Vitamin D supplementation reduces the occurrence of colorectal polyps in high-latitude locations.

Sutherland, R Liam; Ormsbee, Jennifer; Pader, Joy; Forbes, Nauzer; Town, Susanna; Hilsden, Robert J; Brenner, Darren R · Prev Med · 2020

case_control · Level III

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Abstract

There is suggestive evidence for the role of vitamin D in the development of colorectal cancer (CRC). Due to high latitudes in Canada, many Canadians are vitamin D deficient throughout winter. In this analysis, we examined the association between vitamin D supplement use and high-risk adenomatous polyps (HRAPs). The study population was drawn from the biorepository at the Forzani & MacPhail Colon Cancer Screening Centre (CCSC) in Calgary. Individuals enrolled between 2013 and 2016 between the age of 50 and 74 years (n = 1409) were included. When examining the association between any supplemental vitamin D use and HRAPs, a protective effect is observed with an OR<sub>adj</sub> of 0.57 (95% CI: 0.33-0.96). Similarly, meeting the recommended daily intake (RDI) of vitamin D (600 IU) is protective against HRAPs with an OR<sub>adj</sub> of 0.78 (95% CI: 0.62-0.99). This study suggests that adequate vitamin D supplementation reduces the occurrence of colorectal polyps in high-latitude locations.

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