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Association between circulating concentrations of 25(OH)D and colorectal adenoma: a pooled analysis.
Int J Cancer. 2013 Dec 15; 133(12):2980-8.IJ

Abstract

The relationship between the biomarker of vitamin D status, 25(OH)D, and the risk for colorectal neoplasia is suggestive but equivocal. Questions remain regarding whether there are differential associations between 25(OH)D and colorectal adenoma by gender, colorectal subsite or features of baseline and recurrent adenomas. We sought to investigate the relationship between 25(OH)D and both baseline and recurrent adenoma characteristics. Our study was conducted among 2,074 participants in a pooled population of two clinical intervention trials of colorectal adenoma recurrence. A cross-sectional analysis of 25(OH)D and baseline adenoma characteristics and a prospective study of recurrent adenomas and their characteristics were conducted. There was a statistically significant inverse association between the concentrations of 25(OH)D and the presence of three or more adenomas at baseline. Compared to participants with 25(OH)D levels of <20 ng/mL, the adjusted odds ratios (ORs) (95% condifdence intervals [CIs]) were 0.99 (0.70-1.41) for those with concentrations of ≥20 and <30 ng/mL, and 0.73 (0.50-1.06) among participants with levels of ≥30 ng/mL (p-trend = 0.05). Baseline villous histology was also significantly inversely related to 25(OH)D levels (p-trend = 0.04). Conversely, 25(OH)D concentrations were not associated with overall colorectal adenoma recurrence, with ORs (95% CIs) of 0.91 (0.71-1.17) and 0.95 (0.73-1.24; p-trend = 0.85). These findings support the concept that the relationship between vitamin D and colorectal neoplasia may vary by stage of adenoma development.

Authors+Show Affiliations

University of Arizona Cancer Center, University of Arizona, Tucson, Arizona; Division of Epidemiology, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

23754630

Citation

Jacobs, Elizabeth T., et al. "Association Between Circulating Concentrations of 25(OH)D and Colorectal Adenoma: a Pooled Analysis." International Journal of Cancer, vol. 133, no. 12, 2013, pp. 2980-8.
Jacobs ET, Hibler EA, Lance P, et al. Association between circulating concentrations of 25(OH)D and colorectal adenoma: a pooled analysis. Int J Cancer. 2013;133(12):2980-8.
Jacobs, E. T., Hibler, E. A., Lance, P., Sardo, C. L., & Jurutka, P. W. (2013). Association between circulating concentrations of 25(OH)D and colorectal adenoma: a pooled analysis. International Journal of Cancer, 133(12), 2980-8. https://doi.org/10.1002/ijc.28316
Jacobs ET, et al. Association Between Circulating Concentrations of 25(OH)D and Colorectal Adenoma: a Pooled Analysis. Int J Cancer. 2013 Dec 15;133(12):2980-8. PubMed PMID: 23754630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between circulating concentrations of 25(OH)D and colorectal adenoma: a pooled analysis. AU - Jacobs,Elizabeth T, AU - Hibler,Elizabeth A, AU - Lance,Peter, AU - Sardo,Christine L, AU - Jurutka,Peter W, Y1 - 2013/07/11/ PY - 2013/04/02/received PY - 2013/05/14/revised PY - 2013/05/17/accepted PY - 2013/6/12/entrez PY - 2013/6/12/pubmed PY - 2013/12/16/medline KW - 25(OH)D KW - colon cancer KW - colorectal adenoma KW - vitamin D SP - 2980 EP - 8 JF - International journal of cancer JO - Int. J. Cancer VL - 133 IS - 12 N2 - The relationship between the biomarker of vitamin D status, 25(OH)D, and the risk for colorectal neoplasia is suggestive but equivocal. Questions remain regarding whether there are differential associations between 25(OH)D and colorectal adenoma by gender, colorectal subsite or features of baseline and recurrent adenomas. We sought to investigate the relationship between 25(OH)D and both baseline and recurrent adenoma characteristics. Our study was conducted among 2,074 participants in a pooled population of two clinical intervention trials of colorectal adenoma recurrence. A cross-sectional analysis of 25(OH)D and baseline adenoma characteristics and a prospective study of recurrent adenomas and their characteristics were conducted. There was a statistically significant inverse association between the concentrations of 25(OH)D and the presence of three or more adenomas at baseline. Compared to participants with 25(OH)D levels of <20 ng/mL, the adjusted odds ratios (ORs) (95% condifdence intervals [CIs]) were 0.99 (0.70-1.41) for those with concentrations of ≥20 and <30 ng/mL, and 0.73 (0.50-1.06) among participants with levels of ≥30 ng/mL (p-trend = 0.05). Baseline villous histology was also significantly inversely related to 25(OH)D levels (p-trend = 0.04). Conversely, 25(OH)D concentrations were not associated with overall colorectal adenoma recurrence, with ORs (95% CIs) of 0.91 (0.71-1.17) and 0.95 (0.73-1.24; p-trend = 0.85). These findings support the concept that the relationship between vitamin D and colorectal neoplasia may vary by stage of adenoma development. SN - 1097-0215 UR - https://www.unboundmedicine.com/medline/citation/23754630/Association_between_circulating_concentrations_of_25_OH_D_and_colorectal_adenoma:_a_pooled_analysis_ L2 - https://doi.org/10.1002/ijc.28316 DB - PRIME DP - Unbound Medicine ER -