Marine n-3 and saturated fatty acids in relation to risk of colorectal cancer in Singapore Chinese: A prospective study

Lesley M. Butler, Renwei Wang, Woon Puay Koh, Mariana C. Stern, Jian Min Yuan, Mimi C. Yu

Research output: Contribution to journalArticle

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Abstract

Experimental data support multiple roles for fatty acids in colorectal carcinogenesis. We examined dietary fatty acids and incidence of colorectal cancer, and evaluated effect modification by sex and stage of disease among a population-based cohort of 61,321 Singapore Chinese that was established between 1993 and 1998. As of December 31, 2005, 961 incident colorectal cancers were diagnosed. Presented hazard ratios (HRs) are for highest versus lowest quartiles with adjustment for potential confounders. Among women, we observed a dose-dependent, positive association between saturated fat and localized colorectal cancer (Dukes A or B) [(HR = 1.69, 95% confidence interval (CI) = 1.08-2.63, p for trend = 0.01)]. No such associations were noted in men (p for interaction by sex = 0.04). Marine n-3 polyunsaturated fatty acid (PUFA) intake was positively associated with advanced disease (Dukes C or D) (HR = 1.33, 95% CI = 1.05-1.70, p for trend = 0.01), regardless of sex. The association with marine n-3 PUFAs was strongest among those with the shortest (≤5 years) duration of follow-up (HR = 1.49, 95% CI = 1.00-2.21, p for trend = 0.04). In contrast, we observed a small, albeit imprecise, inverse association with marine n-3 PUFAs for localized colorectal cancer among those with the longest duration of follow-up (>10 years) (HR = 0.62, 95% CI = 0.29-1.34, p for trend = 0.55). Our findings suggest that subtypes of fatty acids may differentially influence risk of colorectal cancer of a specified stage.

Original languageEnglish (US)
Pages (from-to)678-686
Number of pages9
JournalInternational Journal of Cancer
Volume124
Issue number3
DOIs
StatePublished - Feb 1 2009

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Singapore
Colorectal Neoplasms
Fatty Acids
Prospective Studies
Omega-3 Fatty Acids
Confidence Intervals
Carcinogenesis
Fats
Incidence
Population

Keywords

  • Colorectal cancer
  • Dietary fat
  • Epidemiology
  • Marine n-3 polyunsaturated fatty acids
  • Saturated fatty acids

ASJC Scopus subject areas

  • Cancer Research
  • Oncology
  • Medicine(all)

Cite this

Marine n-3 and saturated fatty acids in relation to risk of colorectal cancer in Singapore Chinese : A prospective study. / Butler, Lesley M.; Wang, Renwei; Koh, Woon Puay; Stern, Mariana C.; Yuan, Jian Min; Yu, Mimi C.

In: International Journal of Cancer, Vol. 124, No. 3, 01.02.2009, p. 678-686.

Research output: Contribution to journalArticle

Butler, Lesley M. ; Wang, Renwei ; Koh, Woon Puay ; Stern, Mariana C. ; Yuan, Jian Min ; Yu, Mimi C. / Marine n-3 and saturated fatty acids in relation to risk of colorectal cancer in Singapore Chinese : A prospective study. In: International Journal of Cancer. 2009 ; Vol. 124, No. 3. pp. 678-686.
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