The Nutritional Intakes of the Colorectal Cancer Patients in Daegu, Kyungpook Area Korea

대구$\cdot$경북지역 대장직장암 환자의 식품 및 영양섭취상태

  • Suh Soo-Won (Department of Food Science and Nutrition, Kyungpook National University) ;
  • Koo Bo-Kyung (Department of Food Science and Nutrition, Kyungpook National University) ;
  • Jeon Su-Han (Department of General Surgery, School of Medicine, Kyungpook National University) ;
  • Lee Hye-Sung (Department of Food Science and Nutrition, Kyungpook National University)
  • 서수원 (경북대학교 식품영양학과) ;
  • 구보경 (경북대학교 식품영양학과) ;
  • 전수한 (경북대학교 의과대학 외과학교실) ;
  • 이혜성 (경북대학교 식품영양학과)
  • Published : 2005.11.01

Abstract

The present study was conducted to analyze the status of food and nutrients intakes of the colorectal cancer patients in the Daegu$\cdot$Kyungpook area and to find dietary risk factors related to the occurrence of colorectal cancer in this community. The case subjects (123) were selected from the patients recently diagnosed as colorectal cancer at Kyunrpook National University Hospital, the control subjects (182) were selected from the patients of the Department of Orthopedic Surgery at the same hospital and from the healthy volunteers who did not have any gastrointestinal diseases. The food consumption survey was done by individual interviews using semi-quantitative food kequency questionnaire and nutrients intakes were analysed by CAN program. The results of the study suggested that dietary factors which are speculated as the risk factors of colorectal cancer in Daegu$\cdot$Kyungpook area were high consumption of cereals and oils low consumption of fruits and mushrooms, high consumption of energy and fat, especially animal fat, low consumption of dietary fiber, high percentage of energy intake from cereals and potatoes, high intakes of protein, fat, vitamin A and cholesterol from egg, low intake of calcium from vegetables, and high intake of iron from meats and eggs. These findings might be useful for the nuation education to prevent colorectal cancer in the community. However it is recommended to conduct more extensive and systematic survey to reconfirm these dietary risk factors under taking into consideration of the dietary characteristics in this region.

Keywords

References

  1. Korea National Statistical office. Korea National Statistical office/ Cause of Death Statistics. http://www.nso.go.kr, 2005
  2. Kurt J Isselbaccher. Principles of Internal Medicine. pp. 1486-1487, 2001
  3. Digestive Disease Center. College of Medicine the Catholic University of Korea, Division of Gastroenterology, Hanwoori. pp. 135-136, 2001
  4. Kato I, Akhmedkhanov A, Koenig K, Toniolo PG, Shore RE, Riboli E. Prospective study of diet and female colorectal cancer: the New York University Women's Health Study. Nutrition Cancer 28(3): 276-281, 1997 https://doi.org/10.1080/01635589709514588
  5. Fernandez E, Chatenoud L, La Vecchia C, Negri E, Franceschi S. Fish consumption and cancer risk. Am J Clin Nutrition 70(1): 85-90, 1999
  6. Benito E, Obrador A, Stiggelbout A, Bosch FX, Mulet M, Munoz N, Kaldor J. A population-based case-control study of colorectal cancer in Majorca. I. Dietary factors. Int J Cancer 45 (1): 69-76, 1990 https://doi.org/10.1002/ijc.2910450114
  7. Kampman E, Verhoeven D, Sloots L, van't Veer P. Vegetable and animal products as determinants of colon cancer risk in Dutch men and women, Cancer Causes Control: CCC 6 (3): 225-234, 1995 https://doi.org/10.1007/BF00051794
  8. Hsing AW, McLaughlin JK, Chow WH, Schuman LM, Co Chien HT, Gridley G, Bjelke E, Wacholder S, Blot WJ. Risk factors for colorectal cancer in a prospective study among U.S. white men. Int J Cancer 77(4): 549-553, 1998 https://doi.org/10.1002/(SICI)1097-0215(19980812)77:4<549::AID-IJC13>3.0.CO;2-1
