Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in Taiwan

Purpose. To investigate the prevalence and risk factors of hyperplastic and adenomatous colorectal polyps in a Taiwanese general population. Methods. From January 2009 to December 2011, consecutive asymptomatic subjects undergoing a routine health check-up were evaluated by colonoscopy. The colorect...

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Main Authors: Fu-Wei Wang, Ping-I Hsu, Hung-Yi Chuang, Ming-Shium Tu, Guang-Yuan Mar, Tai-Ming King, Jui-Ho Wang, Chao-Wen Hsu, Chiu-Hua Chang, Hui-Chun Chen
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/985205
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author Fu-Wei Wang
Ping-I Hsu
Hung-Yi Chuang
Ming-Shium Tu
Guang-Yuan Mar
Tai-Ming King
Jui-Ho Wang
Chao-Wen Hsu
Chiu-Hua Chang
Hui-Chun Chen
author_facet Fu-Wei Wang
Ping-I Hsu
Hung-Yi Chuang
Ming-Shium Tu
Guang-Yuan Mar
Tai-Ming King
Jui-Ho Wang
Chao-Wen Hsu
Chiu-Hua Chang
Hui-Chun Chen
author_sort Fu-Wei Wang
collection DOAJ
description Purpose. To investigate the prevalence and risk factors of hyperplastic and adenomatous colorectal polyps in a Taiwanese general population. Methods. From January 2009 to December 2011, consecutive asymptomatic subjects undergoing a routine health check-up were evaluated by colonoscopy. The colorectal polyps were assessed, and medical history and demographic data were obtained from each patient. Logistic regression analysis was conducted to search the independent risk factors for asymptomatic hyperplastic and adenomatous colorectal polyps. Results. Of the 1899 asymptomatic subjects, the prevalences of hyperplastic polyps and adenomatous polyps were 11.1% and 16.1%, respectively. Multivariate analysis revealed that high body mass index (BMI>25: OR, 1.32, 95% CI, 1.05–1.71) and current smoking (OR, 1.87, 95% CI, 1.42–2.71) were independent predictors for hyperplastic colorectal polyps. Age over 60 years old (OR, 3.49, 95% CI, 1.86–6.51), high body mass index (BMI>25: OR, 1.75, 95% CI, 1.21–2.71), heavy alcohol consumption (OR, 2.01, 95% CI, 1.02–3.99), and current smoking (OR, 1.31, 95% CI, 1.04–1.58) were independent predictors for adenomatous colorectal polyps. Conclusion. High BMI and smoking are common risk factors for both adenomatous and hyperplastic polyps. Old age and alcohol consumption are additional risk factors for the development of adenomatous polyps.
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spelling doaj-art-bb3cc6a469cd4e3bb24090810c7019212025-02-03T05:47:29ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/985205985205Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in TaiwanFu-Wei Wang0Ping-I Hsu1Hung-Yi Chuang2Ming-Shium Tu3Guang-Yuan Mar4Tai-Ming King5Jui-Ho Wang6Chao-Wen Hsu7Chiu-Hua Chang8Hui-Chun Chen9Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDepartment of Public Health, Kaohsiung Medical University, Kaohsiung City 803, TaiwanDepartment of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDivision of Cardiology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDepartment of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDepartment of Radiation Oncology, Chang Gung Memorial Hospital, 123 TA-PEI Road, Kaohsiung City 833, TaiwanPurpose. To investigate the prevalence and risk factors of hyperplastic and adenomatous colorectal polyps in a Taiwanese general population. Methods. From January 2009 to December 2011, consecutive asymptomatic subjects undergoing a routine health check-up were evaluated by colonoscopy. The colorectal polyps were assessed, and medical history and demographic data were obtained from each patient. Logistic regression analysis was conducted to search the independent risk factors for asymptomatic hyperplastic and adenomatous colorectal polyps. Results. Of the 1899 asymptomatic subjects, the prevalences of hyperplastic polyps and adenomatous polyps were 11.1% and 16.1%, respectively. Multivariate analysis revealed that high body mass index (BMI>25: OR, 1.32, 95% CI, 1.05–1.71) and current smoking (OR, 1.87, 95% CI, 1.42–2.71) were independent predictors for hyperplastic colorectal polyps. Age over 60 years old (OR, 3.49, 95% CI, 1.86–6.51), high body mass index (BMI>25: OR, 1.75, 95% CI, 1.21–2.71), heavy alcohol consumption (OR, 2.01, 95% CI, 1.02–3.99), and current smoking (OR, 1.31, 95% CI, 1.04–1.58) were independent predictors for adenomatous colorectal polyps. Conclusion. High BMI and smoking are common risk factors for both adenomatous and hyperplastic polyps. Old age and alcohol consumption are additional risk factors for the development of adenomatous polyps.http://dx.doi.org/10.1155/2014/985205
spellingShingle Fu-Wei Wang
Ping-I Hsu
Hung-Yi Chuang
Ming-Shium Tu
Guang-Yuan Mar
Tai-Ming King
Jui-Ho Wang
Chao-Wen Hsu
Chiu-Hua Chang
Hui-Chun Chen
Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in Taiwan
Gastroenterology Research and Practice
title Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in Taiwan
title_full Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in Taiwan
title_fullStr Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in Taiwan
title_full_unstemmed Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in Taiwan
title_short Prevalence and Risk Factors of Asymptomatic Colorectal Polyps in Taiwan
title_sort prevalence and risk factors of asymptomatic colorectal polyps in taiwan
url http://dx.doi.org/10.1155/2014/985205
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