Korean J Intern Med.  2021 May;36(3):568-583. 10.3904/kjim.2019.373.

Food intake and its effect on the species and abundance of intestinal flora in colorectal cancer and healthy individuals

• Shen W
• Sun J
• Li Z
• Yao F
• Lin K
• Jiao X

• KMID: 2515688
• DOI: http://doi.org/10.3904/kjim.2019.373

Abstract

Background
/Aim: It is known that an imbalance in the intestinal f lora plays a crucial role in colorectal cancer (CRC), but the effect of food consumption patterns on the types of intestinal flora remains to be clarified. We aimed to analyze the associations between food intake and intestinal flora in healthy and CRC individuals.
Methods
Food intake data were recorded using the Food Frequency Questionnaire (FFQ). The composition and diversity of the intestinal flora detected by 16S rRNA gene sequencing, and the data were analyzed by R version 3.1.1 software.
Results
Higher intake of red meat or pickled foods, and lower intake of white meat, fruits, vegetables, beans, nuts were found in the CRC group compared with the healthy group. Higher levels of Fusobacteria and Proteobacteria, and lower levels of Firmicutes were observed in the CRC group. Partial correlation analysis revealed that the intake of fruits, beans, and nuts was negatively correlated with Proteobacteria and Fusobacteria, but pickled food was positively correlated with Fusobacteria (p < 0.05). Fish, beans, and nuts intake was negatively correlated with Escherichia (p = 0.01). Multiple regression analysis revealed that vegetable oil (odds ratio [OR], 0.26; 95% confidence interval [CI], 0.13 to 0.82), vegetables (OR, 0.26; 95% CI, 0.10 to 0.64), eggs (OR, 0.26; 95% CI, 0.10 to 0.69), pickled foods (OR, 21.02; 95% CI, 6.02 to 73.45), and red meat (OR, 4.23; 95% CI, 1.68 to 10.60) had an impact on CRC risk.
Conclusions
The species and abundance of intestinal flora varies between CRC and healthy individuals and may be affected by their food preference.

Keyword

Colorectal cancer; Questionnaire; Dietary pattern; Gastrointestinal microbiome