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Title:
Circulating Vitamin D and Colorectal Adenoma in Asymptomatic Average-Risk Individuals Who Underwent First Screening Colonoscopy: A CaseāControl Study | Digestive Diseases and Sciences
Description:
A higher circulating vitamin D level is inversely associated with the risk of colorectal cancer, but the association with adenoma risk is less clear. We examined the association between the circulating 25-hydroxyvitamin D3 [25(OH)D3] concentration and colorectal adenoma in asymptomatic average-risk participants undergoing initial screening colonoscopy. The study subjects were comprised of 143 cases of colorectal adenomas and 143 age- and gender-matched controls with normal colonoscopy among the 586 asymptomatic average-risk subjects (median age, 58 years; range, 50ā73 years) who underwent first screening colonoscopy and measurement of the serum 25(OH)D3 between December 2009 and April 2010, consistent with winter months of the region. The mean concentration of serum 25(OH)D3 in the adenoma and control groups was 20.0 ± 11.0 ng/ml and 25.0 ± 20.0 ng/ml, respectively (P = 0.009). Using multivariate analysis, higher levels of 25(OH)D3 were associated with a statistically significant decreased risk of colorectal adenoma after multivariable adjustment (highest vs. lowest quartile OR 0.38, 95% CI 0.18ā0.80, P trend = 0.012). The inverse association of circulating 25(OH)D3 with colorectal adenoma was stronger among the patients with proximal adenoma than that among the patients without proximal adenoma (highest vs. lowest quartile OR 0.29, 95% CI 0.13ā0.66, P trend = 0.001). The present study suggests that high levels of circulating vitamin D are associated with a decreased risk of colorectal adenoma, and especially adenoma located in the proximal colon.
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Keywords {š}
google, scholar, pubmed, article, vitamin, colorectal, cancer, cas, adenoma, risk, calcium, epidemiol, hydroxyvitamin, circulating, study, biomarkers, prev, colonoscopy, colon, adenomas, access, garland, asymptomatic, sung, association, ohd, serum, nutr, privacy, cookies, content, averagerisk, casecontrol, hong, kim, normal, prevention, giovannucci, konkuk, university, medicine, publish, search, screening, choe, subjects, levels, decreased, patients, open,
Topics {āļø}
month download article/chapter mina hurĀ &Ā yeo-min yun article digestive diseases pooled caseācontrol study nonsteroidal anti-inflammatory drug hyung seok parkĀ &Ā chan 25-hydroxyvitamin d-1alpha-hydroxylase e3n-epic prospective study population-based prospective cohorts french caseācontrol study asymptomatic average-risk individuals 25-hydroxyvitamin d3ā1{alpha}-hydroxylase advanced colonic neoplasia boutron-ruault mc jeong hwan kim full article pdf caseācontrol study yeo-min yun privacy choices/manage cookies dis colon rectum article hong malignant human colon malignant colon tissue related subjects hee-won moon present study suggests average-risk screenees 40 gorham ed natl cancer inst european economic area sun-young lee gender-matched controls konkuk university school conditions privacy policy dong choon seol study subjects won hyeok choe colon cancer decreased adenoma recurrence check access instant access screening colonoscopy distal colorectal adenoma accepting optional cookies article log ann intern med colorectal adenoma recurrence quantitative meta analysis colorectal adenoma risk author information authors
Questions {ā}
- Calcium, vitamin D, and risk for colorectal adenoma: dependency on vitamin D receptor Bsmi polymorphism and nonsteroidal anti-inflammatory drug use?
- Do sunlight and vitamin D reduce the likelihood of colon cancer?
- Epidemiology of vitamin D and colorectal cancer: casual or causal link?
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headline:Circulating Vitamin D and Colorectal Adenoma in Asymptomatic Average-Risk Individuals Who Underwent First Screening Colonoscopy: A CaseāControl Study
description:A higher circulating vitamin D level is inversely associated with the risk of colorectal cancer, but the association with adenoma risk is less clear. We examined the association between the circulating 25-hydroxyvitamin D3 [25(OH)D3] concentration and colorectal adenoma in asymptomatic average-risk participants undergoing initial screening colonoscopy. The study subjects were comprised of 143 cases of colorectal adenomas and 143 age- and gender-matched controls with normal colonoscopy among the 586 asymptomatic average-risk subjects (median age, 58Ā years; range, 50ā73Ā years) who underwent first screening colonoscopy and measurement of the serum 25(OH)D3 between December 2009 and April 2010, consistent with winter months of the region. The mean concentration of serum 25(OH)D3 in the adenoma and control groups was 20.0 ± 11.0Ā ng/ml and 25.0 ± 20.0Ā ng/ml, respectively (PĀ =Ā 0.009). Using multivariate analysis, higher levels of 25(OH)D3 were associated with a statistically significant decreased risk of colorectal adenoma after multivariable adjustment (highest vs. lowest quartile OR 0.38, 95% CI 0.18ā0.80, P
trendĀ =Ā 0.012). The inverse association of circulating 25(OH)D3 with colorectal adenoma was stronger among the patients with proximal adenoma than that among the patients without proximal adenoma (highest vs. lowest quartile OR 0.29, 95% CI 0.13ā0.66, P
trendĀ =Ā 0.001). The present study suggests that high levels of circulating vitamin D are associated with a decreased risk of colorectal adenoma, and especially adenoma located in the proximal colon.
datePublished:2011-10-08T00:00:00Z
dateModified:2011-10-08T00:00:00Z
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keywords:
Colorectal adenoma
Vitamin D
25-hydroxyvitamin D3
Colonoscopy
Caseācontrol study
Gastroenterology
Hepatology
Oncology
Transplant Surgery
Biochemistry
general
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headline:Circulating Vitamin D and Colorectal Adenoma in Asymptomatic Average-Risk Individuals Who Underwent First Screening Colonoscopy: A CaseāControl Study
description:A higher circulating vitamin D level is inversely associated with the risk of colorectal cancer, but the association with adenoma risk is less clear. We examined the association between the circulating 25-hydroxyvitamin D3 [25(OH)D3] concentration and colorectal adenoma in asymptomatic average-risk participants undergoing initial screening colonoscopy. The study subjects were comprised of 143 cases of colorectal adenomas and 143 age- and gender-matched controls with normal colonoscopy among the 586 asymptomatic average-risk subjects (median age, 58Ā years; range, 50ā73Ā years) who underwent first screening colonoscopy and measurement of the serum 25(OH)D3 between December 2009 and April 2010, consistent with winter months of the region. The mean concentration of serum 25(OH)D3 in the adenoma and control groups was 20.0 ± 11.0Ā ng/ml and 25.0 ± 20.0Ā ng/ml, respectively (PĀ =Ā 0.009). Using multivariate analysis, higher levels of 25(OH)D3 were associated with a statistically significant decreased risk of colorectal adenoma after multivariable adjustment (highest vs. lowest quartile OR 0.38, 95% CI 0.18ā0.80, P
trendĀ =Ā 0.012). The inverse association of circulating 25(OH)D3 with colorectal adenoma was stronger among the patients with proximal adenoma than that among the patients without proximal adenoma (highest vs. lowest quartile OR 0.29, 95% CI 0.13ā0.66, P
trendĀ =Ā 0.001). The present study suggests that high levels of circulating vitamin D are associated with a decreased risk of colorectal adenoma, and especially adenoma located in the proximal colon.
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Colorectal adenoma
Vitamin D
25-hydroxyvitamin D3
Colonoscopy
Caseācontrol study
Gastroenterology
Hepatology
Oncology
Transplant Surgery
Biochemistry
general
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