  9. Cronin KA, Krebs-Smith SM, Feuer EJ, Troiano RP, Ballard-Barbash R. Evaluating the impact of population changes in diet, physical activity, and weight status on population risk for colon cancer (United States). Cancer Causes Control: CCC 12(4): 305-316, 2001 https://doi.org/10.1023/A:1011244700531
  10. Howe GR, Aronson KJ, Benito E, Castelleto R, Cornee J, Duffy S, Gallagher RP, Iscovich JM, Dengao J, Kaaks R, Kune GA, Kune S, Lee HP, Lee M, Miller AB, Peters RK, Potter JD, Riboli E, Slattery ML, Trichopoulos D, Tuyns A, Tzonou A, Watson LF, Whittemore AS, Shu Z. The relationship between dietary fat intake and risk of colorectal cancer: evidence from the combined analysis of 13 case-control studies. Cancer Causes Control: CCC 8 (2): 215-228, 1997 https://doi.org/10.1023/A:1018476414781
  11. Reddy BS. Nutritional aspects of colon cancer, Progress In Food Nutrition Sci 9 (3-4): 257-282, 1985
  12. Sandler RS, Lyles CM, Peipins LA, McAuliffe CA, Woosley JT, Kupper LL. Diet and risk of colorectal adenomas: macronutrients, cholesterol, and fiber. J National Cancer Inst 85(11): 884-891, 1993 https://doi.org/10.1093/jnci/85.11.884
  13. Gerhardsson de Verdier M, Hagman U, Steineck G, Rieger A, Norell SE. Diet, body mass and colorectal cancer: a case-referent study in Stockholm. Int J Cancer 46(5): 832-838, 1990 https://doi.org/10.1002/ijc.2910460514
  14. Lubin F, Rozen P, Arieli B, Farbstein M, Knaani Y, Bat L, Farbstein H. Nutritional and lifestyle habits and water-fiber interaction in colorectal adenoma etiology. Cancer Epidemiology, Biomarkers & Prevention: a Publication of The American Association For Cancer Research, Cosponsored Am Soc Preventive Oncology 6(2): 79-85, 1997
  15. Baron JA, Tosteson TD, Wargovich MJ, Sandler R, Mandel J, Bond J, Haile R, Summers R, van Stolk R, Rothstein R. Calcium supplementation and rectal mucosa proliferation: a randomized controlled trial. J Natl Cancer Inst 87(17): 1303-1307, 1995 https://doi.org/10.1093/jnci/87.17.1303
  16. Martinez ME, Giovannucci EL, Colditz GA, Stampfer MJ, Hunter DJ, Speizer FE, Wing A, Willett WC. Calcium, vitamin D, and the occurrence of colorectal cancer among women. J National Cancer Inst 88(19): 1375-1382, 1996 https://doi.org/10.1093/jnci/88.19.1375
  17. Pritchard RS, Baron JA, Gerhardsson de Verdier M. Dietary calcium, vitamin D, and the risk of colorectal cancer in Stockholm, Sweden, Cancer Epidemiology, Biomarkers & Prevention: a Publication Of The American Association For Cancer Research, Cosponsored Am Soc Preventive Oncology 5(11): 897-900, 1996
  18. Peters RK, Pike MC, Garabrant D, Mack TM. Diet and colon cancer in Los Angeles county, California, Cancer Causes Control: CCC 3(5): 457-473, 1992 https://doi.org/10.1007/BF00051359
  19. Kampman E, Slattery ML, Caan B, Potter JD. Calcium, vitamin D, sunshine exposure, Dairy products and colon cancer risk (United States), Cancer Causes Control : CCC 11(5): 459-466 ,2000 https://doi.org/10.1023/A:1008914108739
  20. Wu K, Willett WC, Fuchs CS, Colditz GA, Giovannucci EL. Calcium intake and risk of colon cancer in women and men. J National Cancer Inst 94 (6): 437-446, 2002
  21. La Vecchia C, Braga C, Negri E, Franceschi S, Russo A, Conti E, Falcini F, Giacosa A, Montella M, Decarli A. Intake of selected micronutrients and risk of colorectal cancer, International Journal Of Cancer. J Int Du Cancer 73(4): 525-530, 1997 https://doi.org/10.1002/(SICI)1097-0215(19971114)73:4<525::AID-IJC12>3.0.CO;2-8
