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. 2023 Nov 13;21(11):e08353. doi: 10.2903/j.efsa.2023.8353
Reference Study name Country Study design Follow‐up Funding Original cohort (N total) Exclusion criteria Study population Ascertainment of outcome Exposure groups n/person‐years Exposure assessment method Incident cases Model covariates Results

Martínez et al. (2004)

WBF

US

RCT analysed as PC

3 yrs

Mixed

N = 1429

Population sampled: 40–80 yrs who had had ≥1 colorectal adenoma measuring ≥3 mm removed at colonoscopy within 3 months before study entry were recruited

Exclusion criteria: subjects with a personal history of inflammatory bowel disease or hereditary colon cancer syndromes as well as those with more than one first‐degree family member with CRC

% lost to follow‐up: 8.8%

N = 1014

Sex (% women): 30%

Age (mean ± SD): 65,275 ± 8.95

Data on adenoma characteristics (i.e. number, size, location, histology) were obtained from medical records and pathology

reports as previously reported

FFQ was used for the dietary intake and plasma folate was analysed by using the Bio‐Rad Quantaphase II Radioassay

Unit of measurement Plasma folate (nmol/L)

Q1: <5.02

Q2: 5.02–8.19

Q3: 8.20–12.75

Q4: >12.75

Total folate intake (μg/d), mean:

Q1: <275

Q2: 275–414

Q3: 415–664

Q4: >664

Energy‐adjusted: no

Incident recurrence/ without recurrence

Q1: 133/254

Q2: 115/254

Q3: 128/253

Q4: 119/253

Dietary folate:

Q1: 121/254

Q2: 129/253

Q3: 124/254

Q4: 121/253

Total folate intake:

Q1: 137/254

Q2: 126/253

Q3: 119/254

Q4: 113/253

Adjusted for age, sex, number of colonoscopies, history of polyps before baseline examination.

OR (95% CI)

Plasma folate vs. adenoma recurrence

Q1 (ref): 1.00

Q2: 0.61 (0.42, 0.89)

Q3: 0.79 (0.54, 1.15)

Q4: 0.66 (0.46, 0.97)

p for trend: 0.04

Total folate intake vs. adenoma recurrence

Q1 (ref): 1.00

Q2: 0.75 (0.52, 1.09)

Q3: 0.71 (0.48, 1.03)

Q4: 0.61 (0.42, 0.89)

p for trend: 0.01

Abbreviations: CI, Confidence Interval; CRC, Colorectal Cancer; OR, Odds ratio; PC, Prospective cohort; RCT, Randomised controlled trial; SD, Standard deviation; WBF, Wheat Bran Fibre Trial; yrs, Years.