Evaluating the Impact of Population Changes in Diet, Physical Activity, and Weight Status on Population Risk for Colon Cancer (United States)
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Objective: To estimate the effects of observed population-level changes in risk factors on population risk and incidence of disease. Methods: Trends in a set of risk factors for colon cancer (vegetable intake, red meat intake, alcohol consumption, physical activity levels, and weight status) were modeled for the US adult population over the years 1975–1995 and combined with relative risk estimates from epidemiologic studies and a probability distribution for the induction period to estimate the percentage change in incidence rates from 1985 to 1995 due to the five risk factors. A sensitivity analysis was performed to account for imprecision related to estimates of trends in behavior and epidemiologic risk. Results: Increased vegetable intake and decreased intakes of red meat and alcohol reduced risk, while reduced physical activity and increased body mass index increased risk for colon cancer. When all five factors were considered together, change in the average population relative risk was small and the risk factors accounted for little of the recently observed decline in incidence. Conclusions: Although these factors have the potential to greatly affect risk of colon cancer and incidence rates, little of that potential was realized since adverse trends neutralized what progress had been made in the areas of vegetables, red meat, and alcohol consumption.
- Tomeo CA, Colditz GA, Willett WC, et al. (1999) Harvard report on cancer prevention. Volume 3: prevention of colon cancer in the United States. Cancer Causes Control 10: 167–180.
- Potter JD (1999) Colorectal cancer: molecules and populations. J Natl Cancer Inst 91: 916–932.
- World Cancer Research Fund, American Institute for Cancer Research (1997) Food, Nutrition and the Prevention of Cancer: a Global Perspective. Washington, DC: World Cancer Research Fund/American Institute for Cancer Research.
- Rose G (1992) The Strategy of Preventive Medicine. New York: Oxford University Press.
- Nelson RL, Persky V, Turyk M (1999) Determination of factors responsible for the declining incidence of colorectal cancer. Dis Colon Rectum 42: 741–752.
- Clark WB, Hilton ME, eds (1991) Alcohol in America: Drinking Practices and Problems. New York: State University of New York Press.
- Williams GD, Debakey SF (1992) Changes in levels of alcohol consumption: United States, 1983–1988. Br J Addict 87: 643–648.
- Deitz DK, Williams GD, Dufour MC (1996) Alcohol consumption and dietary practices in the U.S. population 1987 and 1992. Alcohol Health Res World 20: 128–140.
- Dawson DA, Grant BF, Chou SP, Pickering RP (1995) Subgroup variation in US drinking patterns: results of the 1992 national longitudinal alcohol epidemiologic study. J Subst Abuse 7: 331–344.
- US Department of Health and Human Services (1996) Physical Activity and Health: a Report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.
- Kuczmarski RJ, Carroll MD, Flegal KM, Troiano RP (1997) Varying body mass index cutoff points to describe overweight prevalence among US adults: NHANES III (1988 to 1994). Obes Res 5: 542–548.
- Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL (1998) Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int J Obes 22: 39–47.
- Expert Panel on the Identification, Evaluation and Treatment of Overweight in Adults (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Am J Clin Nutr 68: 899–917.
- Tippett KS, Mickle SJ, Goldman JD, et al., eds (1995) Food and Nutrient Intake by Individuals in the United States, 1 Day, 1989–91. In: NFS Report No. 91–2. Agricultural Research Service, US Department of Agriculture.
- Tippett KS, Cypel YS, eds (1997) Design and operation: the continuing survey of food intakes by individuals and the diet and health knowledge survey, 1994–96. In: NFS Report No. 96–1. Agricultural Research Service, US Department of Agriculture.
- Kantor LS (1998) A dietary assessment of the US food supply; comparing per capita food consumption with food guide pyramid serving recommendations. In: Agriculture Economics Report No. 772. Food and Rural Economics Division, Economic Research Service, US Department of Agriculture.
- Grizzle JE, Starmer CF, Koch GG (1969) Analysis of categorical data by linear models. Biometrics 25: 489–504.
- SAS Institute Inc (1989) SAS/STAT User's Guide, Version 6, Fourth Edition, Volume 1. Cary, NC: SAS Institute Inc.
- Schoenborn CA (1998) Health promotion and disease prevention: United States, 1985. In: Vital and Health Statistics, Series 10, No. 163. Hyattsville, MD: National Center for Health Statistics.
- Piani AL, Schoenborn CA (1993) Health promotion and disease prevention: United States, 1990. In: Vital and Health Statistics, Series 10, No. 185. Hyattsville, MD: National Center for Health Statistics.
- National Center for Health Statistics (1965) Plan and initial program of the Health Examination Survey. In: Vital and Health Statistics, Series 1, No. 4. Hyattsville, MD: National Center for Health Statistics.
- Miller HW (1973) Plan and operations of the Health and Nutrition Examination Survey, United States 1971–73. Part A: Development, Plan and Operations. In: Vital and Health Statistics, Series 1, No. 10a. Hyattsville, MD: National Center for Health Statistics.
- McDowell A, Engel A, Massey JT, Maurer KR (1981) Plan and operation of the Second National Health and Nutrition Examination Survey, 1976–80. In: Vital and Health Statistics, Series 1, No. 15. Hyattsville, MD: National Center for Health Statistics.
- US Department of Health and Human Services. National Center for Health Statistics. Third National Health and Nutrition Examination Survey, 1988–1994, NHANES III Laboratory Data File (CD-ROM). 1996; Hyattsville, MD: Centers for Disease Control and Prevention.
- Shah BV, Barnwell BG, Bieler GS (1997) SUDAAN User's Manual, Release 7.5. Research Triangle Park, NC: Research Triangle Institute.
- Selby JV, Friedman GD, Quesenberry CP Jr, Weiss NS (1992) A case-control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med 326: 653–657.
- Byers T, Mouchawar J, Marks J, et al. (1999) The American Cancer Society challenge goals. How far can cancer rates decline in the US by the year 2015. Cancer 86: 715–727.
- Trock B, Lanza E, Greenwald P (1990) Dietary fiber, vegetables, and colon cancer; critical review and meta-analysis of the epidemiological evidence. J Natl Cancer Inst 82: 650–661.
- Ries LAG, Kosary CL, Hankey BF, Miller BA, Edwards BK, eds (1998) SEER Cancer Statistics Review 1973–1995. Bethesda, MD: National Cancer Institute.
- Prentice AM, Jebb SA (1995) Obesity in Britain: gluttony or sloth? BMJ 311: 437–439.
- Slattery ML, Boucher KM, Caan BJ, Potter JD, Ma KN (1998) Eating patterns and risk of colon cancer. Am J Epidemiol 148: 4–16.
- Evaluating the Impact of Population Changes in Diet, Physical Activity, and Weight Status on Population Risk for Colon Cancer (United States)
Cancer Causes & Control
Volume 12, Issue 4 , pp 305-316
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- Kluwer Academic Publishers
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- body mass index
- cancer incidence
- physical activity
- Industry Sectors
- Author Affiliations
- 1. Statistical Research and Applications Branch, National Cancer Institute, Bethesda, MD 20892, 7344, USA
- 2. Risk Factor Monitoring and Methods Branch, National Cancer Institute, Bethesda, MD, 20892, 7344, USA
- 3. Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, 20892, 7344, USA