Table 2.
Quintile of intakea |
P-Trend |
P-heterogeneity between subsitesc |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Q1b | Q2 | Q3 | Q4 | Q5 | |||||||
|
|||||||||||
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | ||||
Red meat (unprocessed), g/1,000 kcal | |||||||||||
Total colorectal cancer | |||||||||||
No. of cases | 184 | 217 | 184 | 231 | 173 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.31 | 0.99, 1.75 | 1.15 | 0.86, 1.53 | 1.48 | 1.11, 1.97 | 1.14 | 0.85, 1.54 | 0.478 | __ |
Multivariabled | 1 | 1.24 | 0.92, 1.67 | 1.05 | 0.78, 1.43 | 1.38 | 1.03, 1.86 | 1.02 | 0.75, 1.40 | 0.975 | __ |
Colon cancere | |||||||||||
No. of cases | 139 | 146 | 127 | 162 | 119 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.18 | 0.86, 1.62 | 1.09 | 0.79, 1.50 | 1.44 | 1.05, 1.97 | 1.11 | 0.80, 1.54 | 0.437 | __ |
Multivariable | 1 | 1.12 | 0.81, 1.55 | 1.00 | 0.72, 1.40 | 1.34 | 0.97, 1.86 | 1.00 | 0.71, 1.40 | 0.865 | __ |
Rectal cancer | |||||||||||
No. of cases | 42 | 71 | 55 | 67 | 54 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.83 | 1.19, 2.83 | 1.41 | 0.90, 2.21 | 1.72 | 1.11, 2.67 | 1.37 | 0.87, 2.16 | 0.608 | 0.493 |
Multivariable | 1 | 1.72 | 1.10, 2.68 | 1.28 | 0.81, 2.03 | 1.61 | 1.02, 2.52 | 1.21 | 0.76, 1.94 | 0.997 | 0.544 |
Proximal colon cancerf | |||||||||||
No. of cases | 78 | 93 | 89 | 94 | 62 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.42 | 0.97, 2.07 | 1.47 | 1.01, 2.16 | 1.63 | 1.11, 2.38 | 1.16 | 0.77, 1.74 | 0.637 | __ |
Multivariable | 1 | 1.38 | 0.94, 2.03 | 1.41 | 0.95, 2.08 | 1.58 | 1.07, 2.33 | 1.09 | 0.72, 1.65 | 0.888 | __ |
Distal colon cancer | |||||||||||
No. of cases | 54 | 50 | 32 | 66 | 51 | ||||||
Age-, sex-, and energy-adjusted | 1 | 0.96 | 0.62, 1.48 | 0.63 | 0.39, 1.02 | 1.28 | 0.84, 1.94 | 0.99 | 0.64, 1.54 | 0.514 | 0.547 |
Multivariable | 1 | 0.89 | 0.57, 1.39 | 0.56 | 0.34, 0.92 | 1.15 | 0.75, 1.77 | 0.86 | 0.55, 1.35 | 0.944 | 0.457 |
Red meat (processed), g/1,000 kcal | |||||||||||
Red meat (processed), g/1,000 kcalTotal colorectal cancer | |||||||||||
No. of cases | 170 | 181 | 195 | 218 | 225 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.12 | 0.83, 1.50 | 1.26 | 0.94, 1.69 | 1.37 | 1.02, 1.83 | 1.49 | 1.11, 2.00 | 0.007 | __ |
Multivariable | 1 | 0.99 | 0.73, 1.34 | 1.09 | 0.81, 1.49 | 1.18 | 0.87, 1.61 | 1.18 | 0.87, 1.62 | 0.223 | __ |
Total colon cancer | |||||||||||
No. of cases | 125 | 120 | 142 | 149 | 157 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.01 | 0.73, 1.41 | 1.28 | 0.93, 1.76 | 1.31 | 0.95, 1.81 | 1.48 | 1.07, 2.05 | 0.009 | __ |
Multivariable | 1 | 0.91 | 0.65, 1.28 | 1.13 | 0.81, 1.57 | 1.15 | 0.82, 1.61 | 1.21 | 0.86, 1.70 | 0.157 | __ |
