Consumption Behavior on Colorectal Cancer Incidence in Indonesia (RISKESDAS 2013)

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Adhila Fayasari


Introduction: The increasing prevalence of colorectal cancer in Indonesia can be influenced by several factors, including food consumption pattern, obesity and physical activity. High consumption patterns of spices, fat, processing foods and low in dietary fiber, would increase the risk of colorectal cancer.

Purpose: This study aims to analyze the relationship of consumption patterns and other major risk factors to the prevalence of colorectal cancer in Indonesia based on data obtained from Riskesdas 2013.

Methods: Data were secondary data Riskesdas 2013 from the Center for Health Research and Development with the design case control study. There were 90 subject with colorectal cancer in the case group and 90 subjects in control group. selected at random. Characteristic data such as age, gender, nutritional status, waist circumference and physical activity were analyzed by univariate method. The association of risk factors from characteristic data and consumption pattern to colorectal cancer was analyzed by bivariate analysis and risk factor determination using multivariate analysis.

Results: Factors that are significantly related to the incidence of colorectal cancer are grilled food (p 0.032), spices and seasoning (p 0.009) and coffee beverages (p 0.033).

Conclusion: Multivariate analysis showed that those with correlation with colorectal cancer were age, physical activity, waist circumference, and spices and seasoning.