  22. Schloss I, Kidd, MS, Tichelaar HY, Young GO, O'Keefe SJ. Dietary factors associated with a low risk of colon cancer in coloured west coast fishermen. S Afr Med J 87(2): 152-158, 1997
  23. Ferraroni M, La Vecchia C, D'Avanzo B, Negri E, Franceschi S, Decarli A. Selected micronutrient intake and the risk of colorectal cancer. British J Cancer 70 (6): 1150-1155, 1994
  24. Montoya RG, Wargovich MJ. Chemoprevention of gastrointestinal cancer, Cancer Metastasis Rev 16(3-4): 405-419, 1997 https://doi.org/10.1023/A:1005820831902
  25. Baron JA, Sandler RS, Haile RW, Mandel JS, Mott LA, Greenberg ER. Folate intake, alcohol consumption, cigarette smoking, and risk of colorectal adenomas. J National Cancer Inst 90 (1): 57-62, 1998 https://doi.org/10.1093/jnci/90.1.57
  26. La Vecchia C, Negri E, Pelucchi C, Franceschi S. Dietary folate and colorectal cancer. Int J Cancer 102(5): 545-547, 2002 https://doi.org/10.1002/ijc.10720
  27. Potter JD, McMichael AJ. Diet and cancer of the colon and rectum: a case-control study. J National Cancer Inst 76 (4): 557-569, 1986
  28. Kune S, Kune G, Watson LF. Case control study of dietary etiological factors. The Melbourne Colorectal Cancer Study. Nutr Cancer 9: 21-42, 1987 https://doi.org/10.1080/01635588709513908
  29. Stemmermann GN, Nomura AM, Heilbrun LK. Dietary fat and the risk of colorectal cancer. Cancer Res 44(10): 4633-4637, 1984
  30. Sandler RS. Epidemiology and risk factors for colorectal cancer. Gastroenterology Clin North Am 25 (4): 717-735, 1996 https://doi.org/10.1016/S0889-8553(05)70271-5
  31. Levi F, Pasche C, Lucchini F, La Vecchia C. Macronutrients and colorectal cancer: a Swiss case-control study, Annals Of Oncology: Official J European Soc Med Oncology/ESMO 13(3): 369-373, 2002
  32. Franceschi S, La Vecchia C, Negri E, Decarli A, D'Avanzo B, Gallotti L, Gentile A. A case-control study of diet and colorectal cancer in northern Italy. Int J Cancer 41 (4): 492-498, 1998 https://doi.org/10.1002/ijc.2910410404
  33. Lee HS, Kim JC, Kim YI, Kim WH, Hong SC. Effects of colonic transit and metabolic changes on 1, 2-dimethylhydrazine-induced colonic carcinogenesis in rats fed on cellulose-containing Diet. J Korean Surg Soc 37 (5): 545-562, 1989
  34. Kim CJ, Choi JS, Park HS. Effect of dietary fiber and fat on tumor incidence and cell proliferation of colonic mucosa in DMH-treated rats. Korean J Nutrition 31 (4): 697-707, 1998
  35. Yang EJ, Kim WY. A study on dietary factors related to the incidence of stomach cancer and colon cancer in Korean. Korean J Nutrition 26(5): 603-614, 1993
  36. Park DK, Shin JH, Jun HJ, Kim KJ, Lee CY. Toxicity of acids on colon cancer cell lines. J Korean Cancer Assoc 31 (1): 126-133, 1999
  37. Park HS, Shin KJ. Biochemical studies on colon tumor non-Promoting effect of green tea extract in chemical carcinogen-treated rats. Korean J Nutrition 33 (6): 632-638, 2000
  38. Suh SW, Koo BK, Jeon SH, Lee HS. Analysis of dietary risk factors of the colorectal cancer patients in Daegu, Kyungpook area, Korea (I) -A Study on lifestyle and eating behaviors of the colorectal cancer patients. Korean J Nutrition 38 (2): 1-19, 2005
  39. Suh SW, Koo BK, Choi YH, Lee HS. Life-style and eating behaviors of the stomach cancer patients in Daegu and Kyungpook area in Korea. Korean J Nutrition 35 (3): 380-393, 2002
  40. Paik HY, Ryu JY, Choi JS, Ahn YJ, Moon HK, Park YS, Lee HK, Kim YI. Development and validation of food frequency questionnaire for dietary assessment of Korean adults in rural area. Korean J Nutrition 28 (9): 914-922, 1995
  41. Kim WY, Yang EJ. A study on development and validation of food frequency questionnaire for koreans. Korean J Nutrition 31 (2): 220-230, 1998
