diet (including also smoking when needed). Composite scores are often used to describe the likely effects of total diet (Hjermann et al, 1981;Manousos et al 1983;Trichopoulou et al, 1995), and they are also employed in several other areas of clinical research (Alvarez M et al, 1998).…”

Section: Methodsmentioning

confidence: 99%

Household budget survey nutritional data in relation to mortality from coronary heart disease, colorectal cancer and female breast cancer in European countries

Λάγιου

Trichopoulou

Henderickx³

et al. 1999

Eur J Clin Nutr

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and 2 ± 10 See Appendix for af®liations and list of participants of the DAFNE I and II projects Objective: We have undertaken a study to examine whether Household Budget Survey (HBS)-derived nutritional patterns are related to mortality from diseases with strong nutritional components, namely coronary heart disease, colorectal cancer and cancer of the female breast. Design: Ecological correlation study. In the context of the Data Food Networking projects of the European Union, raw data from the national HBS of 10 European countries were provided. For each of the 10 participating countries, daily food availability per capita around 1990 was calculated. Individual foods were aggregated into 12 major food groups that were linked with the diseases under consideration. Mortality data were available from a World Health Organisation database. We have used a composite score to summarise the postulated in¯uence of diet. Setting: Ten European countries circa 1990. Results: The correlation coef®cients between the composite score and the age-adjusted mortality from each of the studied diseases were: 0.51 (P~0.14) for colorectal cancer; 0.72 (P~0.02) for female breast cancer; and 0.60 (P~0.07) for coronary heart disease, after adjustment for tobacco smoking. Conclusions: We conclude that dietary information from HBS is suf®ciently reliable to reveal correlations with mortality rates from chronic diseases with fairly strong nutritional roots. HBS data could be used, with little cost, for monitoring secular trends in dietary patterns with a view to their health implications. Sponsorship: The DAFNE I and II projects were funded by the European Commission, in the context of thè Cooperation in Science and Technology with Central and Eastern European Countries' and`Agriculture and

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Diet and colorectal cancer: A case‐control study in Greece

Cited by 290 publications

References 15 publications

Flavonoid classes and risk of peripheral arterial occlusive disease: a case–control study in Greece

Flavonoid classes and risk of peripheral arterial occlusive disease: a case–control study in Greece

A Case-Control Study of Colorectal Cancer and Its Relation to Diet, Cigarettes, and Alcohol Consumption in Saitama Prefecture, Japan.

Household budget survey nutritional data in relation to mortality from coronary heart disease, colorectal cancer and female breast cancer in European countries

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