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• W2564067257 abstract "Purpose Inflammation is a process central to carcinogenesis and in particular to colorectal cancer (CRC). Previously, we developed a dietary inflammatory index (DII) from extensive literature review to assess the inflammatory potential of diet. In the current study, we utilized this novel index in the Women’s Health Initiative to prospectively evaluate its association with risk of CRC in postmenopausal women. Methods The DII was calculated from baseline food frequency questionnaires administered to 152,536 women aged 50‐79 years without CRC at baseline between 1993 and 1998 and followed through 30 September 2010. Incident CRC cases were ascertained through a central physician adjudication process. Multiple covariate-adjusted Cox proportional hazards regression models were used to estimate hazard ratios (HR) and 95 % confidence intervals (95 % CI) for colorectal, colon (proximal/distal locations), and rectal cancer risk, by DII quintiles (Q). Results During an average 11.3 years of follow-up, a total of 1,920 cases of CRC (1,559 colon and 361 rectal) were identified. Higher DII scores (representing a more pro-inflammatory diet) were associated with an increased incidence of CRC (HRQ5‐Q1 1.22; 95 % CI 1.05, 1.43; ptrend = 0.02) and colon cancer, specifically proximal colon cancer (HRQ5‐Q1 1.35; 95 % CI 1.05, 1.67; ptrend = 0.01) but not distal colon cancer (HRQ5‐Q1 0.84; 95 % CI 0.61, 1.18; ptrend = 0.63) or rectal cancer (HRQ5‐Q1 1.20; 95 % CI 0.84, 1.72; ptrend = 0.65). Conclusion Consumption of pro-inflammatory diets is associated with an increased risk of CRC, especially cancers located in the proximal colon. The absence of a significant association for distal colon cancer and rectal cancer" @default.
• W2564067257 created "2017-01-06" @default.
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• W2564067257 date "2015-01-01" @default.
• W2564067257 modified "2023-09-23" @default.
• W2564067257 title "The association between dietary inflammatory index and risk of colorectal cancer among postmenopausal women: results from the Women's Health Initiative Fred K. TabungSusan E. SteckYunsheng MaAngela D. Liese • Jiajia ZhangBette CaanLifang HouKaren C. JohnsonYasmin Mossavar-Rahmani • Nitin ShivappaJean Wactawski-WendeJudith K. OckeneJames R. Hebert" @default.
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• W2564067257 hasPublicationYear "2015" @default.
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