Calcium intake and colorectal cancer risk: Results from the nurses' health study and health professionals follow-up study.

Int J Cancer
Authors
Abstract

The relationship between calcium intake and colorectal cancer (CRC) risk remains inconclusive. We conducted this study to evaluate whether the association between calcium intake and CRC risk differs by anatomic subsite and determine the dose-response relationship for this association, as well as assess when in carcinogenesis calcium may play a role. We assessed calcium intake every 4 years and followed 88,509 women (1980-2012) in the Nurses' Health Study and 47,740 men (1986-2012) in the Health Professionals Follow-Up Study. We documented 3,078 incident CRC cases. Total calcium intake (≥1,400 vs. 600 mg/d) was associated with a statistically significant lower risk of colon cancer (multivariable relative risk: 0.78, 95%CI: 0.65-0.95). Similar results were observed by different sources of calcium (from all foods or dairy products only). The inverse association was linear and suggestively stronger for distal colon cancer (0.65, 0.43-0.99) than for proximal colon cancer (0.94, 0.72-1.22, p-common effects  = 0.14). Additionally, when comparing different latencies, the overall pattern suggested that the inverse association appeared to be stronger with increasing latency and was strongest for intakes 12-16 years before diagnosis. Comparing total calcium intakes of ≥1,400 vs. 600 mg/d for intake 12-16 y before diagnosis, the pooled RR (95% CIs) of CRC was 0.76 (0.64-0.91). Higher calcium intake was associated with a lower risk of developing colon cancer, especially for distal colon cancer. Overall inverse association was linear and did not differ by intake source. Additionally, calcium intake approximately 10 years before diagnosis appeared to be associated with a lower risk of CRC.

Year of Publication
2016
Journal
Int J Cancer
Volume
139
Issue
10
Pages
2232-42
Date Published
2016 Nov 15
ISSN
1097-0215
DOI
10.1002/ijc.30293
PubMed ID
27466215
PubMed Central ID
PMC5017917
Links
Grant list
K07 CA188126 / CA / NCI NIH HHS / United States
K24 DK098311 / DK / NIDDK NIH HHS / United States
P01 CA087969 / CA / NCI NIH HHS / United States
P50 CA127003 / CA / NCI NIH HHS / United States
R01 CA137178 / CA / NCI NIH HHS / United States
R01 CA151993 / CA / NCI NIH HHS / United States
R03 CA176717 / CA / NCI NIH HHS / United States
R35 CA197735 / CA / NCI NIH HHS / United States
UM1 CA186107 / CA / NCI NIH HHS / United States