Frontiers in medicine · 2025
Impact of lifestyle and mental health on colorectal adenomas in China: a prospective cross-sectional survey.
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Ye Min, Zhu Shiben, Tan Xinyi, Yu Chenxi, Huang He, Liu Yang
Аннотация
BACKGROUND: Colorectal adenomas, which are precancerous lesions that can develop into colorectal cancer, present a significant challenge due to the lack of comprehensive early screening and clear identification of risk factors.
OBJECTIVES: We conduct a double-blind, prospective cross-sectional analysis to examine the relationship between lifestyle, mental health, and colorectal adenomas.
METHODS: Between June 2023 and July 2024, we surveyed 246 participants at Hubei Provincial Hospital of Traditional Chinese Medicine in Wuhan using a self-administered online questionnaire.
RESULTS: The majority of participants were over the age of 50 (49.6%), married or living with a partner (87.08%), and employed as office workers or technicians (44.3%). Among the total population, 435 individuals (53.5%) were diagnosed with colorectal adenomas. A significant positive association was observed between being a manager (OR = 2.340; 95% CI = 1.043-5.248) and the presence of colorectal adenomas, as well as having a BMI over 28 (OR = 6.000; 95% CI = 1.501-23.991). After adjusting for professional role and BMI, no significant associations were found between scores on the HADS-D (AOR = 1.031; 95% CI = 0.967-1.099) or PSS-10 (AOR = 0.971; 95% CI = 0.923-1.022) scales and colorectal adenomas. However, higher scores on the AUDIT (AOR = 1.001-1.144), CDS-12 (AOR = 1.028; 95% CI = 1.003-1.054), PSQI (AOR = 1.079; 95% CI = 1.003-1.161), and HADS-A (AOR = 1.156; 95% CI = 1.059-1.262) scales were significantly associated with an increased likelihood of colorectal adenomas.
CONCLUSION: The study highlights the significance of addressing alcohol consumption, smoking, sleep quality, and anxiety to reduce the risk of colorectal adenomas. Targeted mental health interventions may play a crucial role in alleviating this health burden and enhancing overall population health.
OBJECTIVES: We conduct a double-blind, prospective cross-sectional analysis to examine the relationship between lifestyle, mental health, and colorectal adenomas.
METHODS: Between June 2023 and July 2024, we surveyed 246 participants at Hubei Provincial Hospital of Traditional Chinese Medicine in Wuhan using a self-administered online questionnaire.
RESULTS: The majority of participants were over the age of 50 (49.6%), married or living with a partner (87.08%), and employed as office workers or technicians (44.3%). Among the total population, 435 individuals (53.5%) were diagnosed with colorectal adenomas. A significant positive association was observed between being a manager (OR = 2.340; 95% CI = 1.043-5.248) and the presence of colorectal adenomas, as well as having a BMI over 28 (OR = 6.000; 95% CI = 1.501-23.991). After adjusting for professional role and BMI, no significant associations were found between scores on the HADS-D (AOR = 1.031; 95% CI = 0.967-1.099) or PSS-10 (AOR = 0.971; 95% CI = 0.923-1.022) scales and colorectal adenomas. However, higher scores on the AUDIT (AOR = 1.001-1.144), CDS-12 (AOR = 1.028; 95% CI = 1.003-1.054), PSQI (AOR = 1.079; 95% CI = 1.003-1.161), and HADS-A (AOR = 1.156; 95% CI = 1.059-1.262) scales were significantly associated with an increased likelihood of colorectal adenomas.
CONCLUSION: The study highlights the significance of addressing alcohol consumption, smoking, sleep quality, and anxiety to reduce the risk of colorectal adenomas. Targeted mental health interventions may play a crucial role in alleviating this health burden and enhancing overall population health.