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논문 기본 정보

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학술저널
저자정보
Nam Ji Hyung (Department of Internal Medicine Dongguk University Ilsan Hospital Dongguk University College of Med) Koh Myung (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Kang Hyoun Woo (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Ryu Kum Hei (Department of Internal Medicine Center for Cancer Detection and Prevention National Cancer Center G) Lee Dong Seok (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Kim Su Hwan (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Jang Dong Kee (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Jeong Ji Bong (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Kim Ji Won (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Lee Kook Lae (Department of Internal Medicine Seoul Metropolitan Government Seoul National University Boramae Med) Oh Dong Jun (Department of Internal Medicine Dongguk University Ilsan Hospital Dongguk University College of Med) Lim Yun Jeong (Department of Internal Medicine Dongguk University Ilsan Hospital Dongguk University College of Med) Koh Seong-Joon (Department of Internal Medicine and Liver Research Institute Seoul National University College of M) Im Jong Pil (Department of Internal Medicine and Liver Research Institute Seoul National University College of M) Kim Joo Sung (Department of Internal Medicine and Liver Research Institute Seoul National University College of M)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제16권 제2호
발행연도
2022.3
수록면
269 - 276 (8page)
DOI
10.5009/gnl210417

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Background/Aims: The protective effects of vitamin D and calcium on colorectal neoplasms are known. Bone mineral density (BMD) may be a reliable biomarker that reflects the long-term anticancer effect of vitamin D and calcium. This study aimed to evaluate the association between BMD and colorectal adenomas including high-risk adenoma. Methods: A multicenter, cross-sectional, case-control study was conducted among participants with average risk of colorectal cancer who underwent BMD and screening colonoscopy between 2015 and 2019. The main outcome was the detection of colorectal neoplasms. The variable under consideration was low BMD (osteopenia/osteoporosis). The logistic regression model included baseline demographics, components of metabolic syndrome, fatty liver disease status, and aspirin and multivitamin use. Results: A total of 2,109 subjects were enrolled. The mean age was 52.1±10.8 years and 42.6% were male. The adenoma detection rate was 43%. Colorectal adenoma and high-risk adenoma were both more prevalent in subjects with low BMD than those with normal BMD (48.2% vs 38.8% and 12.1% vs 9.1%). In the univariate analysis, old age, male sex, smoking, metabolic components, fatty liver, and osteoporosis were significantly associated with the risk of adenoma and high-risk adenoma. In the multivariate analysis, osteoporosis was independently associated with risk of colorectal adenoma (odds ratio [OR], 1.65; 95% confidence interval [CI], 1.11 to 2.46; p=0.014) and high-risk adenoma (OR, 1.94; 95% CI, 1.14 to 3.29; p=0.014). Conclusions: Osteoporosis is an independent risk factor of colorectal adenoma and high-risk adenoma.
#Bone mineral density #Osteoporosis #Colorectal adenoma #High-risk adenoma

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