Higher Freshwater Fish and Sea Fish Intake is Inversely Associated with Colorectal Cancer Risk Among Chinese Population: a Case-control Study

Overview

Journal Sci Rep

Specialty Science

Date 2015 Aug 13

PMID 26264963

Citations 9

Authors

Ming Xu

Yu-Jing Fang

Yu-Ming Chen

Min-Shan Lu

Zhi-Zhong Pan

Bo Yan

Xiao Zhong

Cai-Xia Zhang

Affiliations

Soon will be listed here.

Abstract

The association between specific fish intake and colorectal cancer risk remains controversial. This study aimed to examine the association between specific fish intake and colorectal cancer risk in Chinese population in a large case control study. During July 2010 to November 2014, 1189 eligible colorectal cancer cases and 1189 frequency-matched controls (age and sex) completed in-person interviews. A validated food frequency questionnaire was used to estimate dietary intake. Multivariate logistical regression models were used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) after adjusting for various confounders. A strong inverse association was found between freshwater fish intake and colorectal cancer risk. Compared with the lowest quartile, the highest quartile intake showed a risk reduction of 53% (OR 0.47, 95% CI = 0.36-0.60, Ptrend < 0.01) after adjustment for various confounders. The inverse association were also observed for sea fish (OR 0.79, 95%CI = 0.62-0.99, Ptrend < 0.01) and fresh fish (OR 0.49, 95%CI = 0.38-0.62, Ptrend < 0.01). No statistically significant association was found between dried/salted fish and shellfish intake and colorectal cancer risk. These results indicate that higher consumption of freshwater fish, sea fish and fresh fish is associated with a lower risk of colorectal caner.

Citing Articles

Mediation role of body mass index in the relationship between food-specific serum immunoglobulin G reactivity and colorectal adenomas in a Chinese population: a cross-sectional study.

Sun G, Ma X, Xu S, Su B, Chen Q, Dong X Therap Adv Gastroenterol. 2024; 17:17562848241307601.

PMID: 39717539 PMC: 11664519. DOI: 10.1177/17562848241307601.

Comparing the Associations of Dietary Patterns Identified through Principal Component Analysis and Cluster Analysis with Colorectal Cancer Risk: A Large Case-Control Study in China.

Ma T, Tu K, Ou Q, Fang Y, Zhang C Nutrients. 2024; 16(1).

PMID: 38201975 PMC: 10780506. DOI: 10.3390/nu16010147.

Geographical Distribution of Colorectal Cancer in Southwestern Iran Between Years 2011 and 2019.

Rostami C, Feyzmanesh A, Karimi A, Daliri S Turk J Gastroenterol. 2023; 34(10):998-1005.

PMID: 37681264 PMC: 10645291. DOI: 10.5152/tjg.2023.22666.

Fish consumption in multiple health outcomes: an umbrella review of meta-analyses of observational and clinical studies.

Zhao H, Wang M, Peng X, Zhong L, Liu X, Shi Y Ann Transl Med. 2023; 11(3):152.

PMID: 36845999 PMC: 9951006. DOI: 10.21037/atm-22-6515.

Inverse Association between Canned Fish Consumption and Colorectal Cancer Risk: Analysis of Two Large Case-Control Studies.

Franchi C, Ardoino I, Bosetti C, Negri E, Serraino D, Crispo A Nutrients. 2022; 14(8).

PMID: 35458225 PMC: 9025960. DOI: 10.3390/nu14081663.

References

Yang C, Takezaki T, Hirose K, Inoue M, Huang X, Tajima K . Fish consumption and colorectal cancer: a case-reference study in Japan. Eur J Cancer Prev. 2003; 12(2):109-15. DOI: 10.1097/00008469-200304000-00004. View

Chiu B, Ji B, Dai Q, Gridley G, McLaughlin J, Gao Y . Dietary factors and risk of colon cancer in Shanghai, China. Cancer Epidemiol Biomarkers Prev. 2003; 12(3):201-8. View

Slattery M, Neuhausen S, Hoffman M, Caan B, Curtin K, Ma K . Dietary calcium, vitamin D, VDR genotypes and colorectal cancer. Int J Cancer. 2004; 111(5):750-6. DOI: 10.1002/ijc.20330. View

Kobayashi M, Tsubono Y, Otani T, Hanaoka T, Sobue T, Tsugane S . Fish, long-chain n-3 polyunsaturated fatty acids, and risk of colorectal cancer in middle-aged Japanese: the JPHC study. Nutr Cancer. 2004; 49(1):32-40. DOI: 10.1207/s15327914nc4901_5. View

