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Nutr Cancer ; 69(2): 238-247, 2017.
Article in English | MEDLINE | ID: mdl-28094571

ABSTRACT

No studies have evaluated the association between the dietary inflammatory index (DII) and colorectal adenoma recurrence. DII scores were calculated from a baseline food frequency questionnaire. Participants (n = 1727) were 40-80 years of age, enrolled in two Phase III clinical trials, who had ≥1 colorectal adenoma(s) removed within 6 months of study registration, and a follow-up colonoscopy during the trial. Multiple logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs). No statistically significant associations were found between DII and odds of colorectal adenoma recurrence [ORs (95% CIs) = 0.93 (0.73, 1.18) and 0.95 (0.73, 1.22)] for subjects in the second and third DII tertiles, respectively, compared to those in the lowest tertile (Ptrend = 0.72). No associations were found for recurrent colorectal adenoma characteristics, including advanced recurrent adenomas, large size, villous histology, or anatomic location. While our study did not support an association between a proinflammatory diet and colorectal adenoma recurrence, future studies are warranted to elucidate the role of a proinflammatory diet on the early stages of colorectal carcinogenesis.


Subject(s)
Adenoma/etiology , Colorectal Neoplasms/etiology , Diet/adverse effects , Adult , Aged , Aged, 80 and over , Clinical Trials, Phase III as Topic , Female , Humans , Inflammation/etiology , Male , Middle Aged , Neoplasm Recurrence, Local/etiology , Randomized Controlled Trials as Topic
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