Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Characteristics and Risk Factors on Colorectal Polyps by the gender in Health Screen Examinees

건강검진 수진자의 대장용종의 특성과 성별에 따른 위험요인

  • Choe, So-Eun (Department of Nursing, Nambu University) ;
  • Lee, So-Young (Department of Nursing, Kkottongnae Hyundo University of Social Welfare)
  • 최소은 (남부대학교 간호학과) ;
  • 이소영 (꽃동네현도사회복지대학교 간호학과)
  • Received : 2011.07.20
  • Accepted : 2011.08.20
  • Published : 2011.08.31
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Abstract

Purpose: The colorectal polyps has been regarded as a precursor of colon cancer, and the prevalence and mortality of colon cancer in Korea has increased due to westernized lifestyle and environmental factors. The purpose of this study was to investigate the characteristics and the risk factors on colorectal polyps in adults. Methods: The participants were 956 adults enrolled from health screen examinees underwent colonoscopy at the health promotion center in Seoul. Results: 49.5 percent of examinees has colorectal polyps and the most common sites were ascending colon (27.6%) and sigmoid colon (23.2%). The colorectal polyps showed a significant difference according to gender, age, and health behavior related characteristics including alcohol intake, exercise, and BMI. In male, the relative odds of having an colorectal polyps decreased as exercise (OR=1.74; 95% CI=1.01-1.04), and increased as BMI (OR=1.57; 95% CI=1.07-2.50) and age (OR=1.02; 95% CI=1.02-1.04). In female, it decreased as exercise (OR=2.49; 95% CI=1.52-4.10), and increased as age (OR=1.05; 95% CI=1.02-1.08). Conclusion: Based on the findings of this study, age and exercise were the influencing factors of colorectal polyps in health screen examinees. Therefore, effective exercise and appropriate health education program about colorectal polyps need to be developed and applied in nursing interventions to prevent colorectal polyps in the community dwelling adults.

