Table 1. Summary of Findings.
Low grades were initially assigned to the included studies due to their observational nature. These initial grades were further downgraded for risk of bias due to inadequate control of confounding, short follow-up in some studies, and potential publication bias raised by detected small study effects. We upgraded the study when the observed effects were of considerable magnitude and showed a dose-response gradient.
| The association between attained height and colorectal cancer or adenoma risk. | ||||
|---|---|---|---|---|
| Patient population: colorectal cancer or adenoma Settings: community and hospital Risk factor: attained height | ||||
| Outcomes | Relative effect (95% CI) | No. of studies | Quality of the evidence (GRADE) | Comments |
| HR of colorectal cancer per 10-cm increase in height | HR 1.14 (1.11 to 1.17) | 19 | ⊕⊕⊝⊝ low |
Downgraded for: 1. Inadequate control of confounding, short follow-up in some studies 2. Small study effect Upgraded for: 1. Large magnitude of an effect 2. Dose-response gradient |
| OR of colorectal cancer per 10-cm increase in height | RR 1.09 (1.05 to 1.13) | 14 | ⊕⊕⊕⊝ moderate |
Downgraded for: 1. Inadequate control of confounding, short follow-up in some studies Upgraded for: 1. Large magnitude of an effect 2. Dose-response gradient |
| HR of colorectal cancer comparing highest vs. lowest height percentile | HR 1.24 (1.19 to 1.30) | 19 | ⊕⊕⊕⊝ moderate |
Downgraded for: 1. Inadequate control of confounding, short follow-up in some studies Upgraded for: 1. Large magnitude of an effect 2. Dose-response gradient |
| OR of colorectal cancer comparing highest vs. lowest height percentile | OR 1.07 (0.92 to 1.25) | 7 | ⊕⊝⊝⊝ very low |
Downgraded for: 1. Inadequate control of confounding, short follow-up in some studies; 2. Inconsistency of results across studies 3. Imprecision of overall estimate Upgraded for: 1. Dose-response gradient |
| OR of colorectal adenoma per 10-cm increase in height | OR 1.06 (1.00 to 1.12) | 4 | ⊕⊕⊝⊝ low |
Downgraded for: 1. Inadequate control of confounding, short follow-up in some studies Upgraded for: 1. Dose-response gradient |