Skip to main content
Log in

Pickled meat consumption and colorectal cancer (CRC): a case–control study in Newfoundland and Labrador, Canada

  • Original Paper
  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objective

Although a large body of epidemiological research suggests that red meat intake increases the risk of colorectal cancer, little is known regarding how such an association varies across populations and types of red meat. The objective of this study was to assess whether an association exists between the intakes of total red meat and pickled red meat and the risk of colorectal cancer in study subjects residing in Newfoundland and Labrador.

Methods

This case–control study of 1,204 residents of Newfoundland and Labrador was part of a larger study on colorectal cancer. Personal history food frequency questionnaires were used to collect retrospective data from 518 individuals diagnosed with colorectal cancer and 686 controls. Intakes were ranked and divided into tertiles. Logistic regression was used to examine the possible association between meat intakes and colorectal cancer diagnosis while controlling for possible confounding factors.

Results

A positive, but non-statistically significant, association between total red meat intake and CRC was observed in this study. Pickled red meat consumption was found to be significantly associated with an increased risk of CRC (men, OR = 2.07, 95% CI 1.37–3.15; women, OR = 2.51, 95% CI 1.45–4.32), the odds ratios increasing with each tertile of consumption, suggesting a dose–response effect.

Conclusion

Intake of pickled red meat appears to increase the risk of colorectal cancer in Newfoundland and Labrador.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Canadian Cancer Society/National Cancer Institute of Canada (2008) Canadian Cancer Statistics 2008. Toronto, Canada

  2. Platz EA, Willett WC, Colditz GA, Rimm EB, Spiegelman D, Giovannucci E (2000) Proportion of colon cancer risk that might be preventable in a cohort of middle-aged US men. Cancer Causes Control 11(7):579–588

    Article  CAS  PubMed  Google Scholar 

  3. Giovannucci E, Colditz GA, Stampfer MJ, Willett WC (1996) Physical activity, obesity, and risk of colorectal adenoma in women (United States). Cancer Causes Control 7(2):253–263

    Article  CAS  PubMed  Google Scholar 

  4. Liang PS, Chen TY, Giovannucci E (2009) Cigarette smoking and colorectal cancer incidence and mortality: systematic review and meta-analysis. Int J Cancer 124(10):2406–2415. doi:10.1002/ijc.24191

    Article  CAS  PubMed  Google Scholar 

  5. Huxley RR, Ansary-Moghaddam A, Clifton P, Czernichow S, Parr CL, Woodward M (2009) The impact of dietary and lifestyle risk factors on risk of colorectal cancer: a quantitative overview of the epidemiological evidence. Int J Cancer. doi:10.1002/ijc.24343

    PubMed  Google Scholar 

  6. Doll R, Peto R (1981) The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J Natl Cancer Inst 66(6):1191–1308

    CAS  PubMed  Google Scholar 

  7. Potter J, Slattery M, Bostick R, Gapstur S (1993) Colon cancer: a review of the epidemiology. Epidemiol Rev 15(2):499–545

    CAS  PubMed  Google Scholar 

  8. Probst-Hensch NM, Sinha R, Longnecker NP et al (1997) Meat preparation and colorectal adenomas in a large sigmoidoscopy-based case-control study in California (united states). Cancer causes control: CCC 8(2):175–183

    Article  CAS  PubMed  Google Scholar 

  9. World Cancer Research Fund/American institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective

  10. Terry PD, Jain M, Miller AB, Howe GR, Rohan TE (2003) Glycemic load, carbohydrate intake, and risk of colorectal cancer in women: a prospective cohort study. J Natl Cancer Inst 95(12):914–916

    Article  CAS  PubMed  Google Scholar 

  11. Terry P, Jain M, Miller AB, Howe GR, Rohan TE (2002) Dietary carotenoid intake and colorectal cancer risk. Nutr Cancer 42(2):167–172

    Article  CAS  PubMed  Google Scholar 

  12. Terry P, Jain M, Miller AB, Howe GR, Rohan TE (2002) Dietary intake of folic acid and colorectal cancer risk in a cohort of women. Int J Cancer 97(6):864–867

    Article  CAS  PubMed  Google Scholar 

  13. Cotterchio M, Boucher BA, Manno M, Gallinger S, Okey AB, Harper PA (2008) Red meat intake, doneness, polymorphisms in genes that encode carcinogen-metabolizing enzymes, and colorectal cancer risk. Cancer Epidemiol Biomarkers Prev 17(11):3098–3107. doi:10.1158/1055-9965.EPI-08-0341

    Article  CAS  PubMed  Google Scholar 

  14. Ryan-Harshman M, Aldoori W (2007) Diet and colorectal cancer: review of the evidence. Can family phys Medecin de famille canadien 53(11):1913–1920

    Google Scholar 

  15. Sinha R, Chow WH, Kulldorff M et al (1999) Well-done, grilled red meat increases the risk of colorectal adenomas. Cancer Res 59(17):4320–4324

    CAS  PubMed  Google Scholar 

  16. Statistics Canada (2009) Highlight Tables, 2001 Counts, for Canada, provinces and territories, 2001 Census (Catalogue number 97F0024XIE2001016). http://www12.statcan.gc.ca/english/census01/products/highlight/SAC/Page.cfm?Lang=E&Geo=PR&Table=1a&Sort=2&StartRec=1&B1=Age&B2=Counts&Code=10. Accessed May 5

