{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:03:27Z","timestamp":1790255007772,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl Journal of Cancer"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Although colorectal cancer (CRC) is the fourth most common cancer in Vietnam, evidence on lifestyle factors associated with colorectal adenomas (CRA) remains limited. We conducted a case\u2013control study to examine lifestyle factors associated with CRA. Conditional logistic regression (CLR) was performed using 845 matched case\u2013control pairs. Structural equation modeling (SEM) and propensity score matching (PSM) analyses were conducted using the full sample of 847 cases and 1201 controls. CLR identified heavy alcohol consumption (OR 1.59, 95% CI: 1.13\u20132.23), current smoking (OR 1.88, 95% CI: 1.28\u20132.76), a personal history of colorectal polyps (OR 7.02, 95% CI: 4.02\u201312.27), and a sibling history of CRC (OR 3.33, 95% CI: 1.23\u20139.03) as risk factors for overall adenomas. A personal history of colorectal polyps was associated with both advanced and non\u2010advanced adenomas, whereas current smoking and heavy alcohol consumption were associated with advanced but not non\u2010advanced adenomas. SEM and PSM generally corroborated the CLR findings, with heavy alcohol consumption, current smoking, and a personal history of colorectal polyps associated with advanced adenomas. PSM additionally suggested a possible positive association between high meat consumption and advanced adenomas. CLR identified an\u00a0inverse association\u00a0between a beverage pattern characterized by coffee, black tea, and fruit juice consumption and adenoma prevalence; however, this finding was not confirmed in PSM. In conclusion, current smoking, heavy alcohol consumption, and a personal history of colorectal polyps were consistently associated with an increased risk of CRA, particularly advanced adenomas. These findings support lifestyle\u2010focused prevention strategies and risk\u2010stratified CRC surveillance in Vietnam.<\/jats:p>","DOI":"10.1002\/ijc.70751","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:25:30Z","timestamp":1790252730000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle Factors Associated With Colorectal Adenomas: Results From a Vietnamese Case\u2013Control Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9864-0131","authenticated-orcid":false,"given":"Chi Thi\u2010Du","family":"Tran","sequence":"first","affiliation":[{"name":"Vietnam Colorectal Cancer and Polyps Research Program Vinmec Healthcare System  Hanoi Vietnam"},{"name":"Vinmec\u2010VinUni Institute of Immunology  Hanoi Vietnam"},{"name":"College of Health Sciences VinUniversity  Hanoi Vietnam"},{"name":"Innovations in Health Sciences VinUniversity  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0737-430X","authenticated-orcid":false,"given":"Tuan Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"College of Health Sciences VinUniversity  Hanoi Vietnam"},{"name":"Innovations in Health Sciences VinUniversity  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mo Thi","family":"Tran","sequence":"additional","affiliation":[{"name":"Vietnam Colorectal Cancer and Polyps Research Program Vinmec Healthcare System  Hanoi Vietnam"},{"name":"College of Health Sciences VinUniversity  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huong Thi\u2010Thu","family":"Pham","sequence":"additional","affiliation":[{"name":"College of Health Sciences VinUniversity  Hanoi Vietnam"},{"name":"Department of Gastroenterology, Vinmec International Hospital at Times City Vinmec Healthcare System  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2172-1849","authenticated-orcid":false,"given":"Hung Nguyen","family":"Luu","sequence":"additional","affiliation":[{"name":"UPMC Hillman Cancer Center University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"},{"name":"Dr. Mary and Ron Neal Cancer Center Houston Methodist Research Institute  Houston Texas USA"},{"name":"Weill Cornell Medicine, Cornell University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0711-8314","authenticated-orcid":false,"given":"Xiao\u2010Ou","family":"Shu","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center and Vanderbilt\u2010Ingram Cancer Center Vanderbilt University School of Medicine  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2978-936X","authenticated-orcid":false,"given":"Linh Cu","family":"Le","sequence":"additional","affiliation":[{"name":"College of Health Sciences VinUniversity  Hanoi Vietnam"},{"name":"Innovations in Health Sciences VinUniversity  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","first-page":"229","article-title":"Global Cancer Statistics 2022: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"74","author":"Bray F.","year":"2024","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"e_1_2_12_3_1","unstructured":"WHO \u201cGlobal Health Estimates: Leading Causes of DALYs: Disease Burden 2000\u20132021 \u201d(2025) https:\/\/www.who.int\/data\/gho\/data\/themes\/mortality\u2010and\u2010global\u2010health\u2010estimates\/global\u2010health\u2010estimates\u2010leading\u2010causes\u2010of\u2010dalys."},{"issue":"5","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/0092-8674(90)90186-I","article-title":"A Genetic Model for Colorectal Tumorigenesis","volume":"61","author":"Fearon E. 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