A number of epidemiological studies using food frequency questionnaires report that high intakes of red and processed meat increase the risk of colorectal cancer. In the UK Dietary Cohort Consortium, we examined the associations of meat, poultry and fish intakes with colorectal cancer risk using standardised individual dietary data pooled from seven UK prospective studies. Four to seven-day diet diaries were analysed, disaggregating the weights of meat, poultry and fish from composite foods in order to investigate dose-response relationships in detail. 579 cases of colorectal cancer were identified and matched with 1,996 controls on age, sex and recruitment date. Conditional logistic regression models were used to estimate the odds ratios for colorectal cancer associated with meat, poultry and fish intakes, adjusting for age, height, weight, smoking, and intakes of alcohol, energy and dietary fibre. Disaggregated intakes were moderately low, e.g. mean red meat intakes were 38.2g/day among male and 16.0g/day among female controls. For red and processed meat combined, the odds ratio for highest (median 97.1g/day) compared with lowest (median 0.6g/day) intake was 0.88 (95% CI 0.65-1.20), P for trend=0.68. High (median 44.3g/day) compared with low (median 0g/day) intake of fatty fish was associated with reduced risk of colorectal cancer: OR 0.73 (95% CI 0.54-0.98) but there was no evidence of a linear trend (P=0.33). This study using pooled data from prospective diet diaries, among cohorts with low to moderate meat intakes, shows little evidence of association between consumption of red and processed meat and colorectal cancer risk.Keywords: prospective; diet diary; meat; fish; colorectal cancer.
Abstract word count: 248Word count (excluding references and tables): 3,586Journal category: epidemiology.4