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@ARTICLE{Erben:132710,
      author       = {V. Erben$^*$ and P. Carr$^*$ and B. Holleczek and C.
                      Stegmaier and M. Hoffmeister$^*$ and H. Brenner$^*$},
      title        = {{D}ietary patterns and risk of advanced colorectal
                      neoplasms: {A} large population based screening study in
                      {G}ermany.},
      journal      = {Preventive medicine},
      volume       = {111},
      issn         = {0091-7435},
      address      = {Amsterdam},
      publisher    = {Elsevier},
      reportid     = {DKFZ-2018-00364},
      pages        = {101 - 109},
      year         = {2018},
      abstract     = {Specific components of the diet such as red and processed
                      meat have been associated with the risk of developing
                      colorectal cancer. However, evidence on the association of
                      dietary patterns with colorectal neoplasms is sparse. The
                      aim of this study was to analyze the association of dietary
                      patterns with prevalence of advanced colorectal neoplasms
                      among older adults in Germany. A cross-sectional study was
                      conducted among participants of screening colonoscopy in
                      Saarland, Germany, who were enrolled in the KolosSal study
                      (Effektivität der Früherkennungs-Koloskopie: eine
                      Saarland-weite Studie) from 2005 to 2013. Information on
                      diet and lifestyle factors was obtained through
                      questionnaires and colonoscopy results were extracted from
                      physicians' reports. Associations of a priori defined
                      dietary patterns (vegetarian or adapted versions of the
                      Healthy Eating Index [HEI] and the Dietary Approaches to
                      Stop Hypertension [DASH] index) with the risk of advanced
                      colorectal neoplasms were assessed by multiple logistic
                      regression analyses with comprehensive adjustment for
                      potential confounders. A total of 14,309 participants were
                      included (1561 with advanced colorectal neoplasms).
                      Healthier eating behavior was associated with lower
                      prevalence of advanced colorectal neoplasms in a
                      dose-response manner. Adjusted odds ratios $(95\%$
                      confidence intervals) comparing the highest with the lowest
                      categories of adapted HEI and DASH were 0.61 (0.50, 0.76)
                      and 0.70 (0.55, 0.89), respectively. No significant
                      associations were observed for a vegetarian eating pattern
                      (adjusted OR 0.80 (0.55, 1.17)). Healthy dietary patterns,
                      as described by a high HEI or DASH score, but not a
                      vegetarian diet alone, are associated with reduced risk of
                      advanced colorectal neoplasms.},
      cin          = {C070 / G110 / L101},
      ddc          = {610},
      cid          = {I:(DE-He78)C070-20160331 / I:(DE-He78)G110-20160331 /
                      I:(DE-He78)L101-20160331},
      pnm          = {313 - Cancer risk factors and prevention (POF3-313)},
      pid          = {G:(DE-HGF)POF3-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:29477967},
      doi          = {10.1016/j.ypmed.2018.02.025},
      url          = {https://inrepo02.dkfz.de/record/132710},
}