Skip to main content

ω-3 PUFAs and Colon Cancer: Epidemiological Studies

  • Chapter
  • First Online:
Dietary Omega-3 Polyunsaturated Fatty Acids and Cancer

Part of the book series: Diet and Cancer ((DICA,volume 1))

  • 1276 Accesses

Abstract

Colorectal cancer is the second most common cancer in developed countries according to its incidence and mortality rate. The incidence of colorectal cancer is particularly high in Oceania, North America, Western Europe, and Japan, and preventing this disease is therefore a high priority in developed countries. There is currently much interest in fish and omega-3 polyunsaturated fatty acids (ω-3 PUFAs) because of their preventive effect against colorectal cancer.

Epidemiological studies have shown that consumption of fish/ω-3 PUFAs can reduce the risk of colorectal cancer. However, the results are inconsistent: some studies have suggested a preventive effect, while others reported no association. In future epidemiological studies on the association between fish/ω-3 PUFAs and colorectal cancer the analysis methods should be improved to accurately measure the intake of fish/ω-3 PUFAs using dietary surveys and/or biomarkers. Furthermore, randomized controlled trials and/or subsite-specific analyses should yield more consistent results.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

OR:

odds ratio

RR:

relative risk

CI:

confidence interval

FFQ:

food frequency questionnaire

SQFFQ:

semiquantitative food frequency questionnaire

RCT:

randomized controlled trials

AI:

apoptosis index

EPA:

eicosapentaenoic acid

DHA:

docosahexaenoic acid

DPA:

docosapentaenoic acid

HCA:

heterocyclic amines

PAH:

polycyclic aromatic hydrocarbons

References

  1. Bernard W. and Stewart P. K. World Health Organization. World Cancer Report. International Agency for Research on Cancer. Lyon: IARC Press. 2003.

    Google Scholar 

  2. Cohen D. M. How many recent fishes are there? Published by the Academy. 1970; 38: 341–6.

    Google Scholar 

  3. Standard tables of food composition in Japan, Fifth Revised and Enlarged Edition. Kagawa Education Institute of Nutrition. 2008.

    Google Scholar 

  4. Sasaki S., Horacsek M. and Kesteloot H. An ecological study of the relationship between dietary fat intake and breast cancer mortality. Prev Med. 1993; 22(2): 187–202.

    Article  CAS  PubMed  Google Scholar 

  5. Food Balance Sheet, FAOSTAT FAO. 2003; http://faostat.fao.org/site/610/default.aspx#ancor

  6. Caygill C. P. and Hill M. J. Fish, n-3 fatty acids and human colorectal and breast cancer mortality. Eur J Cancer Prev. 1995; 4(4): 329–32.

    Article  CAS  PubMed  Google Scholar 

  7. Caygill C. P., Charlett A. and Hill M. J. Fat, fish, fish oil and cancer. Br J Cancer. 1996; 74(1): 159–64.

    CAS  PubMed  Google Scholar 

  8. Bjelke E. Epidemiologic Studies of Cancer of the Stomack, Colon, and Rectum; vol. iii Case-control study in Norway. Scand J Gastroenterol. 1974; 9 ( Suppl. 31): 42–8.

    Google Scholar 

  9. Kune S., Kune G. A. and Watson L. F. Case-control study of dietary etiological factors: the Melbourne Colorectal Cancer Study. Nutr Cancer. 1987; 9(1): 21–42.

    Article  CAS  PubMed  Google Scholar 

  10. La Vecchia C., Negri E., Decarli A., D‘Avanzo B., Gallotti L., Gentile A. and Franceschi S. A case-control study of diet and colo-rectal cancer in northern Italy. Int J Cancer. 1988; 41(4): 492–8.

    Article  PubMed  Google Scholar 

  11. Iscovich J. M., L‘Abbe K. A., Castelleto R., Calzona A., Bernedo A., Chopita N. A., Jmelnitzsky A. C. and Kaldor J. Colon cancer in Argentina. I: Risk from intake of dietary items. Int J Cancer. 1992; 51(6): 851–7.

    Article  CAS  PubMed  Google Scholar 

  12. Franceschi S., Favero A., La Vecchia C., Negri E., Conti E., Montella M., Giacosa A., Nanni O. and Decarli A. Food groups and risk of colorectal cancer in Italy. Int J Cancer. 1997; 72(1): 56–61.

