Dietary Intake as Determinant Nongenetic Factors to Colorectal Cancer Incidence and Staging Progression: A Study in South Sulawesi Population, Indonesia

• Published in: Nutrition and cancer 2021-12, Vol.73 (11-12), p.2523-2531
• Main Authors: Nurlaila, Ika, Hidayat, Alam A., Budiarto, Arif, Mahesworo, Bharuno, Purwandari, Kartika, Pardamean, Bens
• Format: Article
• Language: English
• Subjects: Case-Control Studies; Colorectal Neoplasms - epidemiology; Colorectal Neoplasms - etiology; Diet; Eating; Humans; Incidence; Indonesia - epidemiology; Risk Factors
• ISSN: 0163-5581; 1532-7914
• DOI: 10.1080/01635581.2020.1839516

Reports from various population-based studies indicate that the incidence of colorectal cancer may be strongly affected by dietary patterns of the respective populations. The nature of dietary patterns of specific Indonesia population on the risk of colorectal cancer might differ from previously published data with the global population. Therefore, we conducted a study where the dietary pattern in colorectal cancer patient cohorts was compared to age- and population-matched control. We documented 89 colorectal cancer cases and among 173 individuals from the South Sulawesi population. A series of logistic regression and Fisher's exact tests were utilized to test associations of dietary intakes and colorectal cancer risk as well as colorectal cancer staging. Our data demonstrate that vegetable (p-value = 8.70 × 10 −26 , OR = 0.49) and fruit (p-value = 7.59x10 −5 , OR = 0.70) intakes are associated with the reduced risk of colorectal cancer incidence. Conversely, acidic food, reheated food, meat, spicy food, and alcohol are associated with the increment case of cancer. Moreover, meat intake (p-value < 0.01) shows a significant association with cancer staging progression. Common dietary pattern is a determinant aspect to the colorectal cancer incidence as well as its staging progression.