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. 2023 Nov 13;21(11):e08353. doi: 10.2903/j.efsa.2023.8353

TABLE 9.

Outcome of the systematic search on folate and risk of colorectal cancer (sQ3b).

LoE Endpoints RCTs PCs/NCCs
LoE1. Standalone (main) Incidence/recurrence of CRC 1

34

P/S folate: 14

RBC folate: 2 a

P/S UFA: 2 b

Dietary intake of FA/folate: 23 c

LoE2. Standalone (surrogate) Incidence/recurrence of colorectal adenomas 7 d

7

P/S folate: 2

RBC folate: 0

P/S UFA: 0

Dietary intake of FA/folate: 5

Abbreviations: CRC, colorectal cancer; FA, folic acid; LoE, line of evidence; NCC, nested case–control; P/S, plasma/serum; PC, prospective cohort; RBC, red blood cell; RCT, randomised controlled trial; UFA, Unmetabolised folic acid

a

The two studies assessing RBC also assessed P/S folate.

b

One study assessing UFA also assessed P/S folate.

c

Three studies assessing dietary intake of folate also assessed P/S folate.

d

Three papers (Cole et al., 2007; Figueiredo et al., 2008; Passarelli et al., 2019) addressed the AFPPS trial.