Table 2.
Meat intake and colorectal cancer risk, by cancer site and MSI status
| Cancer site | MMR status | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Colorectal Cancer | Colon cancer | Rectal cancer | MMR-proficient | MMR-deficient | |||||||||||||
| Meat variables (g/1000 kcal/day) | CO/CA | OR1 | 95% CI | Cases | OR1 | 95% CI | Cases | OR1 | 95% CI | Het P | Cases | OR1 | 95% CI | Cases | OR1 | 95% CI | Het P |
| Total nonprocessed red meat | |||||||||||||||||
| Q1:0–10.81 | 702/633 | 1.0REF | 396 | 1.0REF | 151 | 1.0REF | 171 | 1.0REF | 47 | 1.0REF | |||||||
| Q2:10.81–16.04 | 700/644 | 1.0 | 0.9–1.2 | 380 | 1.1 | 0.9–1.3 | 168 | 1.0 | 0.8–1.3 | 152 | 0.8 | 0.6–1.0 | 47 | 0.9 | 0.6–1.4 | ||
| Q3:16.04–21.11 | 700/707 | 1.2 | 1.0–1.4 | 429 | 1.2 | 1.0–1.5 | 199 | 1.3 | 1.0–1.6 | 201 | 1.0 | 0.8–1.3 | 53 | 1.1 | 0.7–1.7 | ||
| Q4:21.12–28.19 | 701/680 | 1.2 | 1.0–1.4 | 396 | 1.2 | 1.0–1.4 | 187 | 1.1 | 0.8–1.4 | 179 | 0.8 | 0.7–1.1 | 47 | 1.0 | 0.6–1.5 | ||
| Q5:28.19–102.43 | 701/686 | 1.2 | 1.0–1.4 | 391 | 1.2 | 0.9–1.4 | 202 | 1.2 | 0.9–1.5 | 173 | 0.8 | 0.6–1.0 | 49 | 1.0 | 0.6–1.7 | ||
| Ptrend | 0.085 | 0.152 | 0.315 | 0.781 | 0.104 | 0.835 | 0.265 | ||||||||||
| Beef | |||||||||||||||||
| Q1:0–7.69 | 702/687 | 1.0REF | 436 | 1.0REF | 155 | 1.0REF | 167 | 1.0REF | 42 | 1.0REF | |||||||
| Q2:7.7–11.49 | 699/652 | 1.0 | 0.9–1.2 | 377 | 0.9 | 0.8–1.1 | 185 | 1.2 | 0.9–1.5 | 165 | 0.9 | 0.7–1.1 | 54 | 1.2 | 0.8–1.9 | ||
| Q3:11.49–15.08 | 701/654 | 1.0 | 0.9–1.2 | 396 | 1.0 | 0.8–1.2 | 174 | 1.1 | 0.8–1.4 | 171 | 0.9 | 0.7–1.1 | 46 | 1.0 | 0.7–1.6 | ||
| Q4:15.09–20.06 | 701/672 | 1.1 | 0.9–1.3 | 400 | 1.1 | 0.9–1.3 | 184 | 1.1 | 0.9–1.4 | 192 | 0.9 | 0.7–1.2 | 55 | 1.3 | 0.8–2.0 | ||
| Q5:20.08–83.77 | 701/685 | 1.1 | 0.9–1.3 | 383 | 1.0 | 0.8–1.2 | 209 | 1.2 | 0.9–1.6 | 181 | 0.9 | 0.7–1.1 | 46 | 1.0 | 0.7–1.7 | ||
| Ptrend | 0.289 | 0.593 | 0.252 | 0.292 | 0.414 | 0.968 | 0.759 | ||||||||||
| Pork | |||||||||||||||||
| Q1:0–1.32 | 702/617 | 1.0REF | 383 | 1.0REF | 154 | 1.0REF | 159 | 1.0REF | 50 | 1.0REF | |||||||
| Q2:1.32–3.01 | 700/641 | 1.0 | 0.9–1.2 | 388 | 1.0 | 0.8–1.2 | 163 | 1.0 | 0.8–1.3 | 180 | 1.0 | 0.8–1.3 | 50 | 1.0 | 0.6–1.4 | ||
| Q3:3.01–4.84 | 701/660 | 1.1 | 0.9–1.2 | 383 | 1.0 | 0.9–1.2 | 178 | 1.1 | 0.8–1.3 | 160 | 0.9 | 0.7–1.1 | 49 | 1.0 | 0.6–1.5 | ||
| Q4:4.85–7.44 | 701/743 | 1.2 | 1.0–1.4 | 440 | 1.2 | 1.0–1.4 | 207 | 1.2 | 0.9–1.5 | 195 | 1.0 | 0.8–1.3 | 53 | 1.0 | 0.7–1.6 | ||
| Q5:7.44–49.62 | 700/689 | 1.1 | 1.0–1.3 | 398 | 1.1 | 0.9–1.3 | 205 | 1.1 | 0.9–1.5 | 182 | 0.9 | 0.7–1.2 | 41 | 0.9 | 0.6–1.4 | ||
