title: Obesity, metabolic factors, and colorectal adenomas: a retrospective study in a racially diverse New York State Hospital.
abstract: OBJECTIVE
  We studied a racially diverse population and the relationship with colorectal adenomas (CA) further looking for risks related to BMI and metabolic factors.
  
  
  METHODS
  Seven hundred seventy-nine patients who underwent screening colonoscopies between 2007 and 2009 meeting exclusion criteria were included. To evaluate the association between race, BMI, and other metabolic factors with having one or more CA detected at colonoscopy, adjusted odds ratios and 95 % CI were estimated using unconditional logistic regression models.
  
  
  RESULTS
  CA were detected in 167 out of 779 (21.4 %) patients. Compared to Whites, Hispanics were less likely to have one or more adenomas detected during a screening colonoscopy (OR = 0.52, 95 % CI, 0.31-0.88; p = 0.01). There was no significant statistical difference between Blacks and Whites, or other races and Whites. There was an association between the presence of CA and smoking (OR = 1.57, 95 % CI, 1.02-2.43; p = 0.04).
  
  
  CONCLUSIONS
  Our results showed that Hispanics were less likely to have an adenoma detected during a screening colonoscopy than Whites. No statistical significant difference was found between patients with metabolic factors and the presence of colorectal adenoma.
authors.affiliation: seth.lipka@gmail.com
authors.forename: Seth
authors.initials: S
authors.lastname: Lipka
authors.forename: Xi Emily
authors.initials: XE
authors.lastname: Zheng
authors.forename: Jorge
authors.initials: J
authors.lastname: Hurtado-Cordovi
authors.forename: Jaspreet
authors.initials: J
authors.lastname: Singh
authors.forename: Evan
authors.initials: E
authors.lastname: Levine
authors.forename: Raymond
authors.initials: R
authors.lastname: Vlacancich
authors.forename: Bhuma
authors.initials: B
authors.lastname: Krishnamachari
authors.forename: Min-Kyung
authors.initials: MK
authors.lastname: Jung
authors.forename: Shuang
authors.initials: S
authors.lastname: Fu
authors.forename: Umeko
authors.initials: U
authors.lastname: Takeshige
authors.forename: Boris
authors.initials: B
authors.lastname: Avezbakiyev
authors.forename: Ting
authors.initials: T
authors.lastname: Li
authors.forename: Javed
authors.initials: J
authors.lastname: Iqbal
authors.forename: Kaleem
authors.initials: K
authors.lastname: Rizvon
authors.forename: Paul
authors.initials: P
authors.lastname: Mustacchia
mesh_terms: D000236:Adenoma / Q000453:epidemiology / Q000209:etiology*; D001741:Black or African American / Q000706:statistics & numerical data; D000428:Alcohol Drinking / Q000009:adverse effects; D015992:Body Mass Index; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006783:Hospitals, State; D006801:Humans; D008297:Male; D008403:Mass Screening; D024821:Metabolic Syndrome / Q000150:complications*; D008875:Middle Aged; D009518:New York / Q000453:epidemiology; D009765:Obesity / Q000150:complications*; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D044465:White People / Q000706:statistics & numerical data