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1. Fedirko C, et al. Effects of suplemental vitamin D and calsium on oxidative DNA damage marker in normal colorectal mucosa: a randomized clinical trial. Cancer Epidemiol Biomarkers Prev. 2010;19(1)280-291.
2. World Cancer Research Fund/American Institute for Cancer Research. Food, nutrition, physical activity and the prevention of cancer: a global perspective. AICR; 2007.
3. Globocan. Estimated cancer incidence; mortality and prevalence worldwide in 2012. International Agency for research on Cancer. WHO; 2012.
4. Riset Kesehatan Dasar (RISKESDAS) 2007. Jakarta: Balitbang Kemenkes RI; 2007.
5. Riset Kesehatan Dasar (RISKESDAS) 2013. Jakarta: Balitbang Kemenkes RI; 2013.
6. Kementrian Kesehatan RI. Infodatin Kanker.2015.
7. WHO. Cancer country profile : Indonesia.2014.
8. Kono S. Secular trend of colon cancer incidence and mortality in relation to fat and meat intake in Japan. Eur J Cancer Prev. 2004;13:127-32.
9. Studi Diet Total (SDT). Studi Diet Total. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. Departemen Kesehatan, Republik Indonesia; 2014.
10. Yang Y, et al. Increased intake of vegetables but not fruit reduces risk for hepatocelluler carcinoma: a meta analysis. Gastrienterology. 2014; 147(5):1031-42.
11. Huxley, RR. Woodward, M, Clifton P. The epidemiologic evidence and potential biological
mechanisms for a protective effect of dietary fiber on the risk of colorectal cancer. Curr Nutr Rep. 2013; 2:63-70.
12. Sun Q, et al. White rice, brown rice, and risk of type 2 diabetes in US men and women. Arch Intern Med. 2010; 170(11):961-9.
13. Vargas AJ, Thompson PA. Diet and nutrient factors in colorectal cancer risk. Nutr Clin Pract. 2012; (5):613-23.
14. Pedro J, Tarraga Lopez, Juan SA, Julio ACH. Impact of life habits on colorectal cancer. The Open Colorectal Cancer Journa. 2010; 3:12-22.
15. Schmit SL, Rennert HS, Rennert G, Gruber, SB. Coffee consumption and the risk of colorectal cancer. Cancer Epidmiol Biomarker Prev. 2016; 24(4).
16. Botteri D, Iodice S, Bagnardi V, Raimondi S, Lowenfels AB, Maisonneuve P. Smoking and colorectal cancer: a meta-analysis. JAMA. 2008;300(23):2765-78.
17. Limsui D1, et al. Cigarette smoking and colorectal cancer risk by molecularly defined subtypes. J Natl Cancer Inst. 2010; 102(14):1012-1022.
18. Larsson SC, Rutegard J, Bergkvist L, Wolk A. Physical activity, obesity, and risk of colon and rectal cancer in a cohort of Swedish men. Eur J Cancer. 2006; 42( 15): 2590–7.
19. Sastroasmoro, S., dan Ismail, S. Dasar-Dasar Metodologi Penelitian Klinis. Jakarta: Binarupa Aksara; 1995.
20. De Giorgio R, et al. Diagnosis and therapi of Irritable Bowel Syndrome. Aliment Pharmacol Ther (Suppl.2). 2004; 2:10-22.
21. Aliwikarta , K. Pola Konsumsi Pangan dan gaya Hidup dalam menentukan prevalensi kanker di Indonesia. [Tesis]. Pascasarjana Institut Pertanian Bogor; 2016.
22. Slattery ML, Edwards S, Curtin K, Ma, K, Edwards R. Physical activity and colorectal cancer. American Journal of Epidemiology. 2003; Vol. 158, No. 3.
23. Wolin, KY, Yan, Y, Colditz, GA, Lee, I-M. Physical activity and colon cancer prevention: a meta-analysis. British Journal of Cancer. 2009; 100:611 – 616.
24. Theodoratou E, et al. Associations between dietary and lifestyle risk factors and colorectal cancer in the Scottish population. European Journal of Cancer Prevention. 2013; 23:8–17.
25. Garnesh B, Talole SD, Dikshit R. A case-control studyon diet and colorectal cancer from Mumbai, India. Cancer Epidemiol. 2009; 33,189-93.
26. Mahfouz EM, Sadek RR, Abdel-Latief WM, Mosallem FA, Hassan EE. The role of dietary and lifestyle factors in the development of colorectal cancer: case control study in Minia, Egypt. Cent Eur J Public Health. 2014; 22: 215-22.
27. Csaki KF, Synthetic surfactant food additives can cause intestinal barrier dysfunction. Medical hypotheses. 2011; 76(5):676-687.
28. Lerner, A, Matthias, T. Changes in intestinal tight junction permeability associated with industrial food additives explain the rising incidence of autoimmune disease. Autoimmunity Review. 2015; 14(6):479-489.
29. Cross, A, et al. A large prospective study of meat consumption and colorectal cancer risk: an investigation of potential mechanisms underlying this association. Cancer Res. 2010; 70 (6): 2406-2414.
30. Sinha R, Peters U, Cross AJ, Kulldorff M, Weissfeld JL, Pinsky PF, Rothman N, Hayes RB. 2005. Meat, meat cooking methods and preservation, and risk for colorectal adenoma. Cancer Res. 2005;65:8034–8041.
31. Demeyer, D, Mertens B, De Smet, S, Ulnes, M. Mechanisms linking colorectal cancer to the consumption of (processed) red meat: a review. Critical Reviews in Food Science and Nutrition. 2016; 56(16).
32. DellaValle CT, et al. Dietary intake of nitrate and nitrite and risk of renal cell carcinoma in the NIH-AARP Diet and Health Study. Br J Cancer. 2013; 108(1):205-12.
33. Galeone C, Turati F, La Vecchia C, Tavani A. Coffee consumption and risk of colorectal cancer: a meta-analysis of case–control studies. Cancer Causes Control. 2010; 21:1949–59.
34. Ainslie-Waldman CE, Koh WP, Jin A, Yeoh KG, Zhu F, Wang R. Coffee intake and gastric cancer risk: the Singapore Chinese health study. Cancer Epidemiol Biomarkers Prev. 2014;23:638–47.
35. Cao S, Liu L, Yin X, Wang Y, Liu J, Lu Z. Coffee consumption and risk of prostate cancer: a meta-analysis of prospective cohort studies. Carcinogenesis. 2014; 35: 256–61.
36. Araujo JR, Goncalves P, Martel F. Chemopreventive effect of dietary polyphenols in colorectal cancer cell lines. Nutr Res. 2011; 31:77–87.
37. Je Y, Liu W, Giovannucci E. Coffee consumption and risk of colorectal cancer: a systematic review and meta-analysis of prospective cohort studies. Int J Cancer. 2009; 124:1662–8.
38. Baena, R, Salinas. Diet and colorectal cancer Maturitas. 2014; 80(3): 258-264.