Since meat may be involved in the etiology of
colorectal cancer, associations between meat-related compounds were examined to elucidate underlying mechanisms in a population-based case-control study. Participants (989 cases/1,033 healthy controls) completed a food frequency questionnaire with a meat-specific module. Multivariable logistic regression was used to examine associations between meat variables and
colorectal cancer; polytomous logistic regression was used for subsite-specific analyses. The following significant positive associations were observed for meat-related compounds: 2-amino-3,4,8-trimethylimidazo[4,5-f]
quinoxaline (DiMeIQx) and colorectal, distal colon, and
rectal tumors; 2-amino-3,8-dimethylimidazo[4,5-f]
quinoxaline (MeIQx) and colorectal and
colon cancer tumors;
nitrites/
nitrates and proximal
colon cancer; 2-amino-1-methyl-6-phenylimidazo[4,5-
b]pyridine (
PhIP) and
rectal cancer; and
benzo[a]pyrene and
rectal cancer (P-trends < 0.05). For analyses by meat type, cooking method, and doneness preference, positive associations between red processed meat and proximal
colon cancer and pan-fried red meat and
colorectal cancer were found (P-trends < 0.05). Inverse associations were observed between unprocessed poultry and colorectal, colon, proximal colon, and
rectal tumors; grilled/barbequed poultry and proximal
colon cancer; and well-done/charred poultry and colorectal, colon, and proximal colon
tumors (P-trends < 0.05). HCAs, PAHs,
nitrites, and
nitrates may be involved in
colorectal cancer etiology. Further examination into the unexpected inverse associations between poultry and
colorectal cancer is warranted.