Grundy Anne, Poirier Abbey E, Khandwala Farah, McFadden Alison, Friedenreich Christine M, Brenner Darren R
Department of Cancer Epidemiology and Prevention Research (Grundy, Poirier, Khandwala, McFadden, Friedenreich, Brenner), CancerControl Alberta, Alberta Health Services; Department of Oncology (Friedenreich, Brenner), Cumming School of Medicine, University of Calgary; Department of Community Health Sciences (Friedenreich, Brenner), Cumming School of Medicine, University of Calgary, Calgary, Alta.
CMAJ Open. 2016 Dec 13;4(4):E768-E775. doi: 10.9778/cmajo.20160036. eCollection 2016 Oct-Dec.
Consumption of red and processed meats has been associated with an increased risk of colorectal cancer. The purpose of this study was to estimate the proportion and absolute number of cancers in Alberta in 2012 that could be attributed to the consumption of red and processed meat.
The number and proportion of colorectal cancers in Alberta that were attributable to red and processed meat consumption were estimated using population attributable risk. Relative risks were obtained from the World Cancer Research Fund's 2011 Continuous Update Project on Colorectal Cancer, and the prevalence of red and processed meat consumption was estimated using dietary data from Alberta's Tomorrow Project. Age- and sex-specific colorectal cancer incidence data for 2012 were obtained from the Alberta Cancer Registry.
Among participants in Alberta's Tomorrow Project, 41%-61% of men and 14%-25% of women consumed more than 500 g of red and processed meat per week, which exceeds World Cancer Research Fund cancer prevention guidelines. For red meat consumption, population attributable risks for colorectal cancer were substantially higher for men (13.6%-17.9%) than for women (1.6%-2.1%). For processed meat consumption, the population attributable risks were also higher for men (3.2%-4.8%) than for women (1.5%-2.1%). Overall, about 12% of colorectal cancers, or 1.5% of all cancers, in Alberta in 2012 were attributable to the consumption of red and processed meat.
Red and processed meat consumption is estimated to acount for about 12% of colorectal cancers in Alberta. Decreasing its consumption has the potential to reduce to Alberta's cancer burden.
食用红肉和加工肉类与结直肠癌风险增加有关。本研究的目的是估计2012年艾伯塔省可归因于红肉和加工肉类消费的癌症比例及绝对数量。
使用人群归因风险来估计艾伯塔省可归因于红肉和加工肉类消费的结直肠癌数量及比例。相对风险数据来自世界癌症研究基金会2011年结直肠癌持续更新项目,红肉和加工肉类消费的流行率则根据艾伯塔省明日项目的饮食数据进行估计。2012年特定年龄和性别的结直肠癌发病数据来自艾伯塔癌症登记处。
在艾伯塔省明日项目的参与者中,41%-61%的男性和14%-25%的女性每周食用超过500克的红肉和加工肉类,这超过了世界癌症研究基金会的癌症预防指南。对于红肉消费,男性结直肠癌的人群归因风险(13.6%-17.9%)显著高于女性(1.6%-2.1%)。对于加工肉类消费,男性的人群归因风险(3.2%-4.8%)也高于女性(1.5%-2.1%)。总体而言,2012年艾伯塔省约12%的结直肠癌,即所有癌症的1.5%,可归因于红肉和加工肉类的消费。
据估计,在艾伯塔省,红肉和加工肉类消费约占结直肠癌病例的12%。减少其消费量有可能减轻该省的癌症负担。