    Article  CAS  PubMed  Google Scholar 

  13. Fernandez E., Chatenoud L., La Vecchia C., Negri E. and Franceschi S. Fish consumption and cancer risk. Am J Clin Nutr. 1999; 70(1): 85–90.

    CAS  PubMed  Google Scholar 

  14. Kimura Y., Kono S., Toyomura K., Nagano J., Mizoue T., Moore M. A., Mibu R., Tanaka M., Kakeji Y., Maehara Y., Okamura T., Ikejiri K., Futami K., Yasunami Y., Maekawa T., Takenaka K., Ichimiya H. and Imaizumi N. Meat, fish and fat intake in relation to subsite-specific risk of colorectal cancer: The Fukuoka Colorectal Cancer Study. Cancer Sci. 2007; 98(4): 590–7.

    Article  CAS  PubMed  Google Scholar 

  15. Yang C. X., Takezaki T., Hirose K., Inoue M., Huang X. E. and Tajima K. Fish consumption and colorectal cancer: a case-reference study in Japan. Eur J Cancer Prev. 2003; 12(2): 109–15.

    Article  PubMed  Google Scholar 

  16. Peters R. K., Pike M. C., Garabrant D. and Mack T. M. Diet and colon cancer in Los Angeles County, California. Cancer Causes Control. 1992; 3(5): 457–73.

    Article  CAS  PubMed  Google Scholar 

  17. Tajima K. and Tominaga S. Dietary habits and gastro-intestinal cancers: a comparative case-control study of stomach and large intestinal cancers in Nagoya, Japan. Jpn J Cancer Res. 1985; 76(8): 705–16.

    CAS  PubMed  Google Scholar 

  18. Kato I., Tominaga S., Matsuura A., Yoshii Y., Shirai M. and Kobayashi S. A comparative case-control study of colorectal cancer and adenoma. Jpn J Cancer Res. 1990; 81(11): 1101–8.

    CAS  PubMed  Google Scholar 

  19. Inoue M., Tajima K., Hirose K., Hamajima N., Takezaki T., Hirai T., Kato T. and Ohno Y. Subsite-specific risk factors for colorectal cancer: a hospital-based case-control study in Japan. Cancer Causes Control. 1995; 6(1): 14–22.

    Article  CAS  PubMed  Google Scholar 

  20. Kotake K., Koyama Y., Nasu J., Fukutomi T. and Yamaguchi N. Relation of family history of cancer and environmental factors to the risk of colorectal cancer: a case-control study. Jpn J Clin Oncol. 1995; 25(5): 195–202.

    CAS  PubMed  Google Scholar 

  21. Lee H. P., Gourley L., Duffy S. W., Esteve J., Lee J. and Day N. E. Colorectal cancer and diet in an Asian population–a case-control study among Singapore Chinese. Int J Cancer. 1989; 43(6): 1007–16.

    Article  CAS  PubMed  Google Scholar 

  22. Macquart-Moulin G., Riboli E., Cornee J., Charnay B., Berthezene P. and Day N. Case-control study on colorectal cancer and diet in Marseilles. Int J Cancer. 1986; 38(2): 183–91.

    Article  CAS  PubMed  Google Scholar 

  23. Centonze S., Boeing H., Leoci C., Guerra V. and Misciagna G. Dietary habits and colorectal cancer in a low-risk area. Results from a population-based case-control study in southern Italy. Nutr Cancer. 1994; 21(3): 233–46.

    Article  CAS  PubMed  Google Scholar 

  24. Kampman E., Verhoeven D., Sloots L. and van ‘t Veer P. Vegetable and animal products as determinants of colon cancer risk in Dutch men and women. Cancer Causes Control. 1995; 6(3): 225–34.

    Article  CAS  PubMed  Google Scholar 

  25. Bidoli E., Franceschi S., Talamini R., Barra S. and La Vecchia C. Food consumption and cancer of the colon and rectum in north-eastern Italy. Int J Cancer. 1992; 50(2): 223–9.

    Article  CAS  PubMed  Google Scholar 

  26. Le Marchand L., Wilkens L. R., Hankin J. H., Kolonel L. N. and Lyu L. C. A case-control study of diet and colorectal cancer in a multiethnic population in Hawaii (United States): lipids and foods of animal origin. Cancer Causes Control. 1997; 8(4): 637–48.

