Colorectal adenoma is associated with coronary artery calcification in a Korean population. Issue 2 (October 2015)

• Record Type: Journal Article
• Authors: Choi, Seung Ho; Kang, Hae Yeon; Choi, Su Yeon; Kim, Mi Na; Yang, Jong In; Chung, Su Jin; Yang, Sun Young; Kim, Young Sun; Kim, Joo Sung
• Is Part Of: Atherosclerosis. Volume 242:Issue 2(2015)
• Page Start: 515
• Page End: 520
• Publication Date: 2015-10
• Subjects: Arteriosclerosis -- Periodicals; Electronic journals; 616.136
• DOI: 10.1016/j.atherosclerosis.2015.08.004
• Languages: English
• ISSNs: 0021-9150

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Objective</title> <p id="abspara0010">Colorectal adenoma and coronary atherosclerosis have similar risk factors. The aim of this study was to investigate the association between colorectal adenoma and coronary artery calcification (CAC), which is used as a surrogate marker for coronary atherosclerosis.</p> </sec> <sec> <title id="sectitle0020">Methods</title> <p id="abspara0015">This is a cross-sectional study of 398 Koreans (290 males, mean age of 56.8 ± 8.1 years) who underwent CAC scoring by multi-slice computed tomography and colonoscopy on the same day as the screening examination. The CAC scores were divided into the following three categories according to severity: absent (CAC score = 0), mild (0 < CAC score ≤ 100), and moderate-to-severe CAC (CAC score > 100).</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0020">Colorectal adenoma was detected in 149 (37.4%) subjects and was significantly associated with a CAC score of >0 (OR = 1.66, 95% CI = 1.05–2.64, <italic>P</italic> = 0.032), including both mild (OR = 1.80, 95% CI = 1.06–3.03, <italic>P</italic> = 0.029) and moderate-to-severe CAC (OR = 1.95, 95% CI = 1.05–3.63, <italic>P</italic> = 0.035), in multivariate analysis after adjusting for age, gender and other risk factors. The proportion of subjects with colorectal adenoma and advanced adenoma progressively increased with increasing CAC score (colorectal adenoma 28.9%–54.1%, <italic>P</italic> for trend < 0.001; advanced adenoma 7.0%–16.4%, <italic>P</italic> for trend = 0.026).</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0025">Colorectal adenoma is related to coronary artery calcification independent of traditional risk factors for asymptomatic Koreans. The prevalence of advanced adenoma is more common in individuals with severe coronary atherosclerosis.</p> </sec> </abstract>