| Ptrend | 0.069 | 0.224 | 0.133 | 0.562 | 0.585 | 0.714 | 0.837 | ||||||||||
| Organ meat | |||||||||||||||||
| Q1:0–0 | 1124/884 | 1.0REF | 554 | 1.0REF | 206 | 1.0REF | 250 | 1.0REF | 79 | 1.0REF | |||||||
| Q2:0–0 | 278/282 | 1.2 | 1.0–1.4 | 152 | 1.1 | 0.8–1.4 | 91 | 1.4 | 1.0–1.9 | 91 | 1.1 | 0.8–1.5 | 20 | 0.9 | 0.5–1.5 | ||
| Q3:0–0 | 700/650 | 1.1 | 1.0–1.3 | 382 | 1.1 | 0.9–1.3 | 176 | 1.3 | 1.0–1.6 | 178 | 1.0 | 0.8–1.3 | 49 | 1.0 | 0.7–1.5 | ||
| Q4:0–0.02 | 701/755 | 1.0 | 0.9–1.2 | 431 | 0.9 | 0.8–1.1 | 233 | 1.4 | 1.1–1.7 | 181 | 0.9 | 0.7–1.2 | 38 | 0.8 | 0.5–1.2 | ||
| Q5:0.02–0.64 | 701/779 | 1.2 | 1.0–1.4 | 473 | 1.2 | 1.0–1.4 | 201 | 1.3 | 1.0–1.6 | 176 | 1.0 | 0.8–1.3 | 57 | 1.1 | 0.7–1.6 | ||
| Ptrend | 0.058 | 0.02 | 0.47 | 0.215 | 0.708 | 0.346 | 0.205 | ||||||||||
| Processed red meat | |||||||||||||||||
| Q1:0–3.97 | 701/592 | 1.0REF | 347 | 1.0REF | 152 | 1.0REF | 151 | 1.0REF | 46 | 1.0REF | |||||||
| Q2:3.97–6.74 | 701/659 | 1.1 | 0.9–1.2 | 411 | 1.2 | 1.0–1.4 | 155 | 0.9 | 0.7–1.2 | 154 | 0.9 | 0.7–1.2 | 64 | 1.3 | 0.9–2.0 | ||
| Q3:6.75–9.53 | 701/618 | 1.0 | 0.8–1.2 | 368 | 1.0 | 0.9–1.3 | 165 | 0.9 | 0.7–1.2 | 157 | 0.9 | 0.7–1.1 | 41 | 0.9 | 0.5–1.3 | ||
| Q4:9.53–13.86 | 701/688 | 1.1 | 0.9–1.3 | 396 | 1.1 | 0.9–1.3 | 220 | 1.2 | 0.9–1.5 | 202 | 1.1 | 0.8–1.4 | 39 | 0.8 | 0.5–1.3 | ||
| Q5:13.87–122.42 | 700/793 | 1.1 | 1.0–1.4 | 470 | 1.2 | 1.0–1.5 | 215 | 1.0 | 0.8–1.4 | 212 | 1.1 | 0.8–1.4 | 53 | 1.1 | 0.7–1.8 | ||
| Ptrend | 0.105 | 0.092 | 0.277 | 0.733 | 0.136 | 0.929 | 0.34 | ||||||||||
| Sausage and lunchmeats | |||||||||||||||||
| Q1:0–0.08 | 702/582 | 1.0REF | 350 | 1.0REF | 142 | 1.0REF | 138 | 1.0REF | 44 | 1.0REF | |||||||
| Q2:0.08–0.14 | 700/657 | 1.1 | 0.9–1.3 | 395 | 1.1 | 0.9–1.4 | 169 | 1.1 | 0.8–1.4 | 148 | 1.0 | 0.7–1.3 | 58 | 1.3 | 0.8–1.9 | ||
| Q3:0.14–0.22 | 701/706 | 1.2 | 1.0–1.4 | 409 | 1.2 | 1.0–1.4 | 190 | 1.1 | 0.9–1.5 | 194 | 1.2 | 1.0–1.6 | 56 | 1.2 | 0.8–1.9 | ||
| Q4:0.22–0.32 | 700/654 | 1.0 | 0.9–1.2 | 396 | 1.1 | 0.9–1.3 | 195 | 1.1 | 0.9–1.5 | 179 | 1.1 | 0.8–1.4 | 40 | 0.9 | 0.6–1.4 | ||
| Q5:0.32–3.86 | 701/751 | 1.2 | 1.0–1.4 | 442 | 1.2 | 1.0–1.4 | 211 | 1.2 | 0.9–1.5 | 217 | 1.3 | 1.0–1.7 | 45 | 1.0 | 0.6–1.6 | ||
| Ptrend | 0.187 | 0.177 | 0.231 | 0.86 | 0.029 | 0.408 | 0.069 | ||||||||||
| Poultry | |||||||||||||||||
| Q1:0–7.86 | 702/634 | 1.0REF | 372 | 1.0REF | 183 | 1.0REF | 173 | 1.0REF | 55 | 1.0REF | |||||||