  17. Hanrahan M (2001) A veritable scoff: sources on foodways and nutrition in Newfoundland and Labrador. Flanker Press, St. John’s, NL

    Google Scholar 

  18. Temple M (1999) Does the level of salted and pickled food consumption among senior residents of Newfoundland and Labrador increase the risk of developing stomach cancer? [B.Sc. (Hons.)]. Memorial University of Newfoundland, St. John’s, NL

    Google Scholar 

  19. Wang PP, Dicks E, Gong X et al (2009) Validity of random-digit-dialing in recruiting controls in a case-control study. Am J Health Behav 33(5):513–520

    PubMed  Google Scholar 

  20. Cleary SP, Cotterchio M, Jenkins MA, Mut Y et al (2009) Germline human homologue mutations and colorectal cancer: a multisite case-control study. Gastroenterology 136(4):1251–1260. doi:10.1053/j.gastro.2008.12.050

    Article  CAS  PubMed  Google Scholar 

  21. OFCCR Personal History Questionnaire (2008) http://www.cfrisc.org/docs/questionnaires/colon/11/ProxyAfter.pdf. Accessed May 5

  22. Kolonel LN, Henderson BE, Hankin JH et al (2000) A multiethnic cohort in Hawaii and Los Angeles: baseline characteristics. Am J Epidemiol 151:346–357

    CAS  PubMed  Google Scholar 

  23. Stram DO, Hankin JH, Wilkens LR et al (2000) Calibration of the dietary questionnaire for a multiethnic cohort in Hawaii and Los Angeles. Am J Epidemiol 151:358–370

    CAS  PubMed  Google Scholar 

  24. Sas Institute I. SAS version 9.1

  25. Norat T, Bingham S, Ferrari P et al (2005) Meat, fish, and colorectal cancer risk: the European prospective investigation into cancer and nutrition. J Natl Cancer Inst 97(12):906–916. doi:10.1093/jnci/dji164

    Article  PubMed  Google Scholar 

  26. Goldbohm RA, van den Brandt PA, van ‘t Veer P et al (1994) A prospective cohort study on the relation between meat consumption and the risk of colon cancer. Cancer Res 54(3):718–723

    CAS  PubMed  Google Scholar 

  27. Larsson SC, Wolk A (2006) Meat consumption and risk of colorectal cancer: a meta-analysis of prospective studies. Int J Cancer 119(11):2657–2664. doi:10.1002/ijc.22170

    Article  CAS  PubMed  Google Scholar 

  28. Lijinsky W (1999) N-Nitroso compounds in the diet. Mutat Res 443(1–2):129–138

    CAS  PubMed  Google Scholar 

  29. Santarelli RL, Pierre F, Corpet DE (2008) Processed meat and colorectal cancer: a review of epidemiologic and experimental evidence. Nutr Cancer 60(2):131–144. doi:10.1080/01635580701684872

    Article  CAS  PubMed  Google Scholar 

  30. Tricker AR (1997) N-nitroso compounds and man: sources of exposure, endogenous formation and occurrence in body fluids. Eur J Cancer Prev 6(3):226–268

    Article  CAS  PubMed  Google Scholar 

  31. De Roos AJ, Ward MH, Lynch CF, Cantor KP (2003) Nitrate in public water supplies and the risk of colon and rectum cancers. Epidemiology 14(6):640–649

    Article  PubMed  Google Scholar 

  32. Tricker AR, Preussmann R (1991) Carcinogenic N-nitrosamines in the diet: occurrence, formation, mechanisms and carcinogenic potential. Mutat Res 259(3–4):277–289

    CAS  PubMed  Google Scholar 

  33. Hu J, La Vecchia C, DesMeules M, Negri E, Mery L (2008) Canadian cancer registries epidemiology research group. Meat and fish consumption and cancer in Canada. Nutr Cancer 60(3):313–324

    Article  PubMed  Google Scholar 

  34. Sandhu MS, White IR, McPherson K (2001) Systematic review of the prospective cohort studies on meat consumption and colorectal cancer risk: a meta-analytical approach. Cancer Epidemiol Biomarkers Prev 10(5):439–446

    CAS  PubMed  Google Scholar 

  35. Cross AJ, Leitzmann MF, Gail MH, Hollenbeck AR, Schatzkin A, Sinha R (2007) A prospective study of red and processed meat intake in relation to cancer risk. PLoS Med 4(12):e325

    Article  PubMed  Google Scholar 

  36. Green RC, Green JS, Buehler SK et al (2007) Very high incidence of familial colorectal cancer in Newfoundland: a comparison with Ontario and 13 other population-based studies. Fam Cancer 6(1):53–62. doi:10.1007/s10689-006-9104-x

    Article  CAS  PubMed  Google Scholar 

  37. Lindsted KD, Kuzma JW (1990) Reliability of eight-year diet recall in cancer cases and controls. Epidemiology 1(5):392–401

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by the Canadian Institutes of Health Research Team Grant [CIHR-CPT79845] and Canadian Institutes of Health Research Team in Interdisciplinary Research on Colorectal Cancer Studentship [205835].

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Peizhong Peter Wang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Squires, J., Roebothan, B., Buehler, S. et al. Pickled meat consumption and colorectal cancer (CRC): a case–control study in Newfoundland and Labrador, Canada. Cancer Causes Control 21, 1513–1521 (2010). https://doi.org/10.1007/s10552-010-9580-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10552-010-9580-z

Keywords

Navigation