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Principal Investigator
Name
Linglong Peng
Degrees
M.D.
Institution
Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Position Title
Dr.
Email
About this CDAS Project
Study
PLCO (Learn more about this study)
Project ID
PLCO-1215
Initial CDAS Request Approval
May 2, 2023
Title
Adherence to the Paleolithic diet and Paleolithic-like lifestyle reduce the risk of colorectal and lung cancer in the United States: A prospective cohort study
Summary
Colorectal cancer (CRC) is a significant global public health concern, ranking as the third most common cancer in men and the second most common cancer in women (1). In the United States alone, CRC is estimated to cause 150,000 new cases and 50,000 deaths in 2023 (2). Adopting a healthy diet and lifestyle may play a crucial role in reducing the incidence of colorectal cancer. In recent years, there has been growing interest in the Paleolithic Diet (PD) and Paleolithic-Like Lifestyle (PLL) within the field of nutritional epidemiology (3). Many studies have used the PD score alone or in combination with lifestyle factors (i.e., PLL score) to analyze the incidence of chronic diseases (4,5), cancer (6), and mortality (7). To our knowledge, there are still limited studies to investigate the association between PD and PLL adherence and the incidence of CRC and its anatomical subsites. Thus, in this study, we aimed to prospectively investigate the potential association between PD and PLL adherence and CRC incidence in American adults, and to examine whether this association varies by anatomical subsites of CRC.

Reference:
1. Dekker E, Tanis PJ, Vleugels JLA, Kasi PM, Wallace MB. Colorectal cancer. The Lancet (2019) 394:1467–1480.
2. Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA: A Cancer Journal for Clinicians (2023) 73:17–48.
3. Konner M, Eaton SB. Paleolithic nutrition: twenty-five years later. Nutr Clin Pract (2010) 25:594–602.
4. Sohouli MH, Fatahi S, Izze da Silva Magalhães E, Rodrigues de Oliveira B, Rohani P, Ezoddin N, Roshan MM, Hekmatdoost A. Adherence to a Paleolithic Diet in Combination With Lifestyle Factors Reduces the Risk for the Presence of Non-Alcoholic Fatty Liver Disease: A Case-Control Study. Front Nutr (2022) 9:934845.
5. Shah S, MacDonald C-J, El Fatouhi D, Mahamat-Saleh Y, Mancini FR, Fagherazzi G, Severi G, Boutron-Ruault M-C, Laouali N. The associations of the Palaeolithic diet alone and in combination with lifestyle factors with type 2 diabetes and hypertension risks in women in the E3N prospective cohort. Eur J Nutr (2021) 60:3935–3945.
6. Shah S, Mahamat-Saleh Y, Hajji-Louati M, Correia E, Oulhote Y, Boutron-Ruault M-C, Laouali N. Palaeolithic diet score and risk of breast cancer among postmenopausal women overall and by hormone receptor and histologic subtypes. Eur J Clin Nutr (2023)
7. Whalen KA, Judd S, McCullough ML, Flanders WD, Hartman TJ, Bostick RM. Paleolithic and Mediterranean Diet Pattern Scores Are Inversely Associated with All-Cause and Cause-Specific Mortality in Adults. The Journal of Nutrition (2017) 147:612–620.
Aims

Our objective is to examine whether following the Paleolithic diet and Paleolithic-like lifestyle are related with a reduced incidence of colorectal cancer and its subsites in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial.

Collaborators

Yi Xiao, Zhiquan Xu, Yunhao Tang, Hongmei He, Haitao Gu, Yaxu Wang, Linglong Peng. Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Ling Xiang, Department of Clinical Nutrition, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.

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