QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Online Supporting Material Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Dixon, L. B. Articles by Hayes, R. B. Search for Related Content PubMed PubMed Citation Articles by Dixon, L. B. Articles by Hayes, R. B.

---

Nutritional Epidemiology

Adherence to the USDA Food Guide, DASH Eating Plan, and Mediterranean Dietary Pattern Reduces Risk of Colorectal Adenoma^1–3,

⁴ Department of Nutrition, Food Studies, and Public Health, New York University, New York City, NY 10012; ⁵ Division of Cancer Prevention and Population Sciences, National Cancer Institute, Bethesda, MD 20892; ⁶ Division of Public Health Sciences, Cancer Prevention Program, Fred Hutchinson Cancer Research Center and Department of Epidemiology, University of Washington, Seattle, WA 98109; ⁷ University of Pittsburgh Medical Center, Pittsburgh, PA 15232; ⁸ MD Anderson Cancer Center, Houston, TX 77030; ⁹ Information Management Systems, Inc., Silver Spring, MD 20904; and ¹⁰ Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD 20892

^* To whom correspondence should be addressed. E-mail: beth.dixon{at}nyu.edu.

The 2005 Dietary Guidelines for Americans include quantitative recommendations for 2 eating patterns, the USDA Food Guide and the Dietary Approaches to Stop Hypertension (DASH) Eating Plan, to promote optimal health and reduce disease risk. A Mediterranean dietary pattern has also been promoted for health benefits. Our objective was to determine whether adherence to the USDA Food Guide recommendations, the DASH Eating Plan, or a Mediterranean dietary pattern is associated with reduced risk of distal colorectal adenoma. In the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial, men and women aged 55–74 y were screened for colorectal cancer by sigmoidoscopy at 10 centers in the U.S. After adjusting for potential confounders, men who most complied with the USDA Food Guide recommendations had a 26% reduced risk of colorectal adenoma compared with men who least complied with the recommendations (OR USDA score 5 vs. 2 = 0.74, 95% CI = 0.64–0.85; P-trend < 0.001). Comparable results were found for men who had intakes most similar to the DASH Eating Plan or a Mediterranean dietary pattern. Women who most complied with the USDA Food Guide recommendations had an 18% reduced risk for colorectal adenoma, but subgroup analyses revealed protective associations only for current smokers (OR USDA score 5 vs. 2 = 0.52, 95% CI = 0.31–0.89; P-trend < 0.01) or normal-weight women (OR USDA score 5 vs. 2 = 0.74, 95% CI = 0.55–0.99; P-trend = 0.08). Following the current U.S. dietary recommendations or a Mediterranean dietary pattern is associated with reduced risk of colorectal adenoma, especially in men.

This article has been cited by other articles:

				L. B. Sansbury, K. Wanke, P. S. Albert, L. Kahle, A. Schatzkin, E. Lanza, and the Polyp Prevention Trial Study Group The Effect of Strict Adherence to a High-Fiber, High-Fruit and -Vegetable, and Low-Fat Eating Pattern on Adenoma Recurrence Am. J. Epidemiol., September 1, 2009; 170(5): 576 - 584. [Abstract] [Full Text] [PDF]

				L. Jiao, P. N. Mitrou, J. Reedy, B. I. Graubard, A. R. Hollenbeck, A. Schatzkin, and R. Stolzenberg-Solomon A Combined Healthy Lifestyle Score and Risk of Pancreatic Cancer in a Large Cohort Study Arch Intern Med, April 27, 2009; 169(8): 764 - 770. [Abstract] [Full Text] [PDF]

				A. L.B. Gunther, A. D. Liese, R. A. Bell, D. Dabelea, J. M. Lawrence, B. L. Rodriguez, D. A. Standiford, and E. J. Mayer-Davis Association Between the Dietary Approaches to Hypertension Diet and Hypertension in Youth With Diabetes Mellitus Hypertension, January 1, 2009; 53(1): 6 - 12. [Abstract] [Full Text] [PDF]