| Q2:7.86–11.86 | 700/642 | 1.0 | 0.9–1.2 | 384 | 1.1 | 0.9–1.3 | 166 | 0.9 | 0.7–1.1 | 192 | 1.1 | 0.9–1.4 | 63 | 1.2 | 0.8–1.7 | ||
| Q3:11.86–16.73 | 701/687 | 1.0 | 0.9–1.2 | 393 | 1.0 | 0.9–1.2 | 189 | 1.0 | 0.8–1.2 | 183 | 1.0 | 0.8–1.3 | 49 | 0.9 | 0.6–1.4 | ||
| Q4:16.73–24.66 | 701/664 | 1.0 | 0.8–1.2 | 396 | 1.0 | 0.8–1.2 | 180 | 0.9 | 0.7–1.2 | 165 | 0.9 | 0.7–1.2 | 43 | 0.8 | 0.5–1.2 | ||
| Q5:24.67–230.97 | 700/723 | 0.9 | 0.8–1.1 | 447 | 1.0 | 0.8–1.2 | 189 | 0.9 | 0.7–1.1 | 163 | 0.9 | 0.7–1.2 | 33 | 0.6 | 0.4–1.0 | ||
| Ptrend | 0.362 | 0.46 | 0.485 | 0.807 | 0.368 | 0.017 | 0.151 | ||||||||||
| Processed poultry | |||||||||||||||||
| Q1:0–0.04 | 702/590 | 1.0REF | 353 | 1.0REF | 160 | 1.0REF | 142 | 1.0REF | 43 | 1.0REF | |||||||
| Q2:0.04–0.15 | 701/646 | 1.1 | 0.9–1.2 | 362 | 1 | 0.9–1.2 | 188 | 1.1 | 0.8–1.4 | 161 | 1.0 | 0.8–1.3 | 60 | 1.4 | 0.9–2.1 | ||
| Q3:0.15–0.63 | 701/698 | 1.1 | 0.9–1.3 | 407 | 1.1 | 0.9–1.3 | 186 | 1.1 | 0.8–1.3 | 184 | 1.2 | 0.9–1.5 | 48 | 1.1 | 0.7–1.7 | ||
| Q4:0.63–1.65 | 699/657 | 1.0 | 0.8–1.1 | 395 | 1.0 | 0.8–1.2 | 166 | 0.9 | 0.7–1.1 | 182 | 1.1 | 0.9–1.4 | 45 | 1.0 | 0.7–1.6 | ||
| Q5:1.65–37.93 | 701/759 | 1.1 | 1.0–1.3 | 475 | 1.2 | 1.0–1.4 | 207 | 1.1 | 0.9–1.4 | 207 | 1.3 | 1.0–1.6 | 47 | 1.0 | 0.7–1.6 | ||
| Ptrend | 0.339 | 0.055 | 0.794 | 0.214 | 0.046 | 0.548 | 0.166 | ||||||||||
| Total processed meats (red meat + poultry) | |||||||||||||||||
| Q1:0–4.43 | 702/593 | 1.0REF | 346 | 1.0REF | 155 | 1.0REF | 146 | 1.0REF | 44 | 1.0REF | |||||||
| Q2:4.43–7.35 | 700/643 | 1.1 | 0.9–1.2 | 395 | 1.2 | 1.0–1.4 | 159 | 0.9 | 0.7–1.2 | 154 | 1.0 | 0.8–1.3 | 58 | 1.3 | 0.8–1.9 | ||
| Q3:7.36–10.62 | 701/640 | 1.0 | 0.9–1.2 | 383 | 1.1 | 0.9–1.3 | 165 | 0.9 | 0.7–1.1 | 161 | 0.9 | 0.7–1.2 | 53 | 1.1 | 0.7–1.8 | ||
| Q4:10.63–15.29 | 701/654 | 1.0 | 0.8–1.2 | 385 | 1.1 | 0.9–1.3 | 200 | 1.0 | 0.8–1.3 | 197 | 1.1 | 0.9–1.4 | 36 | 0.8 | 0.5–1.3 | ||
| Q5:15.29–152.04 | 700/820 | 1.2 | 1.0–1.4 | 483 | 1.3 | 1.0–1.5 | 228 | 1.1 | 0.8–1.4 | 218 | 1.2 | 0.9–1.5 | 52 | 1.2 | 0.7–1.8 | ||
| Ptrend | 0.054 | 0.05 | 0.2 | 0.715 | 0.052 | 0.942 | 0.249 | ||||||||||
CO, controls; CA, cases; MMR, mismatch repair; MSI, microsatellite instability; Het P:P-value of test of heterogeneity.
OR adjusted for age (years, continuous), BMI (<25, 25.0–29.9, ≥30), gender, race (NHW, AA, Asian and others), saturated fat (g/1000 kcal/day), dietary fiber (g/1000 kcal/day), center, vegetables (g/1000 kcal/day), physical activity (h/week, continuous), and total calorie intake (kcal/day, continuous).