Influence of Diet Pattern on the Risk of Colorectal Cancer: A Systematic Review
Abstract
Colorectal cancer ranks fourth in most cases in Indonesia. Diet is one of the risk factors for colorectal cancer. This study aimed to determine the effect of diet in increasing the risk of colorectal cancer and its mechanism in the progression of colorectal cancer. The method used is Preferred Reporting Items for Systematic Review Analysis (PRISMA) on the Google Scholar database, PubMed NCBI, and Science Direct. The analysis results of 23 articles that meet the criteria show that several food ingredients can increase the risk of colorectal cancer, including fat, fructose, and nitrate. Smoking and drinking alcohol also increases the risk of colorectal cancer. In contrast, vitamin D and fiber can reduce the risk of colorectal cancer. Therefore, this understanding is essential for doctors and the public to participate in reducing the incidence of colorectal cancer.
References
Bähr, I. et al. (2022) ‘Obesity, colorectal cancer and MACC1 expression: A possible novel molecular association’, International Journal of Oncology, 60(2). doi: 10.3892/ijo.2022.5307.
Binefa, G. et al. (2014) ‘Colorectal cancer: From prevention to personalized medicine’, World Journal of Gastroenterology, 20(22). doi: 10.3748/wjg.v20.i22.6786.
Cross, A. J. and Sinha, R. (2004) ‘Meat-related mutagens/carcinogens in the etiology of colorectal cancer’, in Environmental and Molecular Mutagenesis. doi: 10.1002/em.20030.
Crowe, W., Elliott, C. T. and Green, B. D. (2019) ‘A review of the in vivo evidence investigating the role of nitrite exposure from processed meat consumption in the development of colorectal cancer’, Nutrients, 11(11). doi: 10.3390/nu11112673.
Dellavalle, C. T. et al. (2014) ‘Dietary nitrate and nitrite intake and risk of colorectal cancer in the Shanghai Women’s Health Study’, International Journal of Cancer, 134(12). doi: 10.1002/ijc.28612.
Dou, R. et al. (2016) ‘Vitamin D and colorectal cancer: Molecular, epidemiological and clinical evidence’, British Journal of Nutrition, 115(9). doi: 10.1017/S0007114516000696.
Espejo-Herrera, N. et al. (2016) ‘Colorectal cancer risk and nitrate exposure through drinking water and diet’, International Journal of Cancer, 139(2). doi: 10.1002/ijc.30083.
Khosama, Y. (2015) ‘Faktor Risiko Kanker Kolorektal’, Cermin Dunia Kedokteran, 42(11).
Kopp, T. I., Vogel, U. and Andersen, V. (2020) ‘Associations between common polymorphisms in CYP2R1 and GC, Vitamin D intake and risk of colorectal cancer in a prospective case-cohort study in Danes’, PLoS ONE, 15(2). doi: 10.1371/journal.pone.0228635.
Lamprecht, S. A. and Lipkin, M. (2003) ‘Chemoprevention of colon cancer by calcium, vitamin D and folate: Molecular mechanisms’, Nature Reviews Cancer. doi: 10.1038/nrc1144.
Ocvirk, S. et al. (2019) ‘Fiber, Fat, and Colorectal Cancer: New Insight into Modifiable Dietary Risk Factors’, Current Gastroenterology Reports. doi: 10.1007/s11894-019-0725-2.
Rahmadania, E., Wibowo, A. A. and Rosida, L. (2016) ‘DISTRIBUSI POLA DIET PASIEN KANKER KOLOREKTAL DI RSUD ULIN BANJARMASIN PERIODE AGUSTUS OKTOBER 2015’, Berkala Kedokteran, 12(2). doi: 10.20527/jbk.v12i2.1872.
Rossi, M. et al. (2018) ‘Colorectal cancer and alcohol consumption—populations to molecules’, Cancers. doi: 10.3390/cancers10020038.
Shen, Z. et al. (2022) ‘GLUT5-KHK axis-mediated fructose metabolism drives proliferation and chemotherapy resistance of colorectal cancer’, Cancer Letters, 534. doi: 10.1016/j.canlet.2022.215617.
Swari, R. P., Sueta, M. A. D. and Adnyana, M. S. (2019) ‘Hubungan asupan serat dengan angka kejadian kanker kolorektal di RSUP Sanglah Denpasar tahun 2016 - 2017’, Intisari Sains Medis, 10(2). doi: 10.15562/ism.v10i2.262.
Walter, V. et al. (2014) ‘Smoking and survival of colorectal cancer patients: Systematic review and meta-analysis’, Annals of Oncology. doi: 10.1093/annonc/mdu040.
Woo, H. D. and Kim, J. (2013) ‘Dietary flavonoid intake and risk of stomach and colorectal cancer’, World J Gastroenterol, 19(7), pp. 1011–1019. doi: 10.3748/wjg.v19.i7.1011.
Yang, J. and Yu, J. (2018) ‘The association of diet, gut microbiota and colorectal cancer: what we eat may imply what we get’, Protein and Cell. doi: 10.1007/s13238-018-0543-6.

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