  42. Ministry of health and welfare. Analysis on 1998 National Health and Nutrition Survey, 1999
  43. Korean advanced food research institute. Food measurement with the eye, Seoul, 1988
  44. National Rural Living Science Institute, Food Composition Tables 6th Ed, 2001
  45. Slattery ML, Berry TD, Potter J, Caan B. Diet diversity, diet composition, and risk of colon cancer (United States). Cancer Causes Control 8 (6): 872-882, 1997 https://doi.org/10.1023/A:1018416412906
  46. Boutron-Ruault MC, Senesse P, Faivre J, Chatelain N, Belghiti C, Meance S. Foods as risk factors for colorectal cancer: a case-control study in Burgundy (France). Eur J Cancer Prev 8 (3): 229-235, 1999 https://doi.org/10.1097/00008469-199906000-00011
  47. Calza S, Ferraroni M, La Vecchia C, Franceschi S, Decarli A. Low-risk diet for colorectal cancer in Italy. Eur J Cancer Prev 10(6): 515-521, 2001 https://doi.org/10.1097/00008469-200112000-00006
  48. Chatenoud L, La Vecchia C, Franceschi S, Tavani A, Jacobs DR Jr, Parpinel MT, Soler M, Negri E. Refined-cereal intake and risk of selected cancers in italy. Am J Clin Nutrition 70(6): 1107-1110, 1999
  49. Le Marchand L, Hankin JH, Wilkens LR, Kolonel LN, Englyst HN, Lyu LC. Dietary fiber and colorectal cancer risk. Epidemiology (Cambridge, Mass) 8(6): 658-665, 1997
  50. Bidoli E, Franceschi S, Talamini R, Barra S, La Vecchia C. Food consumption and cancer of the colon and rectum in north-eastern Italy. Int J Cancer J Int Du Cancer 50 (2): 223-229, 1992
  51. Yoon JS, Yu KH, Ryu HK. Assessment of nutrients intake and evaluation of nutritional adequacy of adults living in Kyungpook area. J Korean Soc Food Sci Nutr 29 (4): 701-711, 2000
  52. Moshe S. Diet and lifestyle in the prevention of colorectal cancer: an overview. Am J Med 106(1): 11-15, 1999
  53. Peters RK, Pike MC, Garabrant D, Mack TM. Diet and colon cancer in Los Angeles County, California. Cancer Causes Control 3(5): 457-473, 1992 https://doi.org/10.1007/BF00051359
  54. Tang ZC, Shivapurkar N, Frost A, Alabaster O. The effect of dietary fat on the promotion of mammary and colon cancer in a dual-organ rat carcinogenesis model. Nutrition Cancer 25 (2): 151-159, 1996 https://doi.org/10.1080/01635589609514437
  55. Borugian MJ, Sheps SB, Whittemore AS, Wu AH, Potter JD, Gallagher RP. Carbohydrates and colorectal cancer risk among Chinese in North America, Cancer Epidemiology, Biomarkers & Prevention: a Publication Of The American Association For Cancer Research, Cosponsored Am Soc Preventive Oncology 11 (2): 187-193, 2002
  56. Franceschi S, Dal Maso L, Augustin L, Negri E, Parpinel M, Boyle P, Jenkins DJ, La Vecchia C. Dietary glycemic load and colorectal cancer risk. Annals Of Oncology: Official J European Soc Med Oncology/ESMO 12(2): 173-178, 2001
  57. Chyou PH, Nomura AM, Stemmermann GN. A prospective study of colon and rectal cancer among Hawaii Japanese men. Ann Epidemiology 6(4): 276-282 ,1996 https://doi.org/10.1016/S1047-2797(96)00047-6
  58. Paek JW, Koo BK, Kim KJ, Lee YK, Lee SK, Lee HS. Nutritional status of the long-lived elderly people in Kyungpook Sung-Ju area (1)-Estimation of Nutrients Intakes -. Korean J Nutrition 33 (4): 438-453, 2000
  59. Salonen JT, Salonen R, Penttila I, Herranen J, Jauhiainen M, Kantola M, Lappetelainen R, Maenpaa PH, Alfthan G, Puska P. Serum fatty acids, apolipoproteins, selenium and vitamin antioxidants and the risk of death from coronary artery disease, Am J Cardiology 56(4): 226-231, 1985 https://doi.org/10.1016/0002-9149(85)90839-2
  60. Clark LC, Combs GF Jr, Turnbull BW, Slate EH, Chalker DK, Chow J, Davis LS, Glover RA, Graham GF, Gross EG, Krongrad A, Lesher JL Jr, Park HK, Sanders BB Jr, Smith CL, Taylor JR. Effects of selenium supplementation for cancer prevention in patients with carcinoma of the skin. A randomized controlled trial. JAMA 276: 1957-1963, 1996 https://doi.org/10.1001/jama.276.24.1957
  61. El-Bayoumy K, Upadhyaya P, Date V, Sohn OS, Fiala ES, Reddy B. Metabolism of [14C] benzyl selenocyanate in the F344 rat. Chem Res Toxicol 4(5): 560-565, 1991 https://doi.org/10.1021/tx00023a012
  62. Nachum V, Nadir A. The role of nutrition and chemoprevention in colorectal cancer: from observations to expectations. Best Practice Res Clin Gastroenterology 16(2): 201-217, 2002 https://doi.org/10.1053/bega.2001.0281
  63. Moshe S. Diet and lifestyle in the prevention of colorectal cancer: an overview, Am J Med 106(1): 11-15, 1999
  64. Thun MJ, Calle EE, Namboodiri MM, Flanders WD, Coates RJ, Byers T, Boffetta P, Garfinkel L, Heath CW Jr. Risk factors for fatal colon cancer in a large prospective study, J National Cancer Inst 84(19): 1491-1500,1992 https://doi.org/10.1093/jnci/84.19.1491
  65. Glynn SA, Albanes D, Pietinen P, Brown CC, Rautalahti M, Tangrea JA, Taylor PR, Virtamo J. Alcohol consumption and risk of colorectal cancer in a cohort of Finnish men. Cancer Causes Control: CCC 7(2): 214-223, 1996 https://doi.org/10.1007/BF00051297
  66. Reddy BS. Nutritional factors and colon cancer. Critical Rev Food Sci Nutrition 35(3): 175-190, 1995 https://doi.org/10.1080/10408399509527698
  67. Giovannucci E, Stampfer MJ, Colditz G, Rimm EB, Willett WC. Relationship of diet to risk of colorectal adenoma in men. J Natl Cancer Inst 84(2): 91-98, 1992 https://doi.org/10.1093/jnci/84.2.91
  68. Fuchs CS, Wu K, Willett CS, Colditz GA, Giovannucci EL. Calcium intake and risk of colon cancer in women and men. J National Cancer Inst 94 (6): 437-446, 2002
  69. Choi MJ. Studies of nutrient intake and serum lipids level in adult women in Taegu. Korean J Nutrition 31 (4): 777-786, 1998
  70. Franceschi S, Barra S, Negri E, Guarneri S, La Vecchia C. Alcohol and colorectal cancer: a case-control study from northern Italy. Cancer Causes Control: CCC 3 (2): 153-159, 1992 https://doi.org/10.1007/BF00051655
  71. Whittemore AS, Wu-Williams AH, Lee M, Zheng S, Gallagher RP, Jiao DA, Zhou L, Wang XH, Chen KJ. Diet, physical activity, and colorectal cancer among Chinese in North America and China J National Cancer Inst 82(11): 915-926, 1990 https://doi.org/10.1093/jnci/82.11.915
  72. Yang G, Gao YT, Ji BT. A case-control study on colorectal cancer and dietary fiber and calcium of various sources. European Journal Of Cancer Prevention: Official J European Cancer Prevention Organization (ECP) 28(4): 195-198, 1994
  73. Le Marchand L, Hankin JH, Wilkens LR, Kolonel LN, Englyst HN, Lyu LC. Dietary fiber and colorectal cancer risk. Epidemiology (Cambridge, Mass) 8(6): 658-665, 1997
  74. Platz EA, Giovannucci E, Rimm EB, Rockett HR, Stampfer MJ, Colditz GA, Willett WC. Dietary fiber and distal colorectal adenoma in men, Cancer Epidemiology, Biomarkers & Prevention: a Publication Of The American Association For Cancer Research, Cosponsored Am Soc Preventive Oncology 6(9): 661-670, 1997
  75. Negri E, Braga C, La Vecchia C, Franceschi S, Filiberti R, Mon-tella M, Falcini F, Conti E, Talamini R. Family history of cancer and risk of colorectal cancer in Italy. British J Cancer 77 (1): 174-179, 1998
  76. Steinmetz KA, Potter JD. Food-group consumption and colon cancer in the adelaide case-control study I. Vegetables and fruit. Int J Cancer 53(5): 711-719, 1993 https://doi.org/10.1002/ijc.2910530502