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Aim: to estimate the population attributable risk of consumption of red and processed meat for colorectal cancer in Colombia.Methods:  to model the expected incidence of colorectal cancer in the hypothetical situation of no red and processed meat consumption in Colombia, for the year 2010. A dynamic macrosimulation model, PREVENT 3.01, was used to integrate available cancer incidence, meat consumption prevalence and associated risk data and to evaluate the impact of eliminating red and processed meat from the Colombian diet on national colorectal cancer incidence.Results: Eliminating consumption of red meat altogether from the Colombian diet resulted in reductions in age-standardized colorectal cancer incidence, translating in reductions of 331 males (PAF 13%) and 297 female cases (PAF 10%). Eliminating processed meats had slightly stronger effects, with decreases of 362 males (PAF 14%) and 388 female cases (PAF 13%).Conclusions:  A substantial proportion of the burden of colorectal cancer in Colombia can be attributed to the consumption of red and processed meat.

Giana Henríquez-Mendoza, Instituto Nacional de Cancerología, Bogotá. Colombia

Subdirección de Investigaciones - Grupo Área de Salud Pública. Instituto Nacional de Cancerología. Bogotá. Colombia

Esther de Vries, Pontificia Universidad Javeriana

Department of Clinical Epidemiology and Biostatistics

Doris C Quintero, Fundación Cardiovascular de Colombia

Grupo de Estudios Epidemiológicos y Salud Pública-FCV

Oscar Fernando Herrán, Universidad Industrial de Santander. Bucaramanga. Colombia

Escuela de Nutrición y Dietética. Universidad Industrial de Santander. Bucaramanga. Colombia
Henríquez-Mendoza, G., de Vries, E., Quintero, D. C., & Herrán, O. F. (2017). Population attributable fractions for colorectal cancer and red and processed meats in Colombia - a macro-simulation study. Colombia Médica, 48(2), 64–69. https://doi.org/10.25100/cm.v48i2.2458

Norat T, Scoccianti C. Boutron-Ruault M-C.Anderson A.Berrino F.Cecchini M European Code Against Cancer 4th edition diet and cancer. Cancer Epidemiol. 2015;39:S56–S66.

International Agency for Research on Cancer . IARC Monograph. Red Meat and Processed Meat. Lyon, Fr: WHO; 2015. http://www.iarc.fr/en/media-centre/iarcnews/pdf/Monographs-Q&A_Vol114.pdf

Bastide NM, Pierre FH, Corpet DE. Heme iron from meat and risk of colorectal cancer a meta-analysis and a review of the mechanisms involved. Cancer Prev Res (Phila) 2011;4(2):177–184.

Demeyer D, Mertens B, De Smet S, Ulens M. Mechanisms linking colorectal cancer to the consumption of (processed) red meat: A review. Crit Rev Food Sci Nutr. 2016;56(16):2747–2766.

School Public Health, Harvard Chan TH WHO report says eating processed meat is carcinogenic: Understanding the findings. 2015. (Nutrition Source).https://www.hsph.harvard.edu/nutritionsource/2015/11/03/report-says-eating-processed-meat-is-carcinogenic-understanding-the-findings/

Soerjomataram I, De Vries E, Engholm G, Paludan-Muller G, Bronnum-Hansen H, Storm HH. Impact of a smoking and alcohol intervention programme on lung and breast cancer incidence in Denmark An example of dynamic modelling with Prevent. Eur J Cancer. 2010;46(14):2617–2624.

Borda VC, editor. Encuesta nacional de la situación nutricional en Colombia, 2005. Bogotá DC: Instituto Colombiano de Bienestar Familiar; 2006. http://www.icbf.gov.co/portal/page/portal/PortalICBF/bienestar/nutricion/ensin/LIBRO_2005.pdf

Lauritsen J. Software FoodCalc v. 1.3. Diet, cancer and Health Project. Copenhague Danish: Cancer Soc; 1998. http://www.ibt.ku.dk/jesper/foodcalc/

Stata Corp . Stata Statistical Software: Release 13 Stata Corp. College Station. TX: Stata Corp LP; 2013.

Pardo RC, Cendales DR. Incidencia, mortalidad y prevalencia de cáncer en Colombia, 2007-2011. Instituto Nacional de Cancerología: Bogotá DC; 2015.

Chan DSM, Lau R, Aune D, Vieira R, Greenwood DC, Kampman E. Red and processed meat and colorectal cancer incidence meta-analysis of prospective studies. PLoS One. 2011;6(6):e20456

Greenland S. Ahrens W, Pigeot I, editors Handbook of Epidemiology. Springer: New York; 2007. Regression Methods for Epidemiologic Analysis; pp. 625–625.

Nagle CM, Wilson LF, Hughes MCB, Ibiebele TI, Miura K, Bain CJ. Cancers in Australia in 2010 attributable to the consumption of red and processed meat. Aust N Z J Public Health. 2015;39(5):429–433.

Parkin DM. Cancers attributable to dietary factors in the UK in 2010. Br J Cancer. 2011;105:s24–S26.

Piñeros M, Gamboa O, Hernández-Suárez G, Pardo C, Bray F. Patterns and trends in cancer mortality in Colombia 1984-2008. Cancer Epidemiol. 2013;37(3):233–239.

Bravo LE, Collazos T, Collazos P, García LS, Correa P. Trends of cancer incidence and mortality in Cali, Colombia 50 years experience. Colomb Med (Cali) 2012;43(4):246–255.

Armando C, Bravo LE, Clín P, García LS, Collazos P. Incidencia, mortalidad y supervivencia por cáncer colorrectal en Cali, Colombia, 1962-2012. Salud Publica Mex. 2014;56(5):457–464.

Huxley RR, Ansary-Moghaddam A, Clifton P, Czernichow S, Parr CL, Woodward M. The impact of dietary and lifestyle risk factors on risk of colorectal cancer a quantitative overview of the epidemiological evidence. Int J cancer. 2009;125(1):171–180.

Meester RGS, Doubeni CA, Lansdorp-Vogelaar I, Goede SL, Levin TR, Quinn VP. Colorectal cancer deaths attributable to nonuse of screening in the United States. Ann Epidemiol. 2015;25(3):208–213.

WHO . Global status report on alcohol and health 2014. World Health Organization: Genova; 2014.

González S, Lozano Ó, Ramírez A. Physical activity levels among Colombian adults Inequalities by gender and socioeconomic status. Biomedica. 2014;34(3):447–459.

Combariza JA. Perfil nacional de consumo de frutas y verduras. Bogotá DC: Ministerio de Salud y Protección Social, FAO; 2013.

Observatorio de diabetes en Colombia . Diabetes mellitus en Colombia: estudio de tendencias a partir de SISPRO y CAC, las herramientas oficiales. Organización para la excelencia en Salud; 2014. http://www.cgh.org.co/odc/itemlist/user/62-administrador.html?start=10

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Received 2016-08-04
Accepted 2017-06-02
Published 2017-06-28

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