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Pooled analyses of 13 prospective cohort studies on folate intake and colon cancer

Kim, Dong-Hyun (author)
Hallym Univ, Dept Social & Prevent Med, Coll Med, Chunchon, South Korea.
Smith-Warner, Stephanie A. (author)
Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA.;Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA.
Spiegelman, Donna (author)
Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA.;Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA.
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Yaun, Shiaw-Shyuan (author)
Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA.
Colditz, Graham A. (author)
Washington Univ, Sch Med, Inst Publ Hlth, St Louis, MO USA.
Freudenheim, Jo L. (author)
SUNY Buffalo, Dept Social & Prevent Med, Buffalo, NY 14260 USA.
Giovannucci, Edward (author)
Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA.;Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA.;Brigham & Womens Hosp, Channing Lab, Dept Med, Boston, MA 02115 USA.;Harvard Univ, Sch Med, Boston, MA USA.
Goldbohm, R. Alexandra (author)
TNO Qual Life, Dept Prevent & Hlth, Leiden, Netherlands.
Graham, Saxon (author)
SUNY Buffalo, Dept Social & Prevent Med, Buffalo, NY 14260 USA.
Harnack, Lisa (author)
Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA.
Jacobs, Eric J. (author)
Amer Canc Soc, Atlanta, GA 30329 USA.
Leitzmann, Michael (author)
Univ Regensburg, Inst Epidemiol & Prevent Med, Regensburg, Germany.
Mannisto, Satu (author)
Natl Publ Hlth Inst, Dept Hlth Promot & Chron Dis Prevent, Helsinki, Finland.
Miller, Anthony B. (author)
Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada.
Potter, John D. (author)
Fred Hutchinson Canc Res Ctr, Div Publ Hlth Serv, Seattle, WA 98104 USA.
Rohan, Thomas E. (author)
Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA.
Schatzkin, Arthur (author)
NCI, Nutr Epidemiol Branch, Div Canc Epidemiol & Genet, NIH,DHHS, Bethesda, MD 20892 USA.
Speizer, Frank E. (author)
Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02115 USA.;Brigham & Womens Hosp, Channing Lab, Dept Med, Boston, MA 02115 USA.;Harvard Univ, Sch Med, Boston, MA USA.
Stevens, Victoria L. (author)
Amer Canc Soc, Atlanta, GA 30329 USA.
Stolzenberg-Solomon, Rachael (author)
Terry, Paul (author)
Emory Univ, Dept Epidemiol, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA.
Toniolo, Paolo (author)
NYU, Dept Environm Med, New York, NY 10016 USA.
Weijenberg, Matty P. (author)
Maastricht Univ, Dept Epidemiol, Sch Oncol & Dev Biol GROW, Maastricht, Netherlands.
Willett, Walter C. (author)
Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA.;Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA.;Brigham & Womens Hosp, Channing Lab, Dept Med, Boston, MA 02115 USA.;Harvard Univ, Sch Med, Boston, MA USA.
Wolk, Alicja (author)
Karolinska Institutet
Zeleniuch-Jacquotte, Anne (author)
NYU, Dept Environm Med, New York, NY 10016 USA.
Hunter, David J. (author)
Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA.;Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA.;Brigham & Womens Hosp, Channing Lab, Dept Med, Boston, MA 02115 USA.;Harvard Univ, Sch Med, Boston, MA USA.
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Hallym Univ, Dept Social & Prevent Med, Coll Med, Chunchon, South Korea Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA.;Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA. (creator_code:org_t)
2010-09-05
2010
English.
In: Cancer Causes and Control. - : SPRINGER. - 0957-5243 .- 1573-7225. ; 21:11, s. 1919-1930
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Studies of folate intake and colorectal cancer risk have been inconsistent. We examined the relation with colon cancer risk in a series of 13 prospective studies. Study- and sex-specific relative risks (RRs) were estimated from the primary data using Cox proportional hazards models and then pooled using a random-effects model. Among 725,134 participants, 5,720 incident colon cancers were diagnosed during follow-up. The pooled multivariate RRs (95% confidence interval [CI]) comparing the highest vs. lowest quintile of intake were 0.92 (95% CI 0.84-1.00, p-value, test for between-studies heterogeneity = 0.85) for dietary folate and 0.85 (95% CI 0.77-0.95, p-value, test for between-studies heterogeneity = 0.42) for total folate. Results for total folate intake were similar in analyses using absolute intake cutpoints (pooled multivariate RR = 0.87, 95% CI 0.78-0.98, comparing a parts per thousand yen560 mcg/days vs. < 240 mcg/days, p-value, test for trend = 0.009). When analyzed as a continuous variable, a 2% risk reduction (95% CI 0-3%) was estimated for every 100 mu g/day increase in total folate intake. These data support the hypothesis that higher folate intake is modestly associated with reduced risk of colon cancer.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Keyword

Colon cancer
Folate
Cohort studies
Meta-analysis
Pooled analysis

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