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Abd Rashid AA, Ashari LS, Shafiee NH, Raja Ali RA, Yeong Yeh L, Shahril MR, Jan Mohamed HJ. Dietary patterns associated with colorectal cancer risk in the Malaysian population: a case-control study with exploratory factor and regression analysis. BMC Public Health 2023; 23:1386. [PMID: 37468880 DOI: 10.1186/s12889-023-16283-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 07/10/2023] [Indexed: 07/21/2023] Open
Abstract
BACKGROUND Studies on the relationship between diet and colorectal cancer (CRC) risk using single food or nutrient approach are widely conducted as opposed to dietary pattern approach. Therefore, this study aimed to determine the major dietary patterns and their association with CRC risk among Malaysians. METHODS Patients aged between 18 and 80 years old from two teaching hospitals in Peninsular Malaysia were recruited through purposive sampling. Socio-demographic information and anthropometry data were assessed before the colonoscopy procedure, and dietary intake was also recorded using a validated semi-quantitative food frequency questionnaire (FFQ). Cases were those patients having histopathologically proven CRC, while controls were those without. RESULTS Four major dietary patterns were identified: the allergenic diet, plant-based diet, processed diet, and energy-dense diet pattern. After adjusting for potential covariates, the processed diet pattern was consistently associated with CRC (OR = 3.45; 95% CI = 1.25-9.52; P = 0.017) while the plant-based diet, energy-dense diet, and allergenic diet were not associated with CRC risk. CONCLUSIONS The processed diet pattern attributed to a diet high in confectionaries and fast foods was associated with an increased risk of CRC in the Malaysian population. In order to give prevention measures through lifestyle change, more research could be done on the effect of food patterns on faecal microbiota associated with CRC.
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Grants
- 203/PPSK/6720021, LRGS/MRUN/FI/02/2018/01, and LR001-2019 Long-Term Research Grant Scheme (LRGS)-Malaysia Research University Network (MRUN)
- 203/PPSK/6720021, LRGS/MRUN/FI/02/2018/01, and LR001-2019 Long-Term Research Grant Scheme (LRGS)-Malaysia Research University Network (MRUN)
- 203/PPSK/6720021, LRGS/MRUN/FI/02/2018/01, and LR001-2019 Long-Term Research Grant Scheme (LRGS)-Malaysia Research University Network (MRUN)
- 203/PPSK/6720021, LRGS/MRUN/FI/02/2018/01, and LR001-2019 Long-Term Research Grant Scheme (LRGS)-Malaysia Research University Network (MRUN)
- 203/PPSK/6720021, LRGS/MRUN/FI/02/2018/01, and LR001-2019 Long-Term Research Grant Scheme (LRGS)-Malaysia Research University Network (MRUN)
- 203/PPSK/6720021, LRGS/MRUN/FI/02/2018/01, and LR001-2019 Long-Term Research Grant Scheme (LRGS)-Malaysia Research University Network (MRUN)
- 203/PPSK/6720021, LRGS/MRUN/FI/02/2018/01, and LR001-2019 Long-Term Research Grant Scheme (LRGS)-Malaysia Research University Network (MRUN)
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Affiliation(s)
- Ainaa Almardhiyah Abd Rashid
- Nutrition Programme, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 16150, Malaysia
| | - Lydiatul Shima Ashari
- Nutrition Programme, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 16150, Malaysia
| | - Nor Hamizah Shafiee
- Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Cheras, 56000, Malaysia
| | - Raja Affendi Raja Ali
- Gut Research Group, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Cheras, 56000, Malaysia
- School of Medical and Life Sciences, Sunway University, Jalan Universiti, Bandar Sunway, Selangor, 47500, Malaysia
| | - Lee Yeong Yeh
- Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Jalan Raja Perempuan Zainab 2, Kubang Kerian, Kelantan, 16150, Malaysia
- GI Function & Motility Unit, Hospital USM, Jalan Raja Perempuan Zainab 2, Kubang Kerian, Kelantan, 16150, Malaysia
| | - Mohd Razif Shahril
- Centre for Healthy Ageing and Wellness (HCARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, 50300, Malaysia
| | - Hamid Jan Jan Mohamed
- Nutrition Programme, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, 16150, Malaysia.
