Cent Eur J Public Health 2014, 22(4):215-222 | DOI: 10.21101/cejph.a3919

The Role of Dietary and Lifestyle Factors in the Development of Colorectal Cancer: Case Control Study in Minia, Egypt

Eman Mohamed Mahfouz1, Refaat Raouf Sadek1, Wafaa Mohamed Abdel-Latief2, Fadia Abdel-Hamed Mosallem1, Ebtesam Esmail Hassan1
1 Public Health and Preventive Medicine Department, Faculty of Medicine, Minia University, Egypt
2 Medical Oncology Department, Faculty of Medicine, Minia University, Egypt

Background: Colorectal cancer (CRC) is the third most common cancer worldwide, after lung and breast cancer, and is associated with the population dietary and lifestyle factors.

Aim: To determine the relation between dietary and lifestyle factors and development of CRC in patients attending Minia oncology centre and compare them with their control.

Methods: Study included 150 CRC patients attending Minia oncology centre and 300 control subjects matched by age and sex. Subjects participating in the study filled in a questionnaire including questions about socio-demographic data, medical data concerning CRC and its treatment as well as dietary and lifestyle factors.

Results: The most significant dietary and lifestyle CRC risk factors were higher consumption of red meat (OR=57.1), preserved food (OR=39.4), artificial sweeteners (OR=20.8), fast foods (OR=12.8), soft drinks (OR=4.6), spicy foods (OR=4.2), processed meat (OR=2.4), and smoking (OR=8.8). The most significant protective factors were physical activity (OR=0.001), calcium rich diet (OR=0.08), higher consumption of fruits and vegetable (OR=0.02), cruciferous vegetables (broccoli OR=0.11, cauliflower OR=0.30 and cabbage OR=0.30), high fiber bread (OR=0.15), fruit juice (OR=0.18), and sea foods (tuna OR=0.28 and fish OR=0.38).

Conclusion: Sedentary lifestyle and unhealthy dietary choices were prevalent among CRC cases. This study provides strong evidence that lifestyle and dietary modification are important factors in the prevention of colorectal cancer.

Keywords: colorectal cancer, life style, diet, case-control study, Minia

Received: April 26, 2013; Revised: August 4, 2014; Accepted: August 4, 2014; Published: December 1, 2014  Show citation

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Mahfouz EM, Sadek RR, Abdel-Latief WM, Mosallem FA, Hassan EE. The Role of Dietary and Lifestyle Factors in the Development of Colorectal Cancer: Case Control Study in Minia, Egypt. Cent Eur J Public Health. 2014;22(4):215-222. doi: 10.21101/cejph.a3919. PubMed PMID: 25622477.
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