Abstract
This prospective study assesses the impact of fat and calcium intake on the risk of developing cancer in each large-bowel subsite. The study population is a cohort of Hawaii Japanese men who experience high rates of colon cancer, especially of the sigmoid segment. Total calcium intake is not related to the risk of colon cancer, and separation of calcium into dairy and nondairy sources does not alter the result. There is, however, a significant, monotonic increase in sigmoid colon cancer risk with decreasing total calcium intake. Similar trends are shown for both dairy and nondairy calcium. Dietary calcium is not consumed in large quantities among the Hawaii Japanese, partly because of their limited consumption of milk due to lactose intolerance. If calcium plays a protective role against sigmoid colon cancer, this effect is unlikely to be related to fat intake. Sigmoid colon cancer subjects had lower intakes of fat than other cohort men, and a statistical test for the interaction effect of total calcium and fat intake on colon cancer risk was statistically insignificant (P=0.2).
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References
Newmark HL, Wargovich MJ, Bruce WR. Colon cancer and dietary fat, phosphate and calcium: a hypothesis. JNCI 1984;72:1323–5.
Young JI, Percy CL, et al. Cancer Incidence and Mortality in the United States, 1973–1977, National Cancer Institute Monograph No. 57, Surveillance, Epidemiology and End Results Program, NIH Publication No. 81-2330, US Dept of Health & Human Services, Bethesda, MD, 1981.
Stemmermann GN, Nomura AMY, Heilbrun LK. Dietary fat and the risk of colorectal cancer. Cancer Res 1984;44:4633–7.
Reed D, McGee D, Yano K, Hankin J. Diet, blood pressure and multicollinearity. In: Lovenberg W, Yamori Y, eds. Nutritional prevention of carciovascular disease. Orlando: Academic Press, 1984;155–65.
Heilbrun LK, Hankin JH, Nomura A, Stemmermann G. Colon cancer and dietary fat, phosphorus, and calcium in Hawaii Japanese men. Am J Clin Nutr 1986;43:306–9.
Berlyne GM, Ari JB, Nord E, Shainkin R. Bedouin osteomalacia due to calcium deprivation caused by high phytic acid content of unleavened bread. Am J Clin Nutr 1973;26:910–11.
Wills MR, Day RC, Phillips JB, Bateman EC. Phytic acid and nutritional rickets in immigrants. Lancet 1982;1:771–3.
Balasubramanian R, Johnson EJ, Marlett JA. Effect of wheat bran on bowel function and fecal calcium. Am J Clin Nutr 1987;6:199–208.
Favus MJ. Factors that influence absorbtion and secretion of calcium in the small intestine and colon. Am J Phys 1985;248:G147–57.
Stemmermann GN, Nomura AMY, Kolonel LN. Cancer among Japanese Americans in Hawaii. In: Kurihara M, Aoki K, Miller R, Muir C, eds. Changing cancer patterns and topics in cancer epidemiology. Gann Monograph on Cancer Research 33, Tokyo: Japan Scientific Society Press, 1987:99–108.
Worth RM, Kagan A. Ascertainment of men of Japanese ancestry in Hawaii through World War II Selective Service Registration. J Chron Dis 1970;23:389–97.
Freund RJ, Littell RC. Statistical Analysis System (SAS) for Linear Models. Cary, NC: SAS Institute, Inc., 1981.
Cox DR. Regression models and life-tables (with discussion). J Roy Statis Soc Series 3, 1972:187.
Schlesselmann JJ. Case-control studies: design, conducts, analysis. New York: Oxford University Press, 1982.
Heilbrun LK, Nomura A, Hankin JH, Stemmermann GN. Diet and colorectal cancer with special reference to vitamin and fiber intake. Int J Cancer (in press).
Kelsay JL. Effects of fiber, phytic acid, and oxalic acid in the diet on mineral bioavailability. Am J Gastroenterol 1987;82:983–6.
McGee D, Rhoads G, Hankin J, Yano K, Tillotson J. Within-person variability of nutrient intake in a group of Hawaiian men of Japanese ancestry. Am J Clin Nutr 1982;36:657–63.
Pamukcu AM, Yalciner S, Bryer GT. Inhibition of carcinogenic of bracken fern by various chemicals. Cancer 1977;40:2450–4.
Dollahite JW, Camp BJ. Calcium hydroxide—an antidote for tannic acid poisoning in rabbits. Am J Vet Res 1962;23:1271–2.
Ghoshal AK, Laconi E, Willemsen F, Ghoshal A, Rushmore TH, Farber E. Modulation by calcium of the carcinogenic process in the liver induced by a choline deficient diet. Can J Physiol Pharmacol 1987;65:478–82.
National Nutrition Survey, 1980, Ministry of Health and Welfare of Japan. Tokyo: Daiichishuppan Publishing Co., 1982.
Kagan A, Harris BR, Winkelstein W, et al. Epidemiologic studies of coronary heart disease and stroke in men living in Japan, Hawaii and California. J Chron Dis 1974;27:345–65.
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Read at the meeting of The American Society of Colon and Rectal Surgeons, Toronto, Canada, June 11 to 16, 1989.
Supported by Grant RO1 CA 33644 from the National Cancer Institute, National Institutes of Health, DHHS, Bethesda, MD.
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Stemmermann, G.N., Nomura, A. & Chyou, P.H. The influence of dairy and nondairy calcium on subsite large-bowel cancer risk. Dis Colon Rectum 33, 190–194 (1990). https://doi.org/10.1007/BF02134177
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DOI: https://doi.org/10.1007/BF02134177