Men in the highest quintile of empirical dietary inflammatory pattern (EDIP) score were found to have a 44% higher risk of CRC than those in the lowest quintile, discovered the research team led by the Harvard TH Chan School of Public Health, Boston, Massachusetts.
The corresponding increase in risk for women was 22%.
EDIP score is based on a weighted average of 18 food groups that characterise dietary inflammation potential measured by inflammatory biomarkers.
Among men and women who were teetotallers, a pro-inflammatory dietary pattern raised the risk of CRC even further. The respective risk levels in the highest EDIP score quintiles were 62% and 33%
CRC risk was also notably higher in obese men and lean women following a pro-inflammatory dietary pattern.
“Findings from this large prospective study support a role for the inflammatory potential of diet in colorectal cancer development, suggesting inflammation as a potential mechanism linking dietary patterns and colorectal cancer development,” commented first author Dr.Fred Tabung.
Study details
Data was used from 121,000 health care professionals from two large cohorts (for men, the Health Professionals Follow-up Study and for women, the Nurses’ Health Study). The subjects were followed for 26 years and completed food frequency questionnaires (FFQs) every four years. The participants also submitted questionnaires on lifestyle, demographic, and health–related information every two years.
The scientists calculated EDIP scores from the FFQs and analysed associations with new cases of CRC.
Food groups
Among the food groups positively related to concentrations of inflammatory markers were processed and red meats, refined grains, sodas and other sugary beverages. Anti-inflammatory food groups included wine, tea, coffee, fruit juice, green leafy vegetables and yellow/orange vegetables.
Implications
The findings add weight to previous research indicating that pro-inflammatory diets may play a role in CRC, suggest the scientists. However, as the study was observational, no causal conclusions can be made. Nevertheless, results may assist in developing future dietary interventions to reduce CRC risk.
“Strategies to reduce the adverse role of a pro-inflammatory dietary pattern in colorectal cancer development may have higher benefits among overweight or obese men and among lean women or among men and women not consuming alcohol,” concluded Tabung.
Source: JAMA Oncology
Published online. DOI: 10.1001/jamaoncol.2017.4844
”Association of Dietary Inflammatory Potential With Colorectal Cancer Risk in Men and Women”
Authors: Fred K. Tabung et al.