Skip to main content
Log in

Incidence and Risk Factors of Colorectal Cancer in the Iranian Population: a Systematic Review

  • Review Article
  • Published:
Journal of Gastrointestinal Cancer Aims and scope Submit manuscript

Abstract

Purpose

Colorectal cancer (CRC) is one of the most common cancers in the world. The aim of this study was to investigate its incidence and risk factors in the Iranian population.

Methods

A literature search was conducted in PubMed, Web of Science, Scopus, SID, and Magiran from inception until 2019. Studies that reported the incidence rate and risk factors of colorectal cancer were included in this review.

Results

Twenty-one articles that reported the incidence rate and 13 that reported the risk factors were included. The incidence rate was different according to the population type, gender, age, and study year in different regions. The main risk factors for colorectal cancer were high consumption of red meat and fried food and low intake of fruits and vegetables, diabetes, a positive family history, and obesity.

Conclusion

The incidence of CRC has a marked variation in different parts of Iran, and various risk factors are associated with colorectal cancer. According to incidence rate and various risk factors, precise planning is needed to control colorectal cancer in the future.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data Availability

This study is a review study.

Abbreviations

CRC:

Colorectal cancer

ASR:

Age-specific incidence rate

WHO:

World Health Organization

NOS:

Newcastle-Ottawa quality assessment scale

References

  1. Wong MC, Ding H, Wang J, Chan PSF, Huang J. Prevalence and risk factors of colorectal cancer in Asia. Intest Res. 2019;17(3):317–29.

    Article  Google Scholar 

  2. Saadati HM, Khodamoradi F, Salehiniya H. Associated factors of survival rate and screening for colorectal cancer in Iran: a systematic review. J Gastrointest Cancer. 2020;51(2):401–11.

    Article  Google Scholar 

  3. Zhang L, Cao F, Zhang G, Shi L, Chen S, Zhang Z, et al. Trends in and predictions of colorectal cancer incidence and mortality in China from 1990 to 2025. Front Oncol. 2019;9:98.

    Article  CAS  Google Scholar 

  4. Araghi M, Soerjomataram I, Jenkins M, Brierley J, Morris E, Bray F, et al. Global trends in colorectal cancer mortality: projections to the year 2035. Int J Cancer. 2019;144(12):2992–3000.

    Article  CAS  Google Scholar 

  5. Rawla P, Sunkara T, Barsouk A. Epidemiology of colorectal cancer: incidence, mortality, survival, and risk factors. Prz Gastroenterol. 2019;14(2):89.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Arani SH, Kerachian MA. Rising rates of colorectal cancer among younger Iranians: is diet to blame? Curr Oncol. 2017;24(2):e131.

    Article  Google Scholar 

  7. Azizi H, Esmaeili ED. Stressful life events and risk of colorectal cancer: a case-control study of Iran. Asian Pac J Cancer Prev. 2015;16(6):2403–7.

    Article  Google Scholar 

  8. Abbastabar H, Roustazadeh A, Alizadeh A, Hamidifard P, Valipour M, Valipour AA. Relationships of colorectal cancer with dietary factors and public health indicators: an ecological study. Asian Pac J Cancer Prev. 2015;16(9):3991–5.

    Article  Google Scholar 

  9. Wells G, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle–Ottawa Scale (NOS) for assessing the quality of non-randomized studies in meta-analysis. Appl Eng Agric. 2014;18(6):727–34.

    Google Scholar 

  10. Razi S, Salehiniya H, Dizaji MFL. Epidemiology of prevalent cancer among Iranian women and its incidence trends from 2003-2009 in Iran. J Arak Univ Med Sci. 2015;18(2):17–24.

    Google Scholar 

  11. Khademi N, Khassi K. Epidemiological study of common cancers in women in Kermanshah province during 2009-2010 Kermanshah University of Medical Sciences. J Lab Diagn. 2014;24.

  12. Baeradeh N, Zamani M. Epidemiology of prevalent cancers in Khorasan Razavi province in 2008. Med J Mashhad Univ Med Sci. 2015;57(8):926–31.

