Association between Low Fruit and Vegetable Consumption and Colorectal Polyps in Thailand |
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Authors: | Kannika SupachaiBunchorn SiripongpreedaKamonwan SoonklangNapatsawan O-PadKanlayanee KrohkaewChanisara SuebwongditSuchada Panaiem |
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Institution: | 1Department of Nursing, Chulabhorn Hospital, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.2Department of Surgery, Faculty of Medicine and Public Health, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.3Data Management Unit, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand. |
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Abstract: | Objective: This study aimed to evaluate the association between low fruit and vegetable consumption and colorectal polyps. Methods: A retrospective study was conducted among 1,228 participants aged 50-65 years who completed 2-time colonoscopy exams at the first and the fifth year of a colorectal screening program. Consuming less than one serving of fruit and vegetable daily was rated as low. Colorectal polyps from colonoscopy findings were recognized in 3 types: hyperplastic, low risk and high risk adenomatous polyps. Results: The findings demonstrated high prevalence of low fruit (93.6%) and low vegetable (85.8%) consumption. Exercising individuals were more likely to consume both fruit (OR 2.28, 95%CI 1.42-3.65) and vegetable (OR 1.40, 95%CI 1.00-1.96), while smoking history individuals tended to consume vegetable (OR 2.08, 95%CI 1.22-3.55). Low fruit consumption was strongly associated with high risk adenomatous polyps (OR 4.39, 95%CI 2.40-8.03), while low vegetable consumption was distinctively associated with low risk (OR 6.26, 95%CI 4.11-9.55) and high risk adenomatous polyps (OR 8.64, 95%CI 5.30-14.09). Conclusion: This study provides additional evidence of the association between low fruit and vegetable consumption and colorectal polyps. Enhancing people fiber eating behavior may help preventing colorectal cancer risk. |
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Keywords: | Colorectal polyps colorectal cancer Fruit and vegetable consumption |
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