Dietary intake of total polyphenol and polyphenol classes and the risk of colorectal cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort
File(s)
Author(s)
Type
Journal Article
Abstract
Polyphenols may play a chemopreventive role in colorectal cancer (CRC); however, epidemiological evidence supporting a role for intake of individual polyphenol classes, other than flavonoids is insufficient. We evaluated the association between dietary intakes of total and individual classes and subclasses of polyphenols and CRC risk and its main subsites, colon and rectum, within the European Prospective Investigation into Cancer and Nutrition (EPIC) study. The cohort included 476,160 men and women from 10 European countries. During a mean follow-up of 14 years, there were 5991 incident CRC cases, of which 3897 were in the colon and 2094 were in the rectum. Polyphenol intake was estimated using validated centre/country specific dietary questionnaires and the Phenol-Explorer database. In multivariable-adjusted Cox regression models, a doubling in total dietary polyphenol intake was not associated with CRC risk in women (HRlog2 = 1.06, 95% CI 0.99-1.14) or in men (HRlog2 = 0.97, 95% CI 0.90-1.05), respectively. Phenolic acid intake, highly correlated with coffee consumption, was inversely associated with colon cancer in men (HRlog2 = 0.91, 95% CI 0.85-0.97) and positively associated with rectal cancer in women (HRlog2 = 1.10, 95% CI 1.02-1.19); although associations did not exceed the Bonferroni threshold for significance. Intake of other polyphenol classes was not related to colorectal, colon or rectal cancer risks. Our study suggests a possible inverse association between phenolic acid intake and colon cancer risk in men and positive with rectal cancer risk in women.
Date Issued
2018-11-01
Date Acceptance
2018-05-04
ISSN
0393-2990
Publisher
Springer Verlag
Start Page
1063
End Page
1075
Journal / Book Title
European Journal of Epidemiology
Volume
33
Issue
11
Copyright Statement
© Springer Science+Business Media B.V., part of Springer Nature 2018. The final publication is available at Springer via https://link.springer.com/article/10.1007%2Fs10654-018-0408-6
Source Database
pubmed
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29761424
10.1007/s10654-018-0408-6
Subjects
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Polyphenols
Intake
Diet
Colorectal cancer
Prospective cohort
EPIC
COFFEE CONSUMPTION
FLAVONOID INTAKE
GUT MICROBIOTA
TEA
METAANALYSIS
ASSOCIATION
COUNTRIES
EPIDEMIOLOGY
METABOLOME
BIOMARKERS
Colorectal cancer
Diet
EPIC
Intake
Polyphenols
Prospective cohort
Adult
Aged
Coffee
Cohort Studies
Colorectal Neoplasms
Europe
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nutrition Assessment
Polyphenols
Prospective Studies
Surveys and Questionnaires
Tea
Humans
Colorectal Neoplasms
Nutrition Assessment
Cohort Studies
Follow-Up Studies
Prospective Studies
Coffee
Tea
Adult
Aged
Middle Aged
Europe
Female
Male
Polyphenols
Surveys and Questionnaires
Colorectal cancer
Diet
EPIC
Intake
Polyphenols
Prospective cohort
1117 Public Health and Health Services
Epidemiology
Publication Status
Published
Country
Netherlands
Date Publish Online
2018-05-15