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Published in: Cancer Causes & Control 7/2011

01-07-2011 | Original paper

Adiposity and the risk of colorectal adenomatous polyps: a meta-analysis

Authors: Yeon Ji Lee, Seung-Kwon Myung, BeLong Cho, Byung-Joo Park, Jin Ho Park, Woong Ju, Min-Sun Park, Ji-Ho Choi

Published in: Cancer Causes & Control | Issue 7/2011

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Abstract

Objective

The findings from epidemiological studies addressing the association between adiposity and the risk of colorectal adenomatous polyps are inconsistent. We performed a meta-analysis of epidemiological studies including cross-sectional, case–control, and cohort studies.

Methods

We searched PubMed and EMBASE in June, 2010. All searched articles were reviewed and selected independently by two evaluators according to pre-determined selection criteria.

Results

We included 25 studies (nine cross-sectional studies, eleven case–control studies, and five prospective cohort studies) that comprised a total of 300,671 participants and 20,903 cases in the final analysis. When all studies were pooled, the odds ratio (OR) or relative risk (RR) of adiposity and abdominal adiposity for colorectal adenomatous polyp risk was 1.43 (95% confidence interval (CI) 1.23–1.67; n = 22) and 1.42 (95% CI 1.30–1.56; n = 12), respectively. Similarly, an increased risk of colorectal adenomatous polyps was observed in most of the subgroup meta-analyses.

