4.5 Article

Choline and Betaine Intake and the Risk of Colorectal Cancer in Men

Journal

CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
Volume 19, Issue 3, Pages 884-887

Publisher

AMER ASSOC CANCER RESEARCH
DOI: 10.1158/1055-9965.EPI-09-1295

Keywords

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Funding

  1. NCI NIH HHS [CA125763, CA55075, R03 CA125763-01A1, R03 CA125763, P01 CA055075, P01 CA055075-18] Funding Source: Medline
  2. NIDDK NIH HHS [R01 DK055865, P30 DK040561, P30 DK040561-14, DK55865] Funding Source: Medline
  3. NIEHS NIH HHS [P30 ES010126] Funding Source: Medline

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Dietary choline and betaine have been hypothesized to decrease the risk of cancer because of their role as methyl donors in the one-carbon metabolism. However, it remains unknown whether dietary intake of choline and betaine is associated with colorectal cancer risk. We prospectively examined the associations between dietary choline and betaine intake and risk of colorectal cancer in men in the Health Professionals Follow-up Study. We followed 47,302 men and identified a total of 987 incident colorectal cancer cases from 1986 to 2004. We assessed dietary and supplemental choline and betaine intake every 4 years using a validated semi-quantitative food frequency questionnaire. The Cox proportional hazards model was used to estimate multivariate relative risks and 95% confidence intervals. All statistical tests were two-sided. We did not find any statistically significant associations between choline intake or betaine intake and risk of colorectal cancer. Comparing the top quintile with bottom quintile, multivariate relative risks (95% confidence interval) were 0.97 (0.79-1.20; P-trend = 0.87) for choline intake and 0.94 (0.77-1.16; P-trend = 0.79) for betaine intake. Similarly, we observed no associations between colorectal cancer risk and choline from free choline, glycerophosphocholine, phosphocholine, phosphatidylcholine, or sphingomyelin. Our data do not support the hypothesis that choline and betaine intake is inversely associated with colorectal cancer risk. Cancer Epidemiol Biomarkers Prev; 19(3); 884-7. (C) 2010 AACR.

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