Wong Martin Cs, Ding Hanyue, Wang Jingxuan, Chan Paul Sf, Huang Junjie
Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Intest Res. 2019 Jul;17(3):317-329. doi: 10.5217/ir.2019.00021. Epub 2019 May 20.
Globally, colorectal cancer (CRC) is a substantial public health burden, and it is increasingly affecting populations in Asian countries. The overall prevalence of CRC is reported to be low in Asia when compared with that in Western nations, yet it had the highest number of prevalent cases. This review described the prevalence of CRC in Asia according to the International Agency for Research on Cancer from World Health Organization (WHO) database and summarized its major risk factors. Non-modifiable factors include genetic factors, ethnicity, age, gender, family history and body height; smoking, alcohol drinking, weight, Westernized diet, physical inactivity, chronic diseases and microbiota were involved in environmental factors. These risk factors were separately discussed in this review according to published literature from Asian countries. CRC screening has been playing an important role in reducing its disease burden. Some recommendations on its screening practices have been formulated in guidelines for Asia Pacific countries.
在全球范围内,结直肠癌(CRC)是一项重大的公共卫生负担,并且它对亚洲国家人群的影响日益增加。据报道,与西方国家相比,亚洲CRC的总体患病率较低,但亚洲的患病例数却是最多的。本综述根据世界卫生组织(WHO)数据库中国际癌症研究机构的数据描述了亚洲CRC的患病率,并总结了其主要危险因素。不可改变的因素包括遗传因素、种族、年龄、性别、家族史和身高;吸烟、饮酒、体重、西式饮食、身体活动不足、慢性病和微生物群属于环境因素。本综述根据亚洲国家已发表的文献分别讨论了这些危险因素。CRC筛查在减轻其疾病负担方面一直发挥着重要作用。亚太国家的指南中已针对其筛查实践制定了一些建议。