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Marine n-3 and saturated fatty acids in relation to risk of colorectal cancer in Singapore Chinese: A prospective study
Article first published online: 30 OCT 2008
Copyright © 2008 Wiley-Liss, Inc.
International Journal of Cancer
Volume 124, Issue 3, pages 678–686, 1 February 2009
How to Cite
Butler, L. M., Wang, R., Koh, W.-P., Stern, M. C., Yuan, J.-M. and Yu, M. C. (2009), Marine n-3 and saturated fatty acids in relation to risk of colorectal cancer in Singapore Chinese: A prospective study. Int. J. Cancer, 124: 678–686. doi: 10.1002/ijc.23950
- Issue published online: 18 NOV 2008
- Article first published online: 30 OCT 2008
- Manuscript Accepted: 4 AUG 2008
- Manuscript Received: 14 MAR 2008
- National Cancer Institute. Grant Numbers: R01 CA55069, R35 CA53890, R01 CA80205
- colorectal cancer;
- dietary fat;
- marine n-3 polyunsaturated fatty acids;
- saturated fatty acids
Experimental data support multiple roles for fatty acids in colorectal carcinogenesis. We examined dietary fatty acids and incidence of colorectal cancer, and evaluated effect modification by sex and stage of disease among a population-based cohort of 61,321 Singapore Chinese that was established between 1993 and 1998. As of December 31, 2005, 961 incident colorectal cancers were diagnosed. Presented hazard ratios (HRs) are for highest versus lowest quartiles with adjustment for potential confounders. Among women, we observed a dose-dependent, positive association between saturated fat and localized colorectal cancer (Dukes A or B) [(HR = 1.69, 95% confidence interval (CI) = 1.08–2.63, p for trend = 0.01)]. No such associations were noted in men (p for interaction by sex = 0.04). Marine n-3 polyunsaturated fatty acid (PUFA) intake was positively associated with advanced disease (Dukes C or D) (HR = 1.33, 95% CI = 1.05–1.70, p for trend = 0.01), regardless of sex. The association with marine n-3 PUFAs was strongest among those with the shortest (≤5 years) duration of follow-up (HR = 1.49, 95% CI = 1.00–2.21, p for trend = 0.04). In contrast, we observed a small, albeit imprecise, inverse association with marine n-3 PUFAs for localized colorectal cancer among those with the longest duration of follow-up (>10 years) (HR = 0.62, 95% CI = 0.29–1.34, p for trend = 0.55). Our findings suggest that subtypes of fatty acids may differentially influence risk of colorectal cancer of a specified stage. © 2008 Wiley-Liss, Inc.