Conclusions

Overall, we found that adiposity and abdominal adiposity significantly increased the risk of colorectal adenomatous polyps in a meta-analysis of epidemiological studies.
Literature
1.
go back to reference Markowitz SD, Bertagnolli MM (2009) Molecular basis of colorectal cancer. N Engl J Med 361:2449–2460PubMedCrossRef Markowitz SD, Bertagnolli MM (2009) Molecular basis of colorectal cancer. N Engl J Med 361:2449–2460PubMedCrossRef
3.
go back to reference Grahn SW, Varma MG (2008) Factors that increase risk of colon polyps. Clin Colon Rectal Surg 21:247–255PubMedCrossRef Grahn SW, Varma MG (2008) Factors that increase risk of colon polyps. Clin Colon Rectal Surg 21:247–255PubMedCrossRef
4.
go back to reference American Cancer Society (2007) Global cancer facts and figures 2007. American Cancer Society, Atlanta, Georgia, p 12 American Cancer Society (2007) Global cancer facts and figures 2007. American Cancer Society, Atlanta, Georgia, p 12
5.
6.
go back to reference Bayerdorffer E, Mannes GA, Ochsenkuhn T et al (1993) Increased risk of ‘high-risk’ colorectal adenomas in overweight men. Gastroenty 104:137–144 Bayerdorffer E, Mannes GA, Ochsenkuhn T et al (1993) Increased risk of ‘high-risk’ colorectal adenomas in overweight men. Gastroenty 104:137–144
7.
go back to reference Shinchi K, Kono S, Honjo S et al (1994) Obesity and adenomatous polyps of the sigmoid colon. Jpn J Cancer Res 85:479–484PubMed Shinchi K, Kono S, Honjo S et al (1994) Obesity and adenomatous polyps of the sigmoid colon. Jpn J Cancer Res 85:479–484PubMed
8.
go back to reference Kim CS, Kim MC, Cheong HK et al (2005) The association of obesity and left colonic adenomatous polyps in Korean adult men. J Prev Med Public Health 38(4):415–419PubMed Kim CS, Kim MC, Cheong HK et al (2005) The association of obesity and left colonic adenomatous polyps in Korean adult men. J Prev Med Public Health 38(4):415–419PubMed
9.
go back to reference Morita T, Tabata S, Mineshita M et al (2005) The metabolic syndrome is associated with increased risk of colorectal adenoma development: the self-defense forces health study. Asian Pacific J Cancer Prev 6:485–489 Morita T, Tabata S, Mineshita M et al (2005) The metabolic syndrome is associated with increased risk of colorectal adenoma development: the self-defense forces health study. Asian Pacific J Cancer Prev 6:485–489
10.
go back to reference Wang Y, Lin S, Lai W et al (2005) Association between adenomas of rectosigmoid colon and metabolic syndrome features in a Chinese population. J Gastr Hep 20:1410–1415CrossRef Wang Y, Lin S, Lai W et al (2005) Association between adenomas of rectosigmoid colon and metabolic syndrome features in a Chinese population. J Gastr Hep 20:1410–1415CrossRef
11.
go back to reference Anderson JC, Messina CR, Dakhllalah F et al (2007) Body mass index: a marker for significant colorectal neoplasia in a screening population. J Clin Gastroenterol 41:285–290PubMedCrossRef Anderson JC, Messina CR, Dakhllalah F et al (2007) Body mass index: a marker for significant colorectal neoplasia in a screening population. J Clin Gastroenterol 41:285–290PubMedCrossRef
12.
go back to reference Kim JH, Lim YJ, Kim YH et al (2007) Is metabolic syndrome a risk factor for colorectal adenoma? Cancer Epidemiol Biomarkers Prev 16(8):1543–1546PubMedCrossRef Kim JH, Lim YJ, Kim YH et al (2007) Is metabolic syndrome a risk factor for colorectal adenoma? Cancer Epidemiol Biomarkers Prev 16(8):1543–1546PubMedCrossRef
13.
go back to reference Lee GE, Park HS, Yun KE et al (2008) Association between BMI and metabolic syndrome and adenomatous colonic polyps in Korean men. Obesity 16:1434–1439PubMedCrossRef Lee GE, Park HS, Yun KE et al (2008) Association between BMI and metabolic syndrome and adenomatous colonic polyps in Korean men. Obesity 16:1434–1439PubMedCrossRef
14.
go back to reference Leitzmann MF, Flood A, Ferrucci LM et al (2009) Adiposity in relation to colorectal adenomas and hyperplastic polyps in women. Cancer Causes Control 20:1497–1507PubMedCrossRef Leitzmann MF, Flood A, Ferrucci LM et al (2009) Adiposity in relation to colorectal adenomas and hyperplastic polyps in women. Cancer Causes Control 20:1497–1507PubMedCrossRef
15.
go back to reference Neugut AI, Lee WC, Garbowski GC et al (1991) Obesity and colorectal adenomatous polyps. J Natl Cancer Inst 83:359–361PubMedCrossRef Neugut AI, Lee WC, Garbowski GC et al (1991) Obesity and colorectal adenomatous polyps. J Natl Cancer Inst 83:359–361PubMedCrossRef
16.
go back to reference Olsen J, Kronborg O, Lynggaard J, Ewertz M (1994) Dietary risk factors for cancer and adenomas of the large intestine. A case-control study within a screening trial in Denmark. Eur J Cancer 30A(1):53–60PubMedCrossRef Olsen J, Kronborg O, Lynggaard J, Ewertz M (1994) Dietary risk factors for cancer and adenomas of the large intestine. A case-control study within a screening trial in Denmark. Eur J Cancer 30A(1):53–60PubMedCrossRef
17.
