Publié par Preuves & Pratiques

Hommes, légumes, fruits et céréales.

Résultats d'une étude incluant 85.903 hommes et 105.108 femmes, suivis pendant 7,3 ans :
 l'absorption de légumes et de fruits est inversement proportionnelle au risque de cancer colorectal chez les hommes,
mais pas chez les femmes.

Cette corrélation favorable semble plus forte pour le cancer du colon que pour celui du rectum.
 Les céréales n'ont aucune influence.


Nomura & Coll., American Journal of Nutrition, septembre 2008 ; 88 : 730–737.

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Association of vegetable, fruit, and grain intakes with colorectal cancer: the Multiethnic Cohort Study1,2,3

Background: It is uncertain whether or not vegetables, fruit, or grains protect against colorectal cancer.

Objective: In a large prospective study, we investigated the association of vegetable, fruit, and grain intakes with colorectal cancer risk.

Design: Between 1993 and 1996, 85 903 men and 105 108 women completed a quantitative food-frequency questionnaire that included 180 foods and beverages in the Multiethnic Cohort Study. A diagnosis of colorectal cancer was made in 1138 men and 972 women after an average follow-up of 7.3 y. Cox proportional hazards models were used to calculate multivariate-adjusted relative risks and 95% CIs for colorectal cancer.

Results: In men, multivariate adjustment for energy intake, dietary, and nondietary variables resulted in relative risks in the highest quintile group of 0.74 (95% CI: 0.59, 0.93; P for trend = 0.02) for vegetables and fruit combined, 0.80 (95% CI: 0.64, 0.99; P for trend = 0.09) for fruit alone, and 0.85 (95% CI: 0.69, 1.05; P for trend = 0.05) for vegetables alone. When colon and rectal cases were separated among men, the inverse associations were stronger for colon than for rectal cancer. In women, none of the associations with vegetables, fruit, or vegetables and fruit combined were significant. Grain intake was not associated with colorectal cancer for either men or women.

Conclusion: The intake of vegetables and fruit was inversely related to colorectal cancer risk among men but not among women. The association appears stronger for colon than for rectal cance
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