Total rectal cancer | |||||||||||
No. of cases | 42 | 59 | 53 | 68 | 67 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.48 | 0.95, 2.30 | 1.33 | 0.85, 2.10 | 1.61 | 1.03, 2.49 | 1.62 | 1.04, 2.53 | 0.089 | 0.685 |
Multivariable | 1 | 1.28 | 0.81, 2.01 | 1.12 | 0.70, 1.79 | 1.35 | 0.86, 2.13 | 1.22 | 0.77, 1.95 | 0.613 | 0.919 |
Proximal colon cancer | |||||||||||
No. of cases | 83 | 70 | 85 | 74 | 104 | ||||||
Age-, sex-, and energy-adjusted | 1 | 0.89 | 0.60, 1.31 | 1.18 | 0.81, 1.72 | 1.01 | 0.68, 1.49 | 1.62 | 1.11, 2.35 | 0.003 | __ |
Multivariable | 1 | 0.80 | 0.54, 1.19 | 1.06 | 0.72, 1.57 | 0.90 | 0.60, 1.34 | 1.33 | 0.89, 1.97 | 0.044 | __ |
Distal colon cancer | |||||||||||
No. of cases | 36 | 46 | 51 | 72 | 48 | ||||||
Age-, sex-, and energy-adjusted | 1 | 1.29 | 0.80, 2.09 | 1.46 | 0.91, 2.34 | 1.96 | 1.25, 3.08 | 1.34 | 0.83, 2.18 | 0.347 | 0.461 |
Multivariable | 1 | 1.16 | 0.71, 1.89 | 1.27 | 0.79, 2.07 | 1.72 | 1.08, 2.74 | 1.09 | 0.66, 1.81 | 0.920 | 0.603 |
Poultry (unprocessed), g/1,000 kcal | |||||||||||
Poultry (unprocessed), g/1,000 kcalTotal colorectal cancer | |||||||||||
No. of cases | 301 | 211 | 188 | 160 | 129 | ||||||
Age-, sex-, and energy-adjusted | 1 | 0.76 | 0.58, 0.99 | 0.72 | 0.55, 0.94 | 0.62 | 0.47, 0.82 | 0.56 | 0.42, 0.75 | <0.001 | __ |
Multivariable | 1 | 0.77 | 0.59, 1.02 | 0.79 | 0.59, 1.04 | 0.63 | 0.47, 0.85 | 0.62 | 0.46, 0.84 | 0.003 | __ |
Total colon cancer | |||||||||||
No. of cases | 217 | 148 | 128 | 105 | 95 | ||||||
Age-, sex-, and energy-adjusted | 1 | 0.76 | 0.56, 1.01 | 0.71 | 0.53, 0.96 | 0.59 | 0.43, 0.81 | 0.62 | 0.45, 0.86 | 0.004 | __ |
Multivariable | 1 | 0.77 | 0.57, 1.04 | 0.77 | 0.56, 1.05 | 0.60 | 0.44, 0.84 | 0.68 | 0.48, 0.95 | 0.023 | __ |
Total rectal cancer | |||||||||||
No. of cases | 79 | 61 | 60 | 55 | 34 | ||||||
Age-, sex-, and energy-adjusted | 1 | 0.80 | 0.54, 1.18 | 0.81 | 0.54, 1.19 | 0.73 | 0.49, 1.08 | 0.49 | 0.31, 0.77 | 0.003 | 0.255 |
Multivariable | 1 | 0.83 | 0.56, 1.24 | 0.91 | 0.60, 1.37 | 0.77 | 0.51, 1.18 | 0.56 | 0.35, 0.90 | 0.022 | 0.379 |
Proximal colon cancer | |||||||||||
No. of cases | 138 | 99 | 71 | 62 | 46 | ||||||
Age-, sex-, and energy-adjusted | 1 | 0.81 | 0.58, 1.14 | 0.65 | 0.45, 0.93 | 0.58 | 0.40, 0.84 | 0.51 | 0.34, 0.77 | <0.001 | __ |
Multivariable | 1 | 0.83 | 0.59, 1.16 | 0.70 | 0.48, 1.01 | 0.59 | 0.40, 0.87 | 0.56 | 0.37, 0.85 | 0.003 | __ |
Distal colon cancer | |||||||||||
No. of cases | 70 | 45 | 54 | 40 | 44 | ||||||
Age-, sex-, and energy-adjusted | 1 | 0.68 | 0.44, 1.03 | 0.85 | 0.56, 1.27 | 0.63 | 0.40, 0.97 | 0.75 | 0.49, 1.17 | 0.310 | 0.108 |
