Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xsipcB. Diffusion soumise à autorisation]. The associations of intakes of calcium and vitamin D with colorectal cancer risk were examined in the Multiethnic Cohort Study (Hawaii and Los Angeles, California). In 1993-1996,85,903 men and 105,108 women aged>45 years completed a quantitative food frequency questionnaire. A total of 2,110 incident cases of colorectal cancer (1,138 in men and 972 in women) were identified through December 31,2001. Cox proportional hazards models were used to calculate multivariate-adjusted relative risks and 95% confidence intervals. Total calcium intake (from foods and supplements) was inversely associated with colorectal cancer risk in both men (highest quintile vs. lowest : relative risk (RR)=0.70,95% confidence interval (Cl) : 0.52,0.93 ; p for trend=0.006) and women (RR=0.64,95% Cl : 0.50,0.83 ; p for trend=0.003). The inverse association was also seen for total vitamin D intake in men (RR=0.72,95% Cl : 0.51,1.00 ; p for trend=0.03) but not in women. Intake of dairy products was inversely associated with colorectal cancer risk, especially among nonusers of supplemental calcium (men : RR=0.77,95% Cl : 0.59,1.01 ; women : RR=0.66,95% Cl : 0.49,0.89). The findings support the hypothesis of protective roles for calcium, vitamin D, and dairy products in the risk of colorectal cancer.
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