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Calcium, dietary, and lifestyle factors in the prevention of colorectal adenomas

BACKGROUND. Many studies have suggested a role for calcium in reducing the risk of colorectal adenomas and cancer but its effectiveness may be dependent on interactions with other dietary and/or lifestyle factors. We examined the association between calcium and prevalence of adenomas and assessed wh...

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Bibliographic Details
Published in:Cancer 2007-02, Vol.109 (3), p.510-517
Main Authors: Miller, Eric A., Keku, Temitope O., Satia, Jessie A., Martin, Christopher F., Galanko, Joseph A., Sandler, Robert S.
Format: Article
Language:English
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Summary:BACKGROUND. Many studies have suggested a role for calcium in reducing the risk of colorectal adenomas and cancer but its effectiveness may be dependent on interactions with other dietary and/or lifestyle factors. We examined the association between calcium and prevalence of adenomas and assessed whether the association was stronger in biologically plausible subgroups. METHODS. Cross‐sectional data from 222 cases and 479 adenoma‐free controls who underwent colonoscopies and completed food frequency and lifestyle questionnaires were used in the analyses. Multivariable logistic regression was used to estimate the association between calcium and prevalence of adenomas. Stratified analyses and the likelihood ratio test were used to examine effect modification by various demographic, lifestyle, and behavioral factors. RESULTS. Overall, little association was observed comparing total calcium intake of ≥900 mg/day to
ISSN:0008-543X
1097-0142
DOI:10.1002/cncr.22453