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食用红肉类和加工肉类与结直肠癌风险的病例对照研究:在突尼斯人群中的研究。

The Consumption of Red and Processed Meat and The Risk of Colorectal Cancer: A Case-Control Study among the Tunisian Population.

出版信息

Tunis Med. 2020 Oct;98(10):726-729.

Abstract

INTRODUCTION

Colorectal cancer (CRC) is at present the third most common malignancy in the world. With changes in lifestyle its incidence and mortality have increased during last decades.

AIM

To explore the association between red meat, processed meat and risk of colorectal cancer.

METHODS

We performed a case-control study, conducted from February to March 2019 at Salah Azaiez institute. One hundred and two subjects were enrolled.

RESULTS

The case group included 52.9% males and 47.1% females. The control group enrolled 49%males and 51% females. The median age was 56 years old in the two groups. 63% of patients were stage I-III disease and 37% have a metastatic disease. The mean Body mass index was 24,76 Kg/m2 in CRC group was 27,39Kg/m2 in controls. CRC cases were more likely than controls to have a family history of CRC and a lower education level. There was a significant difference between cases and controls for socio-economic level and geographic origin. Ninety point two percent of cases and 76.5% of controls consume red meats, no significant association was observed between moderate red meat intake and colorectal cancer risk (p 0,063). However, a high total day meat consumption (> 100 g) was significantly associated with a high risk of CRC compared to low consumption ( <50 g) ( p=0.023). In contrast no significant association was observed when comparing all cooking methods of meet. 51% of cases and 23,5% of controls intake processed meats. Processed meat was positively associated with CRC (p 0,004).

CONCLUSION

Our findings suggest that higher consumptions of red meat, the consumption of industrially processed meat increased the risk of CRC.

摘要

简介

结直肠癌(CRC)目前是世界上第三大常见恶性肿瘤。随着生活方式的改变,在过去几十年中,其发病率和死亡率有所上升。

目的

探讨红色肉类和加工肉类与结直肠癌风险的关系。

方法

我们进行了一项病例对照研究,于 2019 年 2 月至 3 月在萨拉赫·阿扎伊兹研究所进行。共纳入 102 例患者。

结果

病例组中男性占 52.9%,女性占 47.1%。对照组中男性占 49%,女性占 51%。两组的中位年龄均为 56 岁。63%的患者为 I-III 期疾病,37%的患者为转移性疾病。CRC 组的平均体重指数为 24.76kg/m2,对照组为 27.39kg/m2。CRC 病例组比对照组更有可能有结直肠癌家族史和较低的教育水平。病例组和对照组在社会经济水平和地理来源方面存在显著差异。90.2%的病例组和 76.5%的对照组食用红色肉类,中等量红色肉类摄入与结直肠癌风险之间无显著相关性(p 0.063)。然而,与低摄入量(<50g)相比,高总日肉类摄入量(>100g)与 CRC 风险显著相关(p=0.023)。相比之下,比较所有肉类烹饪方法时,没有观察到显著相关性。51%的病例组和 23.5%的对照组食用加工肉类。加工肉类与 CRC 呈正相关(p 0.004)。

结论

我们的研究结果表明,较高的红色肉类消费,食用工业化加工肉类会增加 CRC 的风险。

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