Mafiana Rose N, Al Lawati Ahmed S, Waly Mostafa I, Al Farsi Yahya, Al Kindi Maimouna, Al Moundhri Mansour
Department of Pharmacy, College of Medicine and Health Sciences, Sultan Qaboos University Hospital, Oman. Email:
Asian Pac J Cancer Prev. 2018 Nov 29;19(11):3117-3122. doi: 10.31557/APJCP.2018.19.11.3117.
Background: Colorectal cancer (CRC) represents a heterogeneous group of diseases characterized by uncontrolled growth and spread of abnormal cells in the body. CRC vary on the basis of both the biologic features of the disease and its associated lifestyle characteristics. The risk of CRC increases with several modifiable factors including obesity, physical inactivity, a diet high in red or processed meat, heavy alcohol consumption, and possibly inadequate intake of fruits and vegetables. We aimed to establish a baseline data for dietary and lifestyle characteristics of Omani adults diagnosed with CRC. Methods: A Case control study conducted at Sultan Qaboos University Hospital, a referral hospital for CRC patients in Oman, and included 279 subjects (109 diagnosed CRC cases and 170 matched controls). All study subjects were recruited on volunteer basis and personally interviewed for preset questions related to sociodemographic data, anthropometric assessment, dietary intake and physical activity. Results: There was no significant difference between cases and controls regarding smoking, alcohol intake, physical activity and dietary fiber intake. However the enrolled cases were more overweight (OR =3.27. 95% CI: 1.91, 7.27), and, had a higher caloric (p =0.001) and macronutrient intake (carbohydrate: p = 0.001; protein: p = 0.017; saturated fat: P = 0.034) than the controls. In addition, the dietary pattern of the cases was characterized by a trend towards low vegetables and fruits intake. Conclusion: CRC maybe prevented through dietary management of high risk groups. This primary prevention approach will ultimately reduce the burden of CRC in Oman.
结直肠癌(CRC)是一组异质性疾病,其特征是体内异常细胞不受控制地生长和扩散。CRC在疾病的生物学特征及其相关的生活方式特征方面存在差异。CRC的风险会随着多种可改变的因素而增加,包括肥胖、缺乏体育锻炼、高红肉或加工肉类饮食、大量饮酒,以及可能的水果和蔬菜摄入不足。我们旨在建立阿曼被诊断患有CRC的成年人的饮食和生活方式特征的基线数据。方法:在阿曼CRC患者的转诊医院苏丹卡布斯大学医院进行了一项病例对照研究,纳入了279名受试者(109名确诊的CRC病例和170名匹配的对照)。所有研究对象均基于自愿招募,并就社会人口统计学数据、人体测量评估、饮食摄入和体育活动等预设问题进行了个人访谈。结果:病例组和对照组在吸烟、饮酒、体育活动和膳食纤维摄入方面没有显著差异。然而,纳入的病例组超重情况更多(OR = 3.27,95%CI:1.91,7.27),并且热量(p = 0.001)和常量营养素摄入量(碳水化合物:p = 0.001;蛋白质:p = 0.017;饱和脂肪:P = 0.034)均高于对照组。此外,病例组的饮食模式特点是蔬菜和水果摄入量有偏低的趋势。结论:通过对高危人群进行饮食管理,可能预防CRC。这种一级预防方法最终将减轻阿曼CRC的负担。