    Article  PubMed  Google Scholar 

  27. Knekt P., Jarvinen R., Dich J. and Hakulinen T. Risk of colorectal and other gastro-intestinal cancers after exposure to nitrate, nitrite and N-nitroso compounds: a follow-up study. Int J Cancer. 1999; 80(6): 852–6.

    Article  CAS  PubMed  Google Scholar 

  28. Kato I., Akhmedkhanov A., Koenig K., Toniolo P. G., Shore R. E. and Riboli E. Prospective study of diet and female colorectal cancer: the New York University Women’s Health Study. Nutr Cancer. 1997; 28(3): 276–81.

    Article  CAS  PubMed  Google Scholar 

  29. Norat T., Bingham S., Ferrari P., Slimani N., Jenab M., Mazuir M., Overvad K., Olsen A., Tjonneland A., Clavel F., Boutron-Ruault M. C., Kesse E., Boeing H., Bergmann M. M., Nieters A., Linseisen J., Trichopoulou A., Trichopoulos D., Tountas Y., Berrino F., Palli D., Panico S., Tumino R., Vineis P., Bueno-de-Mesquita H. B., Peeters P. H., Engeset D., Lund E., Skeie G., Ardanaz E., Gonzalez C., Navarro C., Quiros J. R., Sanchez M. J., Berglund G., Mattisson I., Hallmans G., Palmqvist R., Day N. E., Khaw K. T., Key T. J., San Joaquin M., Hemon B., Saracci R., Kaaks R. and Riboli E. Meat, fish, and colorectal cancer risk: the European Prospective Investigation into cancer and nutrition. J Natl Cancer Inst. 2005; 97(12): 906–16.

    Article  PubMed  Google Scholar 

  30. Hall M. N., Chavarro J. E., Lee I. M., Willett W. C. and Ma J. A 22-year prospective study of fish, n-3 fatty acid intake, and colorectal cancer risk in men. Cancer Epidemiol Biomarkers Prev. 2008; 17(5): 1136–43.

    Article  CAS  PubMed  Google Scholar 

  31. Kojima M., Wakai K., Tokudome S., Suzuki K., Tamakoshi K., Watanabe Y., Kawado M., Hashimoto S., Hayakawa N., Ozasa K., Toyoshima H., Suzuki S., Ito Y. and Tamakoshi A. Serum levels of polyunsaturated fatty acids and risk of colorectal cancer: a prospective study. Am J Epidemiol. 2005; 161(5): 462–71.

    Article  PubMed  Google Scholar 

  32. Willett W. C., Stampfer M. J., Colditz G. A., Rosner B. A. and Speizer F. E. Relation of meat, fat, and fiber intake to the risk of colon cancer in a prospective study among women. N Engl J Med. 1990; 323(24): 1664–72.

    Article  CAS  PubMed  Google Scholar 

  33. Bostick R. M., Potter J. D., Kushi L. H., Sellers T. A., Steinmetz K. A., McKenzie D. R., Gapstur S. M. and Folsom A. R. Sugar, meat, and fat intake, and non-dietary risk factors for colon cancer incidence in Iowa women (United States). Cancer Causes Control. 1994; 5(1): 38–52.

    Article  CAS  PubMed  Google Scholar 

  34. Giovannucci E., Rimm E. B., Stampfer M. J., Colditz G. A., Ascherio A. and Willett W. C. Intake of fat, meat, and fiber in relation to risk of colon cancer in men. Cancer Res. 1994; 54(9): 2390–7.

    CAS  PubMed  Google Scholar 

  35. Hsing A. W., McLaughlin J. K., Chow W. H., Schuman L. M., Co Chien H. T., Gridley G., Bjelke E., Wacholder S. and Blot W. J. Risk factors for colorectal cancer in a prospective study among U.S. white men. Int J Cancer. 1998; 77(4): 549–53.

    Article  CAS  PubMed  Google Scholar 

  36. Ma J., Giovannucci E., Pollak M., Chan J. M., Gaziano J. M., Willett W. and Stampfer M. J. Milk intake, circulating levels of insulin-like growth factor-I, and risk of colorectal cancer in men. J Natl Cancer Inst. 2001; 93(17): 1330–6.