go back to reference Bird CL, Frankl HD, Lee ER et al (1998) Obesity, weight gain, large weight changes, and adenomatous polyps of the left colon and rectum. Am J Epidemiol 147:670–680PubMed Bird CL, Frankl HD, Lee ER et al (1998) Obesity, weight gain, large weight changes, and adenomatous polyps of the left colon and rectum. Am J Epidemiol 147:670–680PubMed
18.
go back to reference Takemura Y, Kikuchi S, Oba K et al (2000) A high level of physical fitness during thirties is a negative risk factor for colonic polyps during fifties. Keio J Med 49(3):111–116PubMed Takemura Y, Kikuchi S, Oba K et al (2000) A high level of physical fitness during thirties is a negative risk factor for colonic polyps during fifties. Keio J Med 49(3):111–116PubMed
19.
go back to reference Almendingen K, Hofstad B, Vant MH (2001) Does high body fatness increase the risk of presence and growth of colorectal adenomas followed up in situ for 3 years? Am J Gastroenterol 96:2238–2246PubMedCrossRef Almendingen K, Hofstad B, Vant MH (2001) Does high body fatness increase the risk of presence and growth of colorectal adenomas followed up in situ for 3 years? Am J Gastroenterol 96:2238–2246PubMedCrossRef
20.
go back to reference Boutron MC, Senesse P, Meance S et al (2001) Energy intake, body mass index, physical activity and the colorectal adenoma-carcinoma sequence. Nutr Cancer 39(1):50–57CrossRef Boutron MC, Senesse P, Meance S et al (2001) Energy intake, body mass index, physical activity and the colorectal adenoma-carcinoma sequence. Nutr Cancer 39(1):50–57CrossRef
21.
go back to reference Morimoto LM, Newcomb PA, Ulrich CM et al (2002) Risk factors for hyperplastic and adenomatous polyps: evidence for malignant potential? Cancer Epidemiol Biomarkers Prev 11:1012–1018PubMed Morimoto LM, Newcomb PA, Ulrich CM et al (2002) Risk factors for hyperplastic and adenomatous polyps: evidence for malignant potential? Cancer Epidemiol Biomarkers Prev 11:1012–1018PubMed
22.
go back to reference Hauret KG, Bostick RM, Matthews CE et al (2004) Physical activity and reduced risk of incident sporadic colorectal adenomas; observational support for mechanisms involving energy balance and inflammation modulation. Am J Epidemiol 159:983–992PubMedCrossRef Hauret KG, Bostick RM, Matthews CE et al (2004) Physical activity and reduced risk of incident sporadic colorectal adenomas; observational support for mechanisms involving energy balance and inflammation modulation. Am J Epidemiol 159:983–992PubMedCrossRef
23.
go back to reference Chung YW, Han DS, Park YK et al (2006) Association of obesity, serum glucose and lipids with the risk of advanced colorectal adenoma and cancer: a case-control study in Korea. Dig Liver Dis 38:668–672PubMedCrossRef Chung YW, Han DS, Park YK et al (2006) Association of obesity, serum glucose and lipids with the risk of advanced colorectal adenoma and cancer: a case-control study in Korea. Dig Liver Dis 38:668–672PubMedCrossRef
24.
go back to reference Wolf LA, Terry PD, Potter JD et al (2007) Do factors related to endogenous and exogenous estrogens modify the relationship between obesity and risk of colorectal adenomas in women? Cancer Epidemiol Biomarkers Prev 16(4):676–683PubMedCrossRef Wolf LA, Terry PD, Potter JD et al (2007) Do factors related to endogenous and exogenous estrogens modify the relationship between obesity and risk of colorectal adenomas in women? Cancer Epidemiol Biomarkers Prev 16(4):676–683PubMedCrossRef
25.
go back to reference Omata F, Brown WR, Tokuda Y et al (2009) Modifiable risk factors for colorectal neoplasms and hyperplastic polyps. Inter Med 48:123–128CrossRef Omata F, Brown WR, Tokuda Y et al (2009) Modifiable risk factors for colorectal neoplasms and hyperplastic polyps. Inter Med 48:123–128CrossRef
26.
go back to reference Giovannucci E, Ascherio A, Rimm EB et al (1995) Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med 122:327–334PubMed Giovannucci E, Ascherio A, Rimm EB et al (1995) Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med 122:327–334PubMed
27.
go back to reference Giovannucci E, Colditz GA, Stampfer MJ, Willett WC (1996) Physical activity, obesity, and risk of colorectal adenoma in women (United States). Cancer Causes Control 7:253–263PubMedCrossRef Giovannucci E, Colditz GA, Stampfer MJ, Willett WC (1996) Physical activity, obesity, and risk of colorectal adenoma in women (United States). Cancer Causes Control 7:253–263PubMedCrossRef
28.
go back to reference Kahn HS, Tatham LM, Thun MJ, Heath CW (1998) Risk factors for self-reported colon polyps. J Gen Intern Med 13:303–310PubMedCrossRef Kahn HS, Tatham LM, Thun MJ, Heath CW (1998) Risk factors for self-reported colon polyps. J Gen Intern Med 13:303–310PubMedCrossRef
29.
go back to reference Sedjo RL, Byers T, Levin TR et al (2007) Change in body size and the risk of colorectal adenomas. Cancer Epidemiol Biomarkers Prev 16(3):526–531PubMedCrossRef Sedjo RL, Byers T, Levin TR et al (2007) Change in body size and the risk of colorectal adenomas. Cancer Epidemiol Biomarkers Prev 16(3):526–531PubMedCrossRef
30.
