A case-control study of occupational and dietary factors in colorectal cancer in young men by subsite.
With the hope that exposures responsible for colorectal cancer might be especially obvious among those in whom it develops early, 147 men with colorectal carcinomas first diagnosed between the ages of 25 and 44 years were compared to neighborhood controls. Physical activity on the job was protective for tumors located in the transverse and descending portions of the colon. Rectal cancer and to a lesser extent sigmoid cancers were associated with jobs in which dusts or fumes were inhaled, especially if those jobs were held for long periods in young adulthood. While risk for rectal cancer did not seem to be limited to any particular type of dust or fume, the excess risk was strongest for wood and metal dusts. Consumption of fruits and vegetables and a preference for whole grain breads were protective for colon but not rectal cancers, while consumption of deep fried foods and barbecued/smoked meats increased risk at specific subsites. Beef intake, alcohol consumption, and cigarette smoking appeared to play little or no role at any subsite.
Department of Preventive Medicine, University of Southern California School of Medicine, Los Angeles 90033.
R K
RK
Peters
D H
DH
Garabrant
M C
MC
Yu
T M
TM
Mack
D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology; D000328:Adult; D000367:Age Factors; D003110:Colonic Neoplasms / Q000209:etiology* / Q000473:pathology; D004391:Dust / Q000009:adverse effects; D005247:Feeding Behavior; D005511:Food Handling; D006801:Humans; D015141:Los Angeles; D008297:Male; D008669:Metallurgy; D009790:Occupations; D012004:Rectal Neoplasms / Q000209:etiology* / Q000473:pathology; D012307:Risk Factors; D012811:Sigmoid Neoplasms / Q000209:etiology; D012907:Smoking / Q000009:adverse effects; D014934:Wood
D004391:Dust