title: Yogurt consumption and risk of colorectal cancer in the Italian European prospective investigation into cancer and nutrition cohort.
abstract: Fermented dairy products like yogurt have been suggested to protect against colorectal cancer (CRC). We conducted a prospective study on 45,241 (14,178 men; 31,063 women) volunteers of the EPIC-Italy cohort who completed a dietary questionnaire including specific questions on yogurt intake. During 12 years of follow-up, 289 volunteers were diagnosed with CRC. Hazard ratios (HRs) for the disease and 95% confidence intervals (CIs) were estimated by Cox proportional hazard models, stratified by dietary questionnaire and adjusted for energy intake and other potential confounders. Yogurt intake was inversely associated with CRC risk. For the energy-adjusted model, HR for CRC in the highest versus lowest tertile of yogurt intake was 0.62 (95% CI, 0.46-0.83). In the full model adjusted for energy, simple sugar, calcium, fiber, animal fat, alcohol and red meat intake, as well as body mass index, smoking, education and physical activity, HR was 0.65 (95% CI, 0.48-0.89) in the highest versus lowest tertile. The protective effect of yogurt was evident in the entire cohort, but was stronger in men, although there was no interaction of sex with the yogurt-CRC association (p(interaction)  0.20, fully adjusted model). In our prospective study, high yogurt intake was significantly associated with decreased CRC risk, suggesting that yogurt should be part of a diet to prevent the disease. Investigation of larger cohorts is necessary to reveal any residual confounding of the association of yogurt intake with CRC risk.
authors: Department of Preventive and Predictive Medicine, Nutritional Epidemiology Unit, Fondazione IRCSS Istituto Nazionale Tumori, Milano, Italy. valeria.pala@istitutotumori.mi.it
authors: Valeria
authors: V
authors: Pala
authors: Sabina
authors: S
authors: Sieri
authors: Franco
authors: F
authors: Berrino
authors: Paolo
authors: P
authors: Vineis
authors: Carlotta
authors: C
authors: Sacerdote
authors: Domenico
authors: D
authors: Palli
authors: Giovanna
authors: G
authors: Masala
authors: Salvatore
authors: S
authors: Panico
authors: Amalia
authors: A
authors: Mattiello
authors: Rosario
authors: R
authors: Tumino
authors: Maria C
authors: MC
authors: Giurdanella
authors: Claudia
authors: C
authors: Agnoli
authors: Sara
authors: S
authors: Grioni
authors: Vittorio
authors: V
authors: Krogh