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Ashari LS, Abd Rashid AA, Mohd Razif S, Yeong Yeh L, Jan Mohamed HJ. Diet is Linked to Colorectal Cancer Risk among Asian Adults: A Scoping Review. Malays J Med Sci 2023; 30:8-31. [PMID: 37425391 PMCID: PMC10325134 DOI: 10.21315/mjms2023.30.3.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 08/18/2022] [Indexed: 07/11/2023] Open
Abstract
This review aimed to map current evidence on the association between dietary factors and colorectal cancer (CRC) risk in Asia. This review was conducted based on Arksey and O'Malley methodological framework. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) flow diagram was used to record the review process. For the purpose of searching for articles, three electronic databases namely PubMed, EBSCOHost and ScienceDirect were employed. The inclusion criteria for articles selection were articles with association analysis between diet and CRC risk among Asians, had adults as participants, articles were written in English, open-accessed and published between years 2009 and 2021. Thus, 35 out of 369 screened articles were eventually included in this review which covered 28 case-control studies, six prospective cohort studies and one randomised clinical trial. Foods such as meats, alcohol and westernised diet have been shown to be associated with increase of CRC risk while fruits, vegetables and traditional meals decreased the risk of CRC. Only a few interventional and dietary patterns studies were identified. Specific single foods and nutrients and dietary patterns have been found to increase the risk but also protected the Asian population against CRC. The findings of this review will guide health professionals, researchers and policy makers to conduct a suitable study design and topic for future research.
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Affiliation(s)
- Lydiatul Shima Ashari
- Nutrition Programme, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| | | | - Shahril Mohd Razif
- Nutritional Science Programme and Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Lee Yeong Yeh
- School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
- GI Function and Motility Unit, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Hamid Jan Jan Mohamed
- Nutrition Programme, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
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Abd Rashid AA, Ashari LS, Shafiee NH, Raja Ali RA, Lee YY, Shahril MR, Jan Mohamed HJ. Validity and Reproducibility of Malaysian Food Frequency Questionnaire for Dietary Intake Related to Colorectal Cancer. Jgizipangan 2022. [DOI: 10.25182/jgp.2022.17.2.77-86] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Tuan Abdul Aziz TA, Teh LK, Md Idris MH, Bannur Z, Ashari LS, Ismail AI, Ahmad A, Isa KM, Nor FM, Rahman THA, Shaari SAB, Jan Mohamed HJ, Mohamad N, Salleh MZ. Increased risks of cardiovascular diseases and insulin resistance among the Orang Asli in Peninsular Malaysia. BMC Public Health 2016; 16:284. [PMID: 27009064 PMCID: PMC4806488 DOI: 10.1186/s12889-016-2848-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2015] [Accepted: 02/09/2016] [Indexed: 01/18/2023] Open
Abstract
Background Despite the strategic development plan by the authorities for the Orang Asli, there are six subtribes of which their population numbers are small (less than 700). These minorities were not included in most of the health related studies published thus far. A comprehensive physiological and biomedical updates on these small subtribes in comparison to the larger subtribes and the urban Malay population is timely and important to help provide appropriate measures to prevent further reduction in the numbers of the Orang Asli. Methods A total of 191 Orang Asli from different villages in Peninsular Malaysia and 115 healthy urban Malays were recruited. Medical examinations and biochemical analyses were conducted. Framingham risk scores were determined. Data was analyzed using IBM SPSS Statistics, Version 20.0. Results A higher percentage of the Orang Asli showed high insulin levels and hsCRP compared to the healthy Malays denoting possible risk of insulin resistance. High incidences of low HDL-c levels were observed in all the Orang Asli from the six subtribes but none was detected among the urban Malays. A higher percentage of inlanders (21.1 % of the males and 4.2 % of the females) were categorized to have high Framingham Risk Score. Conclusions Orang Asli staying both in the inlands and peripheries are predisposed to cardiovascular diseases and insulin resistance diabetes mellitus. The perception of Orang Asli being healthier than the urban people no longer holds. We believed that this information is important to the relevant parties in strategizing a healthier community of the Orang Asli to avoid the vanishing of the vulnerable group(s).
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Affiliation(s)
- Tuan Azlin Tuan Abdul Aziz
- Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia.,Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia
| | - Lay Kek Teh
- Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia. .,Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia.
| | - Muhd Hanis Md Idris
- Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia.,Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia
| | - Zakaria Bannur
- Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia.,Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia
| | - Lydiatul Shima Ashari
- Nutrition Programme, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Adzrool Idzwan Ismail
- Faculty of Art and Design, Universiti Teknologi MARA (UiTM), Shah Alam, Selangor, Malaysia
| | - Aminuddin Ahmad
- Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia
| | - Kamarudzaman Md Isa
- Faculty of Art and Design, Universiti Teknologi MARA (UiTM), Shah Alam, Selangor, Malaysia
| | - Fadzilah Mohd Nor
- Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia
| | | | | | - Hamid Jan Jan Mohamed
- Nutrition Programme, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Nornazliya Mohamad
- Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia
| | - Mohd Zaki Salleh
- Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia. .,Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Selangor Campus, Selangor, Malaysia.
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