Abstract

This study aimed to analyze colorectal polyp prevalence associated with health behavior. Data from 1180 Korean men (young adult (YA), aged 40–49; middle age (MA) aged 50–59; old aged (OA), aged 60–79 years) were collected. Health behavior included alcohol consumption, smoking status, and obesity. Obesity was determined using body mass index (BMI) and waist circumference (WC). Odds ratio (OR) was calculated by logistic regression. The prevalence of polyps increased for current smokers by 2.642 times in the YA group, 3.468 times in the MA group, and 3.104 times in the OA group compared to the never-smokers. The OR for WC increased in subjects with obesity by 1.514 in the MA and 1.451 in the OA group compared to normal. The prevalence of three or more polyps increased with WC obesity by 2.3 times in YA, 2.2 times in MA, and 1.9 times in OA compared to normal WC. Therefore, smoking cessation and obesity management may reduce the risk of colorectal polyps.

Highlights

  • Cancer was the leading cause of death in Korea in 2018, and colorectal cancer has the third highest mortality rate among cancers [1]

  • The prevalence of three or more polyps increased with waist circumference (WC) obesity by 2.3 times in young adult (YA), 2.2 times in middle age (MA), and 1.9 times in old aged (OA) compared to normal WC

  • There was a significant difference in smoking status between all ages, and there was a significant difference in smoking amount in YA and MA

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Summary

Introduction

Cancer was the leading cause of death in Korea in 2018, and colorectal cancer has the third highest mortality rate among cancers [1]. The incidence rate per 100,000 individuals increased from 21.2 in 1999 to 31.9 in 2016 [2] This high incidence of colorectal cancer has made it the third most common cancer in the world as well as in Korea [3]. Since the prevalence of colorectal polyps in the Korean population is relatively common (26.7% of those in their 40 s and 37.8% of those in their 50 s), it is necessary to detect and treat early symptoms and prevent high-risk factors for cancer [5]. Recent studies revealed the male sex and increasing age are risk factors [6]. Modifiable factors, such as obesity, high alcohol consumption, and smoking, are known to increase the risk of developing colorectal polyps

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