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The Study

Risk of colorectal and other gastro‐intestinal cancers after exposure to nitrate, nitrite and N‐nitroso compounds: a follow‐up study

In simple terms

This study is like watching people over many years to see if eating certain foods is linked to getting sick. It found that people who ate more smoked fish had more colon cancer, but it can't prove the food caused the cancer because other things might be involved.

47%

Analysis score

47/ 72

Maximum 72 for a cohort study.

Where the score came from

Reporting0
Methodology38
Publication100
Statistical54
Study type (basis of the score)
Cohort Study
Level 2b - Individual cohort study
What’s the bottom line?

Scientists followed people for many years and found that those who ate more of certain chemicals in food had higher chances of getting colon cancer.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cohort Studies
Level 2b
47

47 / 100

Quality score

Groups of people are followed over time to see who develops an outcome. Strong for identifying risk factors and associations, but cannot prove causation as firmly as RCTs.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes, doubling cancer risk is significant for humans
  2. 2People with highest NDMA intake had 2.12 times higher colon cancer risk.
  3. 3Those eating smoked/salted fish had 2.58 times higher risk.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

International Journal of Cancer

Year

1999

Authors

P. Knekt, R. Järvinen, J. Dich, T. Hakulinen

Open Access
323 citations
Analysis v5
Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.