Greater adherence to a Mediterranean diet is associated with lower prevalence of colorectal adenomas in men of all races.

Autor: Haslam A; Division of Hematology and Medical Oncology, Oregon Health & Science University, Portland, OR. Electronic address: haslama@ohsu.edu., Robb SW; College of Public Health, Department of Epidemiology and Biostatistics, University of Georgia, Athens, GA., Hébert JR; Cancer Prevention and Control Program and Department of Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC; Connecting Health Innovations, LLC, Columbia, SC., Huang H; College of Public Health, Department of Epidemiology and Biostatistics, University of Georgia, Athens, GA., Ebell MH; College of Public Health, Department of Epidemiology and Biostatistics, University of Georgia, Athens, GA.
Jazyk: angličtina
Zdroj: Nutrition research (New York, N.Y.) [Nutr Res] 2017 Dec; Vol. 48, pp. 76-84. Date of Electronic Publication: 2017 Oct 12.
DOI: 10.1016/j.nutres.2017.10.003
Abstrakt: To examine potential racial differences in Mediterranean diet scores and whether these differences are associated with the prevalence of colorectal adenoma (CRA), a cross-sectional analysis of data from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial was performed. The authors hypothesize that people consuming a more Mediterranean-like diet have lower odds of CRA. Flexible sigmoidoscopy was used to determine the presence of colorectal adenoma. Mediterranean diet scores were calculated from food frequency questionnaire responses. Logistic regression was used to determine the association between Mediterranean diet scores and the odds of prevalent CRA, as well as the joint effects of race and diet. Asians, followed by blacks, had higher Mediterranean diet scores than whites. Generally, men with better Mediterranean diet scores (altMED) had lower odds of CRA, but black and Asian men had even lower odds of prevalent CRA with better altMED diet scores than did white men with higher altMED diet scores. In this study population, all men had lower odds of prevalent CRA, but black and Asian men, who had higher (more favorable) altMED diet scores than whites, had even lower odds of prevalent CRA compared with white men. An altMED diet prescription may be especially beneficial for certain subpopulations who may be at higher risk of CRA.
(Copyright © 2017 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE