Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people

Adake Saiken, Fang Gu Department of Gastroenterology, Peking University Third Hospital, Beijing, People’s Republic of China Objective: The purpose of this study was to determine the lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma (CRA) recur...

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Autores principales:	Saiken A, Gu F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Chinese elderly colorectal adenoma recurrence lifestyle lifestyle-related comorbidities. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/4fef53120cfa4cc181b519924f3e3837
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spelling	oai:doaj.org-article:4fef53120cfa4cc181b519924f3e38372021-12-02T00:43:15ZLifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people1178-1998https://doaj.org/article/4fef53120cfa4cc181b519924f3e38372016-06-01T00:00:00Zhttps://www.dovepress.com/lifestyle-and-lifestyle-related-comorbidities-independently-associated-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Adake Saiken, Fang Gu Department of Gastroenterology, Peking University Third Hospital, Beijing, People’s Republic of China Objective: The purpose of this study was to determine the lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma (CRA) recurrence in elderly Chinese people. Methods: During the 5-year follow-up after the initial colonoscopy, participants aged >60 years with the diagnosis and removal of CRA underwent a complete surveillance colonoscopy, and 152 participants with CRA recurrence plus 152 participants free of recurrence were included in this analysis. Results: Participants with CRA recurrence were more likely to consume less vegetables and fruits, and more red meats compared with the control group (P<0.05 for all). Lifestyle-related comorbidities, including hypertension and nonalcoholic fatty liver disease (NAFLD), were more common in participants with CRA recurrence than in the control group (P<0.05 for all). In the multivariate analysis, pack-years of smoking were independently associated with an increased CRA recurrence (odds ratio [OR]: 1.03; P<0.05). Eating less vegetables (OR: 099; P<0.05) and fruits (OR: 0.98; P<0.05) was identified as a statistically independent factor influencing CRA recurrence, as was eating more red meats (OR: 1.01; P<0.05). Hypertension was also found to be a factor independently associated with an increased CRA recurrence (OR: 2.44; P<0.05). NAFLD had an independent association, with an increased CRA recurrence (OR: 3.43; P<0.05). Conclusion: Smoking cigarettes, high consumption of red meats, low intake of fruits and vegetables, and the presence of hypertension and NAFLD were independently associated with an increased CRA recurrence in elderly Chinese people. This conclusion helps elderly Chinese people to make effective behavioral changes, such as smoking cessation, substitution of fruits and vegetables for red meats, and timely treatment of hypertension and NAFLD, to reduce CRA recurrence and colorectal cancer risk. Keywords: elderly Chinese, colorectal adenoma recurrence, lifestyle, lifestyle-related comorbiditiesSaiken AGu FDove Medical PressarticleChinese elderlycolorectal adenoma recurrencelifestylelifestyle-related comorbidities.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 801-805 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chinese elderly colorectal adenoma recurrence lifestyle lifestyle-related comorbidities. Geriatrics RC952-954.6
spellingShingle	Chinese elderly colorectal adenoma recurrence lifestyle lifestyle-related comorbidities. Geriatrics RC952-954.6 Saiken A Gu F Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people
description	Adake Saiken, Fang Gu Department of Gastroenterology, Peking University Third Hospital, Beijing, People’s Republic of China Objective: The purpose of this study was to determine the lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma (CRA) recurrence in elderly Chinese people. Methods: During the 5-year follow-up after the initial colonoscopy, participants aged >60 years with the diagnosis and removal of CRA underwent a complete surveillance colonoscopy, and 152 participants with CRA recurrence plus 152 participants free of recurrence were included in this analysis. Results: Participants with CRA recurrence were more likely to consume less vegetables and fruits, and more red meats compared with the control group (P<0.05 for all). Lifestyle-related comorbidities, including hypertension and nonalcoholic fatty liver disease (NAFLD), were more common in participants with CRA recurrence than in the control group (P<0.05 for all). In the multivariate analysis, pack-years of smoking were independently associated with an increased CRA recurrence (odds ratio [OR]: 1.03; P<0.05). Eating less vegetables (OR: 099; P<0.05) and fruits (OR: 0.98; P<0.05) was identified as a statistically independent factor influencing CRA recurrence, as was eating more red meats (OR: 1.01; P<0.05). Hypertension was also found to be a factor independently associated with an increased CRA recurrence (OR: 2.44; P<0.05). NAFLD had an independent association, with an increased CRA recurrence (OR: 3.43; P<0.05). Conclusion: Smoking cigarettes, high consumption of red meats, low intake of fruits and vegetables, and the presence of hypertension and NAFLD were independently associated with an increased CRA recurrence in elderly Chinese people. This conclusion helps elderly Chinese people to make effective behavioral changes, such as smoking cessation, substitution of fruits and vegetables for red meats, and timely treatment of hypertension and NAFLD, to reduce CRA recurrence and colorectal cancer risk. Keywords: elderly Chinese, colorectal adenoma recurrence, lifestyle, lifestyle-related comorbidities
format	article
author	Saiken A Gu F
author_facet	Saiken A Gu F
author_sort	Saiken A
title	Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people
title_short	Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people
title_full	Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people
title_fullStr	Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people
title_full_unstemmed	Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people
title_sort	lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly chinese people
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/4fef53120cfa4cc181b519924f3e3837
work_keys_str_mv	AT saikena lifestyleandlifestylerelatedcomorbiditiesindependentlyassociatedwithcolorectaladenomarecurrenceinelderlychinesepeople AT guf lifestyleandlifestylerelatedcomorbiditiesindependentlyassociatedwithcolorectaladenomarecurrenceinelderlychinesepeople
_version_	1718403493234999296

Lifestyle and lifestyle-related comorbidities independently associated with colorectal adenoma recurrence in elderly Chinese people

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