Imperial College London

Dr Doris SM Chan

Faculty of MedicineSchool of Public Health

Research Fellow in Nutrition
 
 
 
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Contact

 

+44 (0)20 7594 8590d.chan

 
 
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Location

 

School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Chan:2011:10.1371/journal.pone.0020456,
author = {Chan, DSM and Lau, R and Aune, D and Vieira, R and Greenwood, DC and Kampman, E and Norat, T},
doi = {10.1371/journal.pone.0020456},
journal = {PLoS ONE},
pages = {1--11},
title = {Red and processed meat and colorectal cancer incidence: meta-analysis of prospective studies},
url = {http://dx.doi.org/10.1371/journal.pone.0020456},
volume = {6},
year = {2011}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - BackgroundThe evidence that red and processed meat influences colorectal carcinogenesis was judged convincing in the 2007 World Cancer Research Fund/American Institute of Cancer Research report. Since then, ten prospective studies have published new results. Here we update the evidence from prospective studies and explore whether there is a non-linear association of red and processed meats with colorectal cancer risk.Methods and FindingsRelevant prospective studies were identified in PubMed until March 2011. For each study, relative risks and 95% confidence intervals (CI) were extracted and pooled with a random-effects model, weighting for the inverse of the variance, in highest versus lowest intake comparison, and dose-response meta-analyses. Red and processed meats intake was associated with increased colorectal cancer risk. The summary relative risk (RR) of colorectal cancer for the highest versus the lowest intake was 1.22 (95% CI =1.11−1.34) and the RR for every 100 g/day increase was 1.14 (95% CI =1.04−1.24). Non-linear dose-response meta-analyses revealed that colorectal cancer risk increases approximately linearly with increasing intake of red and processed meats up to approximately 140 g/day, where the curve approaches its plateau. The associations were similar for colon and rectal cancer risk. When analyzed separately, colorectal cancer risk was related to intake of fresh red meat (RR for 100 g/day increase =1.17, 95% CI =1.05−1.31) and processed meat (RR for 50 g/day increase =1.18, 95% CI =1.10−1.28). Similar results were observed for colon cancer, but for rectal cancer, no significant associations were observed.ConclusionsHigh intake of red and processed meat is associated with significant increased risk of colorectal, colon and rectal cancers. The overall evidence of prospective studies supports limiting red and processed meat consumption as one of the dietary recommendations for the prevention of colorectal cancer.
AU - Chan,DSM
AU - Lau,R
AU - Aune,D
AU - Vieira,R
AU - Greenwood,DC
AU - Kampman,E
AU - Norat,T
DO - 10.1371/journal.pone.0020456
EP - 11
PY - 2011///
SN - 1932-6203
SP - 1
TI - Red and processed meat and colorectal cancer incidence: meta-analysis of prospective studies
T2 - PLoS ONE
UR - http://dx.doi.org/10.1371/journal.pone.0020456
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000291356400005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR - http://hdl.handle.net/10044/1/48774
VL - 6
ER -