    Google Scholar 

  13. Ansari R, Mahdavinia M, Sadjadi A, Nouraie M, Kamangar F, Bishehsari F, et al. Incidence and age distribution of colorectal cancer in Iran: results of a population-based cancer registry. Cancer Lett. 2006;240(1):143–7.

    Article  CAS  Google Scholar 

  14. Almasi Z, Mohammadian-Hafshejani A, Salehiniya H. Incidence, mortality, and epidemiological aspects of cancers in Iran; differences with the world data. J BUON. 2016;21(4):994–1004.

    PubMed  Google Scholar 

  15. Mehrabani D, et al. Cancer occurrence in Fars Province, Southern Iran. Iran Red Crescent Med J. 2008;10(4):314–22.

    Google Scholar 

  16. Roshandel G, et al. Cancer incidence in Golestan province: report of an ongoing population-based cancer registry in Iran between 2004 and 2008. Arch Iran Med. 2012;15(4):196–200.

    PubMed  Google Scholar 

  17. Rejali M, et al. Temporal trends of incidence of colorectal Cancer in Isfahan, Iran, 2000-2011. Int J Prev Med. 2018;9:22.

    Article  Google Scholar 

  18. Somi MH, et al. Cancer incidence among the elderly population in the northwest of Iran: a population based study. Iran J Cancer Prev. 2009;2(3):117–26.

    Google Scholar 

  19. Somi MH, Golzari M, Farhang S, Naghashi S, Abdollahi L. Gastrointestinal cancer incidence in East Azerbaijan, Iran: update on 5 year incidence and trends. Asian Pac J Cancer Prev. 2014;15(9):3945–9.

    Article  Google Scholar 

  20. Abdifard E, Ghaderi S, Hosseini S, Heidari M. Incidence trends of colorectal cancer in the west of Iran during 2000-2005. Asian Pac J Cancer Prev. 2013;14(3):1807–11.

    Article  Google Scholar 

  21. Amoori N, Mirzaei M, Cheraghi M. Incidence of cancers in Kuzestan province of Iran: trend from 2004 to 2008. Asian Pac J Cancer Prev. 2014;15(19):8345–9.

    Article  Google Scholar 

  22. Nikbakht HA, et al. Trends in the incidence of colorectal cancer and epidemiologic and clinical characteristics of survivors in Babol city in 2007-2012. J Babol Univ Med Sci. 2015;17(1):15–21.

    Google Scholar 

  23. Vakili M, Pirdehghan A, Adimi M, Sadeghian M, Akhondi M. Epidemiology and trend of cancer in Yazd, a central province of Iran, 2005-2009. J Res Health Sci. 2014;14(3):210–3.

    PubMed  Google Scholar 

  24. Amori N, Aghajani M, Asgarian FS, Jazayeri M. Epidemiology and trend of common cancers in Iran (2004–2008). Eur J Cancer Care. 2017;26(5):e12449.

    Article  Google Scholar 

  25. Darabi M, et al. Trends in gastrointestinal cancer incidence in Iran, 2001-2010: a joinpoint analysis. Epidemiol Health. 2016;38:e2016056.

    Article  Google Scholar 

  26. Khosravi Shadmani F, Ayubi E, Khazaei S, Sani M, Mansouri Hanis S, Khazaei S, et al. Geographic distribution of the incidence of colorectal cancer in Iran: a population-based study. Epidemiol Health. 2017;39:e2017020.

    Article  Google Scholar 

  27. Hosseini SV, Izadpanah A, Yarmohammadi H. Epidemiological changes in colorectal cancer in Shiraz, Iran: 1980-2000. ANZ J Surg. 2004;74(7):547–9.

    Article  Google Scholar 

  28. Rohani-Rasaf M, et al. Cancer incidence rate in the elderly inhabitants of Tehran: Is there really any cluster? Int J Cancer Manag. 2017;10(7).

