Korean J Health Promot.  2014 Dec;14(4):141-146. 10.15384/kjhp.2014.14.4.141.

Risk Factors of Colorectal Polyps in Jeju Island

• Na YJ
• Um M
• Kong MH
• Kim HJ

• KMID: 2247297
• DOI: http://doi.org/10.15384/kjhp.2014.14.4.141

Abstract

BACKGROUND
The incidence of colorectal polyps have been reported to be increasing in those aged 30-40 years who consume fast food, have low physical activity, and use alcohol and cigarettes. We analyzed the characteristics and risk factors of colorectal polyps in asymptomatic adults in Jeju Island.
METHODS
Data on 1700 individuals who underwent a screening colonoscopy from 1 July, 2010 to 30 June, 2012 were analyzed based on age, gender, body mass index (BMI), blood pressure, blood tests, and behavioral habits including alcohol use, smoking, and exercise.
RESULTS
The prevalence of colorectal polyps, including adenomatous and hyperplastic, is 43.1% and is higher in males (P<0.001). The prevalence according to age group shows increasing by age (P for trend<0.001). The most common histologic type of polyp is adenomatous in the <50 years and >50 years age groups, 27.3% and 45.3% respectively. And the percentage of adenomatous polyps has shown an increasing trend along with increasing number and size of polyps (P for trend<0.001). BMI, waist circumference (WC), fasting blood sugar, and triglyceride were higher in males with polyps than males in the control group. BMI and WC were higher and HDL-cholesterol was lower in females with polyps. The incidence of colorectal polyps was higher in male and female smokers (P<0.001 and P=0.035 respectively).
CONCLUSIONS
Our results showed that older age, male gender, obesity, and smoking are risk factors for colorectal polyps. The prevalence of colorectal adenomatous polyps is 27.3% in <50 yrs, 33.4% in the 40s. For early detection and treatment, we recommend a screening colonoscopy for those with risk factors.

Keyword

Colorectal polyp; Prevalence; Risk factors

MeSH Terms

Adenomatous Polyps
Adult
Blood Glucose
Blood Pressure
Body Mass Index
Colonoscopy
Fast Foods
Fasting
Female
Hematologic Tests
Humans
Incidence
Male
Mass Screening
Motor Activity
Obesity
Polyps*
Prevalence
Risk Factors*
Smoke
Smoking
Tobacco Products
Triglycerides
Waist Circumference
Blood Glucose
Smoke

Reference

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