Scanlan R . Formation and occurrence of nitrosamines in food. Cancer Res. 1983; 43(5 Suppl):2435s-2440s. View

Tomita I, Kinae N, Nakamura Y, Takenaka H, Kanamori H, Hashizume H . Mutagenicity of various Japanese foodstuffs treated with nitrite. II. Directly-acting mutagens produced from N-containing compounds in foodstuffs. IARC Sci Publ. 1984; (57):33-41. View

Tajima K, Tominaga S . Dietary habits and gastro-intestinal cancers: a comparative case-control study of stomach and large intestinal cancers in Nagoya, Japan. Jpn J Cancer Res. 1985; 76(8):705-16. View

Reddy B, Maruyama H . Effect of dietary fish oil on azoxymethane-induced colon carcinogenesis in male F344 rats. Cancer Res. 1986; 46(7):3367-70. View

Hou H, She Y, Ma Y, Hu C, Zheng M, Zhang S . Investigations on methyl mercury contamination of fishes in the Second Songhua River. Biomed Environ Sci. 1988; 1(1):79-82. View

10.

Poirier S, Bouvier G, Malaveille C, Ohshima H, Shao Y, Hubert A . Volatile nitrosamine levels and genotoxicity of food samples from high-risk areas for nasopharyngeal carcinoma before and after nitrosation. Int J Cancer. 1989; 44(6):1088-94. DOI: 10.1002/ijc.2910440625. View

11.

Germann P, Ernst H, Kohler M, Kamino K, Mohr U . Colon adenocarcinomas in European hamsters after application of N-nitroso-bis 2-oxypropyl-amine. Cancer Lett. 1991; 56(1):53-8. DOI: 10.1016/0304-3835(91)90193-l. View

12.

Willett W, Howe G, Kushi L . Adjustment for total energy intake in epidemiologic studies. Am J Clin Nutr. 1997; 65(4 Suppl):1220S-1228S; discussion 1229S-1231S. DOI: 10.1093/ajcn/65.4.1220S. View

13.

Kato I, Akhmedkhanov A, Koenig K, Toniolo P, Shore R, Riboli E . Prospective study of diet and female colorectal cancer: the New York University Women's Health Study. Nutr Cancer. 1997; 28(3):276-81. DOI: 10.1080/01635589709514588. View

14.

Ip C . Lessons from basic research in selenium and cancer prevention. J Nutr. 1998; 128(11):1845-54. DOI: 10.1093/jn/128.11.1845. View

15.

Knekt P, Jarvinen R, Dich J, Hakulinen T . Risk of colorectal and other gastro-intestinal cancers after exposure to nitrate, nitrite and N-nitroso compounds: a follow-up study. Int J Cancer. 1999; 80(6):852-6. DOI: 10.1002/(sici)1097-0215(19990315)80:6<852::aid-ijc9>3.0.co;2-s. View

16.

Nakata H, Hirakawa Y, Kawazoe M, Nakabo T, Arizono K, Abe S . Concentrations and compositions of organochlorine contaminants in sediments, soils, crustaceans, fishes and birds collected from Lake Tai, Hangzhou Bay and Shanghai city region, China. Environ Pollut. 2004; 133(3):415-29. DOI: 10.1016/j.envpol.2004.07.003. View

17.

Chao A, Thun M, Connell C, McCullough M, Jacobs E, Flanders W . Meat consumption and risk of colorectal cancer. JAMA. 2005; 293(2):172-82. DOI: 10.1001/jama.293.2.172. View

18.

Norat T, Bingham S, Ferrari P, Slimani N, Jenab M, Mazuir M . Meat, fish, and colorectal cancer risk: the European Prospective Investigation into cancer and nutrition. J Natl Cancer Inst. 2005; 97(12):906-16. PMC: 1913932. DOI: 10.1093/jnci/dji164. View

19.

Connelly-Frost A, Poole C, Satia J, Kupper L, Millikan R, Sandler R . Selenium, apoptosis, and colorectal adenomas. Cancer Epidemiol Biomarkers Prev. 2006; 15(3):486-93. DOI: 10.1158/1055-9965.EPI-05-0759. View

20.

Xu A, Jiang B, Zhong X, Yu Z, Liu J . [The trend of clinical characteristics of colorectal cancer during the past 20 years in Guangdong province]. Zhonghua Yi Xue Za Zhi. 2006; 86(4):272-5. View