Efforts needed for preventing breast and colorectal cancer through changes in dietary patterns.


Journal

European journal of public health
ISSN: 1464-360X
Titre abrégé: Eur J Public Health
Pays: England
ID NLM: 9204966

Informations de publication

Date de publication:
24 04 2021
Historique:
pubmed: 8 1 2021
medline: 2 7 2021
entrez: 7 1 2021
Statut: ppublish

Résumé

Prospective cohort studies on diet and cancer report risk associations as hazard ratios. But hazard ratios do not inform on the number of people who need to alter their dietary behaviours for preventing cancer. The objective of this study is to estimate the number of people that need to alter their diet for preventing one additional case of female breast or colorectal cancer. Based on the largest prospective studies done in the USA and in Europe, we computed the number of subjects who need to alter their diet. For preventing one case of breast cancer, European women should increase their fruit consumption by 100 g/day during 33 000 person-years, and US women by 60 g/day during 10 600 person-years. For vegetables, European women should increase their consumption by 160 g/day during 26 900 person-years and US women by 100 g/day during 19 000 person-years. For preventing one case of colorectal cancer, European subjects should decrease their red meat consumption by 20 g/day during 26 100 person-years, and US subjects by 30 g/day during 8170 person-years. For processed meat, European subjects should decrease their consumption by 20 g/day during 17 400 person-years, and US subjects by 10 g/day during 7940 person-years. Large number of subjects would need to alter their intake of fruits, vegetables, red and processed meat during many years in order to prevent one additional breast or colorectal cancer.

Sections du résumé

BACKGROUND
Prospective cohort studies on diet and cancer report risk associations as hazard ratios. But hazard ratios do not inform on the number of people who need to alter their dietary behaviours for preventing cancer. The objective of this study is to estimate the number of people that need to alter their diet for preventing one additional case of female breast or colorectal cancer.
METHODS
Based on the largest prospective studies done in the USA and in Europe, we computed the number of subjects who need to alter their diet.
RESULTS
For preventing one case of breast cancer, European women should increase their fruit consumption by 100 g/day during 33 000 person-years, and US women by 60 g/day during 10 600 person-years. For vegetables, European women should increase their consumption by 160 g/day during 26 900 person-years and US women by 100 g/day during 19 000 person-years. For preventing one case of colorectal cancer, European subjects should decrease their red meat consumption by 20 g/day during 26 100 person-years, and US subjects by 30 g/day during 8170 person-years. For processed meat, European subjects should decrease their consumption by 20 g/day during 17 400 person-years, and US subjects by 10 g/day during 7940 person-years.
CONCLUSIONS
Large number of subjects would need to alter their intake of fruits, vegetables, red and processed meat during many years in order to prevent one additional breast or colorectal cancer.

Identifiants

pubmed: 33410461
pii: 6067267
doi: 10.1093/eurpub/ckaa233
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

355-360

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Auteurs

Patrick Mullie (P)

International Prevention Research Institute (iPRI), Lyon, France.
Faculty of Physical Education and Physiotherapy, Department of Human Biometrics and Biomechanics, Vrije Universiteit Brussel, Brussels, Belgium.

Gilles Guillot (G)

International Prevention Research Institute (iPRI), Lyon, France.

Cécile Pizot (C)

International Prevention Research Institute (iPRI), Lyon, France.

Philippe Autier (P)

International Prevention Research Institute (iPRI), Lyon, France.
Strathclyde University Global Public Health Institute, Lyon, France.

Peter Boyle (P)

International Prevention Research Institute (iPRI), Lyon, France.
Strathclyde University Global Public Health Institute, Lyon, France.

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