title: Dietary fiber showed no preventive effect against colon and rectal cancers in Japanese with low fat intake: an analysis from the results of nutrition surveys from 23 Japanese prefectures.
abstract: BACKGROUND
  Since Fuchs' report in 1999, the reported protective effect of dietary fiber from colorectal carcinogenesis has led many researchers to question its real benefit. The aim of this study is to evaluate the association between diet, especially dietary fiber and fat and colorectal cancer in Japan.
  
  
  METHODS
  A multiple regression analysis (using the stepwise variable selection method) was performed using the standardized mortality ratios (SMRs) of colon and rectal cancer in 23 Japanese prefectures as objective variables and dietary fiber, nutrients and food groups as explanatory variables.
  
  
  RESULTS
  As for colon cancer, the standardized partial correlation coefficients were positively significant for fat (1,13, P = 0.000), seaweeds (0.41, P = 0.026) and beans (0.45, P = 0.017) and were negatively significant for vitamin A (-0.63, P = 0.003), vitamin C (-0.42, P = 0.019) and yellow-green vegetables (-0.37, P = 0.046). For rectal cancer, the standardized partial correlation coefficient in fat (0.60, P = 0.002) was positively significant. Dietary fiber was not found to have a significant relationship with either colon or rectal cancers.
  
  
  CONCLUSIONS
  This study failed to show any protective effect of dietary fiber in subjects with a low fat intake (Japanese) in this analysis, which supports Fuchs' findings in subjects with a high fat intake (US Americans).
authors.affiliation: Department of Hygiene, Hirosaki University School of Medicine Zaifu-cho 5, Hirosaki, 036-8562 Japan. nakaji@srhajamaica.com
authors.forename: S
authors.initials: S
authors.lastname: Nakaji
authors.forename: T
authors.initials: T
authors.lastname: Shimoyama
authors.forename: T
authors.initials: T
authors.lastname: Umeda
authors.forename: J
authors.initials: J
authors.lastname: Sakamoto
authors.forename: S
authors.initials: S
authors.lastname: Katsura
authors.forename: K
authors.initials: K
authors.lastname: Sugawara
authors.forename: D
authors.initials: D
authors.lastname: Baxter
mesh_terms: D003110:Colonic Neoplasms / Q000453:epidemiology* / Q000517:prevention & control*; D018752:Diet, Fat-Restricted / Q000706:statistics & numerical data; D004043:Dietary Fiber / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D012004:Rectal Neoplasms / Q000453:epidemiology* / Q000517:prevention & control*