    Article  CAS  PubMed  Google Scholar 

  37. Sanjoaquin M. A., Appleby P. N., Thorogood M., Mann J. I. and Key T. J. Nutrition, lifestyle and colorectal cancer incidence: a prospective investigation of 10998 vegetarians and non-vegetarians in the United Kingdom. Br J Cancer. 2004; 90(1): 118–21.

    Article  CAS  PubMed  Google Scholar 

  38. Goldbohm R. A., van den Brandt P. A., van 't Veer P. , Brants H. A. , Dorant E. , Sturmans F. and Hermus R. J. A prospective cohort study on the relation between meat consumption and the risk of colon cancer. Cancer Res. 1994; 54(3): 718–23.

    CAS  PubMed  Google Scholar 

  39. Tiemersma E. W., Kampman E., Bueno de Mesquita H. B., Bunschoten A., van Schothorst E. M., Kok F. J. and Kromhout D. Meat consumption, cigarette smoking, and genetic susceptibility in the etiology of colorectal cancer: results from a Dutch prospective study. Cancer Causes Control. 2002; 13(4): 383–93.

    Article  PubMed  Google Scholar 

  40. Luchtenborg M., Weijenberg M. P., de Goeij A. F., Wark P. A., Brink M., Roemen G. M., Lentjes M. H., de Bruine A. P., Goldbohm R. A. , van 't Veer P. and van den Brandt P. A. Meat and fish consumption, APC gene mutations and hMLH1 expression in colon and rectal cancer: a prospective cohort study (The Netherlands). Cancer Causes Control. 2005; 16(9): 1041–54.

    Article  PubMed  Google Scholar 

  41. Gaard M., Tretli S. and Loken E. B. Dietary factors and risk of colon cancer: a prospective study of 50,535 young Norwegian men and women. Eur J Cancer Prev. 1996; 5(6): 445–54.

    CAS  PubMed  Google Scholar 

  42. Kobayashi M., Tsubono Y., Otani T., Hanaoka T., Sobue T. and Tsugane S. Fish, long-chain n-3 polyunsaturated fatty acids, and risk of colorectal cancer in middle-aged Japanese: the JPHC study. Nutr Cancer. 2004; 49(1): 32–40.

    Article  CAS  PubMed  Google Scholar 

  43. Kojima M., Wakai K., Tamakoshi K., Tokudome S., Toyoshima H., Watanabe Y., Hayakawa N., Suzuki K., Hashimoto S., Ito Y. and Tamakoshi A. Diet and colorectal cancer mortality: results from the Japan Collaborative Cohort Study. Nutr Cancer. 2004; 50(1): 23–32.

    Article  PubMed  Google Scholar 

  44. Khan M. M., Goto R., Kobayashi K., Suzumura S., Nagata Y., Sonoda T., Sakauchi F., Washio M. and Mori M. Dietary habits and cancer mortality among middle aged and older Japanese living in hokkaido, Japan by cancer site and sex. Asian Pac J Cancer Prev. 2004; 5(1): 58–65.

    CAS  PubMed  Google Scholar 

  45. English D. R., MacInnis R. J., Hodge A. M., Hopper J. L., Haydon A. M. and Giles G. G. Red meat, chicken, and fish consumption and risk of colorectal cancer. Cancer Epidemiol Biomarkers Prev. 2004; 13(9): 1509–14.

    PubMed  Google Scholar 

  46. Pietinen P., Malila N., Virtanen M., Hartman T. J., Tangrea J. A., Albanes D. and Virtamo J. Diet and risk of colorectal cancer in a cohort of Finnish men. Cancer Causes Control. 1999; 10(5): 387–96.

    Article  CAS  PubMed  Google Scholar 

  47. Chao A., Thun M. J., Connell C. J., McCullough M. L., Jacobs E. J., Flanders W. D., Rodriguez C., Sinha R. and Calle E. E. Meat consumption and risk of colorectal cancer. Jama. 2005; 293(2): 172–82.

    Article  CAS  PubMed  Google Scholar 

  48. Larsson S. C., Rafter J., Holmberg L., Bergkvist L. and Wolk A. Red meat consumption and risk of cancers of the proximal colon, distal colon and rectum: the Swedish Mammography Cohort. Int J Cancer. 2005; 113(5): 829–34.

