Risk factors for young-onset colorectal cancer
- PMID: 23224326
- DOI: 10.1007/s10552-012-0119-3
Risk factors for young-onset colorectal cancer
Abstract
Purpose: We investigated risk factors for colorectal cancer in early-onset cancers, to provide quantitative estimates for major selected risk factors.
Methods: We analyzed data from three Italian and Swiss case-control studies conducted between 1985 and 2009, including 329 colorectal cancer cases and 1,361 controls aged ≤45 years. We computed odds ratios (ORs) from unconditional logistic regression models, adjusted for major confounding factors.
Results: The OR of young-onset colorectal cancer was 4.50 for family history of colorectal cancer in first-degree relatives, the association being higher in subjects with affected siblings (OR 11.68) than parents (OR 3.75). The ORs of young-onset colorectal cancer were 1.56 for ≥14 drinks/week of alcohol, 1.56 for the highest tertile of processed meat, 0.40 for vegetables, 0.75 for fruit, and 0.78 for fish intake. Among micronutrients, the ORs were 0.52 for β-carotene, 0.68 for vitamin C, 0.38 for vitamin E, and 0.59 for folate. No significant associations emerged for physical activity, overweight, and diabetes.
Conclusions: This study-the largest on young-onset colorectal cancer-confirms that several recognized risk factors for colorectal cancer are also relevant determinants of young-onset colorectal cancer. Family history of colorectal cancer in particular is a stronger risk factor in young subjects, as compared to middle age and elderly ones.
Similar articles
-
Diabetes mellitus and colorectal cancer risk.Cancer Epidemiol Biomarkers Prev. 1997 Dec;6(12):1007-10. Cancer Epidemiol Biomarkers Prev. 1997. PMID: 9419395
-
Proanthocyanidins and the risk of colorectal cancer in Italy.Cancer Causes Control. 2010 Feb;21(2):243-50. doi: 10.1007/s10552-009-9455-3. Epub 2009 Dec 10. Cancer Causes Control. 2010. PMID: 20012183
-
Attributable risks for colorectal cancer in northern Italy.Int J Cancer. 1996 Mar 28;66(1):60-4. doi: 10.1002/(SICI)1097-0215(19960328)66:1<60::AID-IJC11>3.0.CO;2-F. Int J Cancer. 1996. PMID: 8608968
-
Oral contraceptive use and risk of colorectal cancer.Epidemiology. 1998 May;9(3):295-300. Epidemiology. 1998. PMID: 9583422
-
Energy intake, overweight, physical exercise and colorectal cancer risk.Eur J Cancer Prev. 1999 Dec;8 Suppl 1:S53-60. Eur J Cancer Prev. 1999. PMID: 10772419 Review.
Cited by
-
Sporadic colorectal cancer in adolescents and young adults: a scoping review of a growing healthcare concern.Int J Colorectal Dis. 2020 Aug;35(8):1413-1421. doi: 10.1007/s00384-020-03660-5. Epub 2020 Jun 15. Int J Colorectal Dis. 2020. PMID: 32556652 Free PMC article. Review.
-
Nongenetic Determinants of Risk for Early-Onset Colorectal Cancer.JNCI Cancer Spectr. 2021 May 20;5(3):pkab029. doi: 10.1093/jncics/pkab029. eCollection 2021 Jun. JNCI Cancer Spectr. 2021. PMID: 34041438 Free PMC article.
-
Distributions and Trends of the Global Burden of Colorectal Cancer Attributable to Dietary Risk Factors over the Past 30 Years.Nutrients. 2023 Dec 30;16(1):132. doi: 10.3390/nu16010132. Nutrients. 2023. PMID: 38201962 Free PMC article.
-
Comparison of the incidence of colorectal cancer in young adults between the USA and Europe.Gut. 2020 Aug;69(8):1540-1542. doi: 10.1136/gutjnl-2019-319391. Epub 2019 Jul 31. Gut. 2020. PMID: 31366454 Free PMC article. No abstract available.
-
Alarming recent rises in early-onset colorectal cancer.Cancer. 2022 Jan 15;128(2):230-233. doi: 10.1002/cncr.33919. Epub 2021 Sep 16. Cancer. 2022. PMID: 34529834 Free PMC article. No abstract available.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical