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Environmental Factors, Gut Microbiota, and Colorectal Cancer Prevention.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
January 1, 2019
Mingyang Song et al. (2 authors)
Journal ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore the potential links between dairy consumption and colorectal cancer prevention, particularly in relation to gut microbiota.

Results Summary

The abstract mentions dairy consumption as a colorectal cancer-preventive factor but notes that its links with gut microbiota remain to be mechanistically characterized, indicating insufficient evidence for definitive conclusions.

Population

Not specified (general discussion of colorectal cancer risk factors)

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
overweight and obesity
increase
colorectal cancer
-
-
implicated in the development
#1
physical activity
increase
colorectal cancer
-
-
implicated in the development
#2
dietary patterns
increase
colorectal cancer
-
-
implicated in the development
#3
fiber
increase
colorectal cancer
-
-
implicated in the development
#4
red and processed meat
increase
colorectal cancer
-
-
implicated in the development
#5
marine omega-3 fatty acid
increase
colorectal cancer
-
-
implicated in the development
#6
alcohol
increase
colorectal cancer
-
-
implicated in the development
#7
smoking
increase
colorectal cancer
-
-
implicated in the development
#8
vitamin D status
decrease
colorectal cancer
-
-
colorectal cancer-preventive
#9
dairy consumption
decrease
colorectal cancer
-
-
colorectal cancer-preventive
#10
metformin use
decrease
colorectal cancer
-
-
colorectal cancer-preventive
#11
Abstract

The substantial burden of colorectal cancer and increasing trend in young adults highlight the importance of lifestyle modification as a complement to screening for colorectal cancer prevention. Several dietary and lifestyle factors have been implicated in the development of colorectal cancer, possibly through the intricate metabolic and inflammatory mechanisms. Likewise, as a key metabolic and immune regulator, the gut microbiota has been recognized to play an important role in colorectal tumorigenesis. Increasing data support that environmental factors are crucial determinants for the gut microbial composition and function, whose alterations induce changes in the host gene expression, metabolic regulation, and local and systemic immune response, thereby influencing cancer development. Here, we review the epidemiologic and mechanistic evidence regarding the links between diet and lifestyle and the gut microbiota in the development of colorectal cancer. We focus on factors for which substantial data support their importance for colorectal cancer and their potential role in the gut microbiota, including overweight and obesity, physical activity, dietary patterns, fiber, red and processed meat, marine omega-3 fatty acid, alcohol, and smoking. We also briefly describe other colorectal cancer-preventive factors for which the links with the gut microbiota have been suggested but remain to be mechanistically characterized, including vitamin D status, dairy consumption, and metformin use. Given limitations in available evidence, we highlight the need for further investigations in the relationship between environmental factors, gut microbiota, and colorectal cancer, which may lead to development and clinical translation of potential microbiota-based strategies for cancer prevention.

Medical Subject Headings (MeSH)
CarcinogenesisColorectal NeoplasmsDietDysbiosisEnvironmental ExposureGastrointestinal MicrobiomeHost Microbial InteractionsHumansLife StyleMicrobiota
Study Links
Quality Scores
SafetyNot Assessed
Quality75/10
Citation Metrics
Total Citations223
Citations/Year37.2
Relative Citation Ratio10.61
NIH Percentile98%
Research Impact Scores
APT Score0.95
Weight Score2.58
Normalized Score0.55
Related Supplements
Environmental Factors, Gut Microbiota, and Colorectal Cancer... | Panacea Index