Department of Family Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 682-714, South Korea.
World J Gastroenterol. 2011 Sep 21;17(35):4031-7. doi: 10.3748/wjg.v17.i35.4031.
To investigate relationships between colorectal adenoma incidence, metabolic syndrome (MS) components and lifestyle factors.
We conducted a retrospective cohort study using data from individuals who had multiple sigmoidoscopies for colon cancer at the Health Promotion Center of Ulsan University Hospital in Korea from 1998 to 2007.
By multivariate analysis, the incidence of distal colon adenoma was increased by more than 1.76 times in individuals with at least one component of MS compared to those without a component of MS. After adjustment for age, gender, smoking, drinking, and physical exercise, only high body mass index (BMI) was significantly associated with the incidence of distal colon adenoma (Hazard ratio 1.66, 95% confidence interval 1.05-2.62).
Our results suggest that high BMI may increase the risk of colorectal adenoma in Korean adults.
探讨结直肠腺瘤发病率、代谢综合征(MS)成分与生活方式因素之间的关系。
我们使用韩国蔚山大学医院健康促进中心在 1998 年至 2007 年间对因结肠癌多次进行乙状结肠镜检查的个体的数据进行了回顾性队列研究。
通过多变量分析,与无 MS 成分的个体相比,至少存在一种 MS 成分的个体远端结肠腺瘤的发病率增加了 1.76 倍以上。在调整年龄、性别、吸烟、饮酒和体育锻炼后,只有高体重指数(BMI)与远端结肠腺瘤的发病率显著相关(危险比 1.66,95%置信区间 1.05-2.62)。
我们的结果表明,高 BMI 可能会增加韩国成年人结直肠腺瘤的风险。