Dietary intake and plasma phospholipid concentrations of saturated, monounsaturated and trans fatty acids and colorectal cancer risk in the EPIC cohort
File(s)Aglago_2021_ijc.33615.pdf (7.46 MB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Epidemiologic studies examining the association between specific fatty acids and colorectal cancer (CRC) risk are inconclusive. We investigated the association between dietary estimates and plasma levels of individual and total saturated (SFA), monounsaturated (MUFA), industrial‐processed trans (iTFA), and ruminant‐sourced trans (rTFA) fatty acids, and CRC risk in the European Prospective Investigation into Cancer and Nutrition (EPIC). Baseline fatty acid intakes were estimated in 450,112 participants (6,162 developed CRC, median follow‐up=15 years). In a nested case‐control study, plasma phospholipid fatty acids were determined by gas chromatography in 433 colon cancer cases and 433 matched controls. Multivariable‐adjusted hazard ratios (HRs) and odds ratios (ORs) with 95% confidence intervals (CIs) were computed using Cox and conditional logistic regression, respectively. Dietary total SFA (highest vs. lowest quintile, HRQ5vs.Q1=0.80; 95%CI:0.69‐0.92), myristic acid (HRQ5vs.Q1=0.83, 95%CI:0.74‐0.93) and palmitic acid (HRQ5vs.Q1=0.81, 95%CI:0.70‐0.93) were inversely associated with CRC risk. Plasma myristic acid was also inversely associated with colon cancer risk (highest vs. lowest quartile, ORQ4vs.Q1=0.51; 95%CI:0.32‐0.83), whereas a borderline positive association was found for plasma stearic acid (ORQ4vs.Q1=1.63; 95%CI:1.00‐2.64). Dietary total MUFA was inversely associated with colon cancer (per one‐standard deviation increment, HR1‐SD=0.92, 95%CI: 0.85‐0.98), but not rectal cancer (HR1‐SD=1.04, 95%CI:0.95‐1.15, Pheterogeneity=0.027). Dietary iTFA, and particularly elaidic acid, was positively associated with rectal cancer (HR1‐SD =1.07, 95%CI:1.02‐1.13). Our results suggest that total and individual saturated fatty acids and fatty acids of industrial origin may be relevant to the aetiology of CRC. Both dietary and plasma myristic acid levels were inversely associated with colon cancer risk, which warrants further investigation.
Date Issued
2021-04-28
Date Acceptance
2021-04-07
Citation
International Journal of Cancer, 2021, 149 (4), pp.865-882
ISSN
0020-7136
Publisher
Wiley
Start Page
865
End Page
882
Journal / Book Title
International Journal of Cancer
Volume
149
Issue
4
Copyright Statement
This article is protected by copyright. All rights reserved.
Identifier
https://onlinelibrary.wiley.com/doi/10.1002/ijc.33615
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
biomarker
colorectal cancer
dietary intake
fatty acids
2 SIDES
ASSOCIATION
COLON
DISEASE
LIPIDS
biomarker
colorectal cancer
dietary intake
fatty acids
Oncology & Carcinogenesis
1112 Oncology and Carcinogenesis
Publication Status
Published
Article Number
ijc.33615
Date Publish Online
2021-04-28