go back to reference Wise LA, Rosenberg L, Palmer JR et al (2008) Anthropometric risk factors for colorectal polyps in African-American woman. Obesity 16:859–868PubMedCrossRef Wise LA, Rosenberg L, Palmer JR et al (2008) Anthropometric risk factors for colorectal polyps in African-American woman. Obesity 16:859–868PubMedCrossRef
32.
go back to reference WHO Expert Consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363:157–163CrossRef WHO Expert Consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363:157–163CrossRef
33.
go back to reference Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21:1539–1558PubMedCrossRef Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21:1539–1558PubMedCrossRef
34.
go back to reference Woolf B (1955) On estimating the relation between blood group and disease. Ann Hum Genet 19:251–253PubMedCrossRef Woolf B (1955) On estimating the relation between blood group and disease. Ann Hum Genet 19:251–253PubMedCrossRef
35.
36.
go back to reference Martinez ME, Baron JA, Lieberman DA et al (2009) A pooled analysis of advanced colorectal neoplasia diagnoses after colonoscopic polypectomy. Gastroenterol 136:832–841CrossRef Martinez ME, Baron JA, Lieberman DA et al (2009) A pooled analysis of advanced colorectal neoplasia diagnoses after colonoscopic polypectomy. Gastroenterol 136:832–841CrossRef
37.
go back to reference Schoen RE, Tangen CM, Kuller LH et al (1999) Increased blood glucose and insulin, body size, and incident colorectal cancer. J Natl Cancer Inst 91:1147–1154PubMedCrossRef Schoen RE, Tangen CM, Kuller LH et al (1999) Increased blood glucose and insulin, body size, and incident colorectal cancer. J Natl Cancer Inst 91:1147–1154PubMedCrossRef
38.
go back to reference Schoen RE, Weissfeld JL, Kuller LH et al (2005) Insulin-like growth factor-1 and insulin are associated with the presence and advancement of adenomatous polyps. Gastroenterol 129:464–475 Schoen RE, Weissfeld JL, Kuller LH et al (2005) Insulin-like growth factor-1 and insulin are associated with the presence and advancement of adenomatous polyps. Gastroenterol 129:464–475
39.
go back to reference Erarslan E, Turkay C, Koktener A, Koca C, Uz B, Bavbek N (2009) Association of visceral fat accumulation and adiponectin levels with colorectal neoplasia. Diag Dis Sci 54:862–868CrossRef Erarslan E, Turkay C, Koktener A, Koca C, Uz B, Bavbek N (2009) Association of visceral fat accumulation and adiponectin levels with colorectal neoplasia. Diag Dis Sci 54:862–868CrossRef
40.
go back to reference Gonullu G, Kahraman H, Bedir A, Bektas A, Yucel I (2010) Association between adiponectin, resistin, insulin resistance, and colorectal tumors. Int J Colorectal Dis 25:205–212PubMedCrossRef Gonullu G, Kahraman H, Bedir A, Bektas A, Yucel I (2010) Association between adiponectin, resistin, insulin resistance, and colorectal tumors. Int J Colorectal Dis 25:205–212PubMedCrossRef
41.
go back to reference Gallagher EJ, Fierz Y, Ferguson RD, LeRoith D (2010) The pathway from diabetes and obesity to cancer on the route to targeted therapy. Endocr Pract 16(5):864–873PubMedCrossRef Gallagher EJ, Fierz Y, Ferguson RD, LeRoith D (2010) The pathway from diabetes and obesity to cancer on the route to targeted therapy. Endocr Pract 16(5):864–873PubMedCrossRef
42.
go back to reference Fufisawa T, Endo H, Tomimoto A et al (2008) Adiponectin suppresses colorectal carcinogenesis under the high-fat diet condition. Gut 57:1531–1538CrossRef Fufisawa T, Endo H, Tomimoto A et al (2008) Adiponectin suppresses colorectal carcinogenesis under the high-fat diet condition. Gut 57:1531–1538CrossRef
43.
go back to reference Moghaddam AA, Woodward M, Huxley R (2007) Obesity and risk of colorectal cancer: a meta-analysis of 31 studies with 70,000 events. Cancer Epidemiol Biomarkers Rrev 16(12):2533–2547CrossRef Moghaddam AA, Woodward M, Huxley R (2007) Obesity and risk of colorectal cancer: a meta-analysis of 31 studies with 70,000 events. Cancer Epidemiol Biomarkers Rrev 16(12):2533–2547CrossRef
44.
go back to reference Larsson SC, Wolk A (2007) Obesity and colon and rectal cancer risk: a meta-analysis of prospective studies. Am J Clin Nutr 86:556–565PubMed Larsson SC, Wolk A (2007) Obesity and colon and rectal cancer risk: a meta-analysis of prospective studies. Am J Clin Nutr 86:556–565PubMed
45.
go back to reference Dai Z, Xu Y, Niu L (2007) Obesity and colorectal cancer risk: a meta-analysis of cohort studies. World J Gastroenterol 13(31):4199–4206PubMed Dai Z, Xu Y, Niu L (2007) Obesity and colorectal cancer risk: a meta-analysis of cohort studies. World J Gastroenterol 13(31):4199–4206PubMed
Metadata
Title
Adiposity and the risk of colorectal adenomatous polyps: a meta-analysis
Authors
Yeon Ji Lee
Seung-Kwon Myung
BeLong Cho
Byung-Joo Park
Jin Ho Park
Woong Ju
Min-Sun Park
Ji-Ho Choi
Publication date
01-07-2011
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 7/2011
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-011-9777-9

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