Multivariable | 1 | 0.67 | 0.44, 1.04 | 0.89 | 0.58, 1.36 | 0.62 | 0.39, 0.98 | 0.80 | 0.51, 1.26 | 0.469 | 0.209 |
Poultry (processed), g/1,000 kcal g | |||||||||||
Total colorectal cancer | |||||||||||
No. of cases | 316 | 337 | 336 | ||||||||
Age-, sex-, and energy-adjusted | 1 | 0.87 | 0.70, 1.09 | 0.90 | 0.72, 1.12 | 0.603 | __ | ||||
Multivariable | 1 | 0.88 | 0.70, 1.11 | 0.94 | 0.75, 1.19 | 0.938 | __ | ||||
Total colon cancer | |||||||||||
No. of cases | 219 | 233 | 241 | ||||||||
Age-, sex-, and energy-adjusted | 1 | 0.89 | 0.70, 1.14 | 0.96 | 0.75, 1.23 | 0.926 | __ | ||||
Multivariable | 1 | 0.90 | 0.70, 1.16 | 0.99 | 0.77, 1.28 | 0.580 | __ | ||||
Total rectal cancer | |||||||||||
No. of cases | 95 | 102 | 92 | ||||||||
Age-, sex-, and energy-adjusted | 1 | 0.83 | 0.60, 1.15 | 0.76 | 0.54, 1.05 | 0.160 | 0.139 | ||||
Multivariable | 1 | 0.85 | 0.61, 1.18 | 0.82 | 0.58, 1.14 | 0.752 | 0.199 | ||||
Proximal colon cancer | |||||||||||
No. of cases | 133 | 145 | 138 | ||||||||
Age-, sex-, and energy-adjusted | 1 | 0.96 | 0.71, 1.28 | 0.95 | 0.70, 1.28 | 0.801 | __ | ||||
Multivariable | 1 | 0.97 | 0.72, 1.30 | 0.96 | 0.70, 1.30 | 0.829 | __ | ||||
Distal colon cancer | |||||||||||
No. of cases | 78 | 76 | 99 | ||||||||
Age-, sex-, and energy-adjusted | 1 | 0.77 | 0.54, 1.10 | 1.01 | 0.72, 1.42 | 0.409 | 0.955 | ||||
Multivariable | 1 | 0.78 | 0.54, 1.11 | 1.07 | 0.76, 1.52 | 0.245 | 0.873 |
Quintiles of intake were as follows: unprocessed red meat (g/1,000 kcal), quintile 1 (< 8.7), quintile 2 (8.7-14.5), quintile 3 (14.6-22.6), quintile 4 (22.7-35.6), quintile 5 (> 35.6); processed red meat (g/1,000 kcal), quintile 1 (< 2.8), quintile 2 (2.8-5.5), quintile 3 (5.6-9.4), quintile 4 (9.5-17.6), quintile 5 (> 17.6); unprocessed poultry (g/1000 kcal), quintile 1 (< 4.5), quintile 2 (4.5-9.0), quintile 3 (9.1-14.9), quintile 4 (15.0-26.2), quintile 5 (> 26.2); processed poultry (g/1000 kcal), tertile 1 (0), tertile 2 (0.1-0.9), tertile 3(> 1.0).
Referent quintile.
Effect heterogeneity was evaluated between colon and rectal cancer and proximal and distal colon cancer.
ORs were adjusted for age, sex, body mass index, past regular NSAID use, and intakes of total energy and fruits and vegetables. Unprocessed and processed red meat both were adjusted for total poultry intake; unprocessed and processed poultry both adjusted for total red meat.
7 cases lacked anatomical subsite information.
24 cases had colon cancer in overlapping sites or not otherwise specified colon sites.
Processed poultry was categorized into tertiles, with zero consumption as the referent group, due to smaller intake ranges and more than 20 percent zero values.