    Article  CAS  PubMed  Google Scholar 

  49. Anti M., Armelao F., Marra G., Percesepe A., Bartoli G. M., Palozza P., Parrella P., Canetta C., Gentiloni N., De Vitis I. and et al. Effects of different doses of fish oil on rectal cell proliferation in patients with sporadic colonic adenomas. Gastroenterology. 1994; 107(6): 1709–18.

    CAS  PubMed  Google Scholar 

  50. Cheng J., Ogawa K., Kuriki K., Yokoyama Y., Kamiya T., Seno K., Okuyama H., Wang J., Luo C., Fujii T., Ichikawa H., Shirai T. and Tokudome S. Increased intake of n-3 polyunsaturated fatty acids elevates the level of apoptosis in the normal sigmoid colon of patients polypectomized for adenomas/tumors. Cancer Lett. 2003; 193(1): 17–24.

    Article  CAS  PubMed  Google Scholar 

  51. Geelen A., Schouten J. M., Kamphuis C., Stam B. E., Burema J., Renkema J. M., Bakker E. J., van’t Veer P. and Kampman E. Fish consumption, n-3 fatty acids, and colorectal cancer: a meta-analysis of prospective cohort studies. Am J Epidemiol. 2007; 166(10): 1116–25.

    Article  PubMed  Google Scholar 

  52. World Cancer Research Fund and American Institute for Cancer Research. Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective. Washington, DC: American Institute for Cancer Research. 2007: 116–26.

    Google Scholar 

  53. de Deckere E. A. Possible beneficial effect of fish and fish n-3 polyunsaturated fatty acids in breast and colorectal cancer. Eur J Cancer Prev. 1999; 8(3): 213–21.

    Article  PubMed  Google Scholar 

  54. Larsson S. C., Kumlin M., Ingelman-Sundberg M. and Wolk A. Dietary long-chain n-3 fatty acids for the prevention of cancer: a review of potential mechanisms. Am J Clin Nutr. 2004; 79(6): 935–45.

    CAS  PubMed  Google Scholar 

  55. Tokudome Y., Imaeda N., Ikeda M., Kitagawa I., Fujiwara N. and Tokudome S. Foods contributing to absolute intake and variance in intake of fat, fatty acids and cholesterol in middle-aged Japanese. J Epidemiol. 1999; 9(2): 78–90.

    CAS  PubMed  Google Scholar 

  56. Wakai K., Ito Y., Kojima M., Tokudome S., Ozasa K., Inaba Y., Yagyu K. and Tamakoshi A. Intake frequency of fish and serum levels of long-chain n-3 fatty acids: a cross-sectional study within the Japan Collaborative Cohort Study. J Epidemiol. 2005; 15(6): 211–8.

    Article  PubMed  Google Scholar 

  57. Willett W. Nutritional Epidemiology Second Edition. Oxford, NY: Oxford University Press. 1998: 74–87.

    Book  Google Scholar 

  58. Hjartaker A., Lund E. and Bjerve K. S. Serum phospholipid fatty acid composition and habitual intake of marine foods registered by a semi-quantitative food frequency questionnaire. Eur J Clin Nutr. 1997; 51(11): 736–42.

    Article  CAS  PubMed  Google Scholar 

  59. Sinha R., Peters U., Cross A. J., Kulldorff M., Weissfeld J. L., Pinsky P. F., Rothman N. and Hayes R. B. Meat, meat cooking methods and preservation, and risk for colorectal adenoma. Cancer Res. 2005; 65(17): 8034–41.

    CAS  PubMed  Google Scholar 

  60. de Kok T. M. and van Maanen J. M. Evaluation of fecal mutagenicity and colorectal cancer risk. Mutat Res. 2000; 463(1): 53–101.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yasumi Kimura .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media B.V.

About this chapter

Cite this chapter

Kimura, Y. (2010). ω-3 PUFAs and Colon Cancer: Epidemiological Studies. In: Calviello, G., Serini, S. (eds) Dietary Omega-3 Polyunsaturated Fatty Acids and Cancer. Diet and Cancer, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3579-0_2

Download citation

  • DOI: https://doi.org/10.1007/978-90-481-3579-0_2

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-3578-3

  • Online ISBN: 978-90-481-3579-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics