Relationships of Colorectal Cancer with Dietary Factors and Public Health Indicators: an Ecological Study


Background: Colorectal cancer (CRC) is the third most common cancer in Iranian women and fifth in men. Theaims of this study were to investigate the relation of dietary factors and public health indicators to its development.Materials and
Methods: The required information (2001-2006) about risk factors was obtained from the Non-Communicable Disease Surveillance Centre (NCDSC) of Iran. Risk factor data (RFD) from 89,404 individuals(15-64 years old) were gathered by questionnaire and laboratory examinations through a cross sectional studyin all provinces by systematic clustering sampling method. CRC incidence segregated by age and gender wasobtained from Cancer Registry Ministry of Health (CRMH) of Iran. First, correlation coefficients were used fordata analysis and then multiple regression analysis was performed to control for confounding factors.
Results:Colorectal cancer incidence showed a positive relationship with diabetes mellitus, hypertension, lacking or lowphysical activity, high education, high intake of dairy products, and non-consumption of vegetables and fruits.
Conclusions: We concluded that many dietary factors and public health indicators have positive relationshipswith CRC and might therefore be targets of preliminary prevention. However, since this is an ecological studylimited by potential ecological fallacy the results must be interpreted with caution.