Keywords

References

  1. Boutron-Ruault, M. C., Senesse, P., Meance, S., Belghiti, C., & Faivre, J. (2001). Energy intake, body mass index, physical activity, and the colorectal adenoma-carcinoma sequence. Nutrition and Cancer, 39, 50-57. https://doi.org/10.1207/S15327914nc391_7
  2. Bressler, B. Lo C., Amar, J., Whittaker, S., Chaun, H., Halparin, A., et al. (2004). Prospective evaluation of screening colonscopy: who is being screened. Gastrointestinal Endoscopy, 60, 921-926. https://doi.org/10.1016/S0016-5107(04)02231-X
  3. Coode, P. E., Chan, K. W., & Chan, Y. T. (1985). Polyps and diverticula of the large intestine: a necropsy survey in Hong Kong. Journal of the British Society of Gastroenterology, 26, 1045-1048.
  4. Correa, P., Strong, J. P., Reif, A., & Johnson, W. D. (1977). The epidemiology of colorectal polyps: Prevalence in New orleans and international comparisons. Cancer, 39, 2258-2264. https://doi.org/10.1002/1097-0142(197705)39:5<2258::AID-CNCR2820390545>3.0.CO;2-S
  5. Dietz, A. T., Newcomb, P. A., Marcus, P. M., & Storer, B. E. (1995). The association of body size and large bowel cancer risk in Wisconsin(U. S.) women. Cancer Cause & Control, 6, 30-36. https://doi.org/10.1007/BF00051678
  6. Giovannucci, E., Ascherio, A., Rimm, E. B., Colditz, G. A., Stampfer, M. J., Willett, W. C., et al. (1995). Physical activity, obesity, and risk for colon cancer and adenoma in men. Annals of Internal Medicine, 122, 327-334. https://doi.org/10.7326/0003-4819-122-5-199503010-00002
  7. Giovannucci, E., Colditz, G. A., Stampfer, M. J., & Willett, W. C. (1996). Physical activity, obesity, and risk for colorectal adenoma in women (United States). Cancer Cause & Control, 7, 253-263. https://doi.org/10.1007/BF00051301
  8. Hanjo, S., Kono, S., Shinchi, K., Wakabayashi, K., Todoorki, I., Sakurai, Y., et al. (1995). The relation of smoking, alcohol use and obesity to risk of sigmoid colon and rectal adenomas. Japanese Journal of Cancer Research, 86, 1019-1026. https://doi.org/10.1111/j.1349-7006.1995.tb03015.x
  9. International Obesity Task Force. (1999). The Asia-Pacific regional obesity guidelines. Sydney: International Obesity Task Force.
  10. Jeon, S. H. (2000). A case-control study on colorectal polyps and smoking & other lifestyle factors in general health evaluations. Unpublished master's thesis, Seoul National University, Seoul.
  11. Ji, J. H., Park, B. J., Park, Y. S., Hwang, J. H., Chung, S. H., Kim, N. Y., et al. (2007). Clinicopatholigic study of colorectal polyps and obesity in Korean adults. The Korean Journal of Gastroenterology, 49, 10-16.
  12. Kim, C. S. (2010). The association of obesity and left‹ colonic adenomatous polyps in Korean adult men-Retrospective cohort study. Unpublished doctoral dissertation, Ulsan University, Ulsan.
  13. Kim, C. S., Kim, M. C., Cheong, H. K., & Jeong, T. H. (2005). The association of obesity and left colonic adenomatous polyps in Korean adult men. Journal of Preventive Medicine and Public Health, 38, 415-419.
  14. Kim, C. T. (2008). The relationship between body mass index and colorectal adenoma examined by colonoscopy. Unpublished master's thesis, Kyungpook National University, Daegu.
  15. Kim, M. C., Kim, C. S., & Jeong, T. H. (2005). The effects of physical activity on colorectal polyps. Journal of the Korean Academy of Family Medicine, 26, 391-396.
  16. Kim, M. C., Kim, C. S., Lee, D. K., & Jeong, T. H. (2008). The association between distal colon adenoma and the metabolic syndrom and lifestyle factors in male examinees in a university hospital. Journal of the Korean Academy of Family Medicine, 29, 195-200.
  17. Kim, M. C., Kim, D., H., & Jeong, T. H. (2002). Risk factors of colorectal polyps in Korean adults. Journal of the Korean Academy of Family Medicine, 23, 890-896.
  18. Kim, M. K., Lee, W. C., Choi, K. Y., Lee, S. Y., Kim, S. I., Lee, Y. J., et al. (1999). Obesity and physical activity related to colorectal adenoma by anatomic sites in Korea. Korean Journal of Epidemiology, 21, 254-265.
  19. Ko, W. O., Kim, J. I., Nam, J. Y., Jung, J. I., An, J. K., Kim, K. J., et al. (2008). Clinical observation of colorectal polyps. The Korean Journal of Gastrointestinal Endoscopy, 37, 105-111.
  20. Lee, Y. H. (2000). Factors associated with regular exercise in office workers. Journal of Korean Biological Nursing Science, 1, 34-48.
  21. Miller, P. E., Lesko, S. M., Muscat J. E., Lazarus, P., & Hartman, T. J. (2010). Dietary patterns and colorectal adenoma and cancer risk: A review of the epidemiologocal evidence. Nutrition and Cancer, 62, 413-424. https://doi.org/10.1080/01635580903407114
  22. Nam, J. H., & Yang, C. H. (2008). Clinical characteristics and risk factors of colon polyps in Gyeongju and Pohang area. The Korean Journal of Gastroenterology, 52, 142-149.
  23. Park, J. H. (2008). Clinical characteristics and risk factors for colon polyps in health screen examinee. Unpublished master's thesis, Kyungpook National University, Daegu.
  24. Park, J. K., Jang, S. K., & Min, S. (2002). Effects of stretching exercise on quality of like, depression, total cholesterol in the elderly. Journal of Korean Biological Nursing Science, 4, 139-150.
  25. Shin, A. S., Yoon, H. C., & Yoo, K. Y. (2002). A case-control study on the relationship between obesity and female colorectal cancer. Korean Journal of Preventive Medicine, 35, 147-152.
  26. Shin, H. S. (2007). An analysis study of incidence and risk factors of colon polyps observed by colonoscopy in health promotion center. Unpublished master's thesis, SungKyunKwan University, Seoul.
  27. Song, H. S. (2009). The risk factors for colonic adenomatous polyps in health examinee. Unpublished master's thesis, Kyungsang National University, Jinju.
  28. Statistics Korea. (2009). Annual report on the cause of death statistics (11-1240000-000028-10). Seoul: Author.
  29. The Korean Academy of Family Medicine. (2009). Korean lifetime fitness (3rd ed.). Seoul: Kookjin P&D.