  29. Masoompour SM, Lankarani KB, Honarvar B, Tabatabaee SH, Moghadami M, Khosravizadegan Z. Changing epidemiology of common cancers in southern Iran, 2007-2010: a cross sectional study. PLoS One. 2016;11(5):e0155669.

    Article  Google Scholar 

  30. Abdifard E, et al. Incidence trends of colorectal cancer in Iran during 2000-2009: a population-based study. Med J Islam Repub Iran. 2016;30:382.

    PubMed  PubMed Central  Google Scholar 

  31. Keyghobadi N., et al. Nutritional factors related to colorectal cancer in the residents of Yazd City, Iran. 2013.

  32. Ahmadi A, Mobasheri M, Hashemi Nazari SS. Survival time and relative risk of death in patients with colorectal cancer in an Iranian population: a cohort study. J Mazandaran Univ Med Sci. 2014;24(111):2–8.

    Google Scholar 

  33. Moshfeghi K, et al. Evaluation the role of nutritional and individual factors in colorectal cancer. Zahedan J Res Med Sci. 2011;13(4).

  34. Safaee A, Moghimi-Dehkordi B, Pourhoseingholi MA, Vahedi M, Maserat E, Ghiasi S, et al. Risk of colorectal cancer in relatives: a case control study. Indian J Cancer. 2010;47(1):27–30.

    Article  CAS  Google Scholar 

  35. Dehganzadeh S., Jafaraghai F, Tabari KR. Relationship between demographic characteristics, lifestyle and exposure to stressor events and colorectal cancer. 2012.

  36. Keshtkar A, et al. Colorectal cancer nutritional risk factors: a population based case-control study. Iran J Cancer Prev. 2010;3(2):93–7.

    Google Scholar 

  37. Hosseinzadeh A, Daraei A. Environmental factors associated with sporadic colorectal cancer. 2012.

  38. Ebrahimkhani S, Asgharian AM, Nourinaier B, Ebrahimkhani K, Vali N, Abbasi F, et al. Association of GSTM1, GSTT1, GSTP1 and CYP2E1 single nucleotide polymorphisms with colorectal cancer in Iran. Pathol Oncol Res. 2012;18(3):651–6.

    Article  CAS  Google Scholar 

  39. Naghibzadeh-Taham A, et al. Can opium use contribute to a higher risk of colorectal cancers? A matched case-control study in Iran. Iran J Public Health. 2016;45(10):1322–31.

    Google Scholar 

  40. Nosrati A, Torabizadeh Z. Study of chemokine marker CXCR4 in colorectal cancer in Northern Iran. J Mazandaran Univ Med Sci. 2016;25(134):60–8.

    Google Scholar 

  41. Movahedi M, Bishop DT, Macrae F, Mecklin JP, Moeslein G, Olschwang S, et al. Obesity, aspirin, and risk of colorectal cancer in carriers of hereditary colorectal cancer: a prospective investigation in the CAPP2 study. J Clin Oncol. 2015;33(31):3591–7.

    Article  CAS  Google Scholar 

  42. Roshandel G, Boreiri M, Sadjadi A, Malekzadeh R. A diversity of cancer incidence and mortality in West Asian populations. Ann Glob Health. 2014;80(5):346–57.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

Farzad Khodamoradi and Hossein Mozafar Saadati had the idea for the article. Farzad Khodamoradi and Hossein Mozafar Saadati performed the literature search and data analysis. Farzad Khodamoradi and Hossein Mozafar Saadati and Batool Okhovat drafted and/or critically revised the work.

Corresponding author

Correspondence to Farzad Khodamoradi.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflicts of interest.

Code Availability

Not applicable.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Saadati, H.M., Okhovat, B. & Khodamoradi, F. Incidence and Risk Factors of Colorectal Cancer in the Iranian Population: a Systematic Review. J Gastrointest Canc 52, 414–421 (2021). https://doi.org/10.1007/s12029-020-00574-x

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12029-020-00574-x

Keywords

Navigation