Body Mass Index and Risk of Pancreatic Cancer in a Chinese Population
Identifieur interne : 003B86 ( Main/Exploration ); précédent : 003B85; suivant : 003B87Body Mass Index and Risk of Pancreatic Cancer in a Chinese Population
Auteurs : Seema Untawale [États-Unis] ; Andrew O. Odegaard [États-Unis] ; Woon-Puay Koh [Singapour] ; Ai Zhen Jin ; Jian-Min Yuan [États-Unis] ; Kristin E. Anderson [États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- ethnologie : Chine.
- physiopathologie : Tumeurs du pancréas.
- épidémiologie : Singapour, Tumeurs du pancréas.
- Adulte d'âge moyen, Femelle, Humains, Indice de masse corporelle, Modèles de hasards proportionnels, Mâle, Études de cohortes.
- Wicri :
- geographic : Singapour.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Singapore.
- geographic , ethnology : China.
- epidemiology : Pancreatic Neoplasms.
- physiopathology : Pancreatic Neoplasms.
- Body Mass Index, Cohort Studies, Female, Humans, Male, Middle Aged, Proportional Hazards Models.
Abstract
Few studies have examined the association between body mass index (BMI: kg/m2) and pancreatic cancer risk in Asian populations. We examined this relationship in 51,251 Chinese men and women aged 45–74 who enrolled between 1993 and 1998 in the population based, prospective Singapore Chinese Health Study. Data were collected through in-person interviews. By December 31, 2011, 194 cohort participants had developed pancreatic cancer. A Cox proportional hazards model was used to estimate hazard ratios (HR) and their 95% confidence intervals (95% CI). We hypothesized the association between BMI and pancreatic cancer risk may vary by smoking status (ever v. never) and there was evidence for this as the interaction between BMI and smoking status was significant (p = 0.018). Among ever smokers, being classified as underweight (BMI <18.5 kg/m2), was associated with a significantly elevated risk of pancreatic cancer relative to smokers with a BMI of 21.5–24.4 kg/m2 (HR = 1.99, 95% CI = 1.03–3.84). This association was strengthened after exclusion of the first three years of follow-up time. Among never smokers, there was no association between BMI and pancreatic cancer risk. However, after excluding pancreatic cancer cases and person-years in the first three years of follow-up, never smokers with a BMI ≥ 27.5 kg/m2 showed a suggestive increased risk of pancreatic cancer relative to never smokers with a BMI of 21.5–24.4 kg/m2 (HR = 1.75, 95% CI = 0.93–3.3). In conclusion, Singaporean Chinese who were underweight with a history of smoking had an increased risk of developing pancreatic cancer, whereas there was no significant association between BMI and pancreatic cancer in never smokers.
Url:
DOI: 10.1371/journal.pone.0085149
PubMed: 24454807
PubMed Central: 3893175
Affiliations:
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Odegaard</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Koh, Woon Puay" sort="Koh, Woon Puay" uniqKey="Koh W" first="Woon-Puay" last="Koh">Woon-Puay Koh</name><affiliation><nlm:aff id="aff2"><addr-line>Duke-NUS Graduate Medical School Singapore, Singapore, Republic of Singapore</addr-line></nlm:aff><wicri:noCountry code="subfield">Republic of Singapore</wicri:noCountry></affiliation><affiliation wicri:level="4"><nlm:aff id="aff6"><addr-line>Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Republic of Singapore</addr-line></nlm:aff><orgName type="university">Université nationale de Singapour</orgName><country>Singapour</country></affiliation></author><author><name sortKey="Jin, Ai Zhen" sort="Jin, Ai Zhen" uniqKey="Jin A" first="Ai Zhen" last="Jin">Ai Zhen Jin</name><affiliation><nlm:aff id="aff3"><addr-line>National Registry of Diseases Office, Health Promotion Board, Singapore, Republic of Singapore</addr-line></nlm:aff><wicri:noCountry code="subfield">Republic of Singapore</wicri:noCountry></affiliation></author><author><name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name><affiliation wicri:level="2"><nlm:aff id="aff4"><addr-line>University of Pittsburgh Cancer Institute, Division of Cancer Control and Population Sciences, Pittsburgh, Pennsylvania, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh Cancer Institute, Division of Cancer Control and Population Sciences, Pittsburgh, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff7"><addr-line>Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Anderson, Kristin E" sort="Anderson, Kristin E" uniqKey="Anderson K" first="Kristin E." last="Anderson">Kristin E. Anderson</name><affiliation wicri:level="2"><nlm:aff id="aff1"><addr-line>Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff8"><addr-line>Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Body Mass Index</term><term>China (ethnology)</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pancreatic Neoplasms (epidemiology)</term><term>Pancreatic Neoplasms (physiopathology)</term><term>Proportional Hazards Models</term><term>Singapore (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Chine (ethnologie)</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Singapour (épidémiologie)</term><term>Tumeurs du pancréas (physiopathologie)</term><term>Tumeurs du pancréas (épidémiologie)</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Singapore</term></keywords><keywords scheme="MESH" type="geographic" qualifier="ethnology" xml:lang="en"><term>China</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pancreatic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Chine</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Tumeurs du pancréas</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pancreatic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Singapour</term><term>Tumeurs du pancréas</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Body Mass Index</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Proportional Hazards Models</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Études de cohortes</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Singapour</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Few studies have examined the association between body mass index (BMI: kg/m<sup>2</sup>) and pancreatic cancer risk in Asian populations. We examined this relationship in 51,251 Chinese men and women aged 45–74 who enrolled between 1993 and 1998 in the population based, prospective Singapore Chinese Health Study. Data were collected through in-person interviews. By December 31, 2011, 194 cohort participants had developed pancreatic cancer. A Cox proportional hazards model was used to estimate hazard ratios (HR) and their 95% confidence intervals (95% CI). We hypothesized the association between BMI and pancreatic cancer risk may vary by smoking status (ever v. never) and there was evidence for this as the interaction between BMI and smoking status was significant (p = 0.018). Among ever smokers, being classified as underweight (BMI <18.5 kg/m<sup>2</sup>), was associated with a significantly elevated risk of pancreatic cancer relative to smokers with a BMI of 21.5–24.4 kg/m<sup>2</sup> (HR = 1.99, 95% CI = 1.03–3.84). This association was strengthened after exclusion of the first three years of follow-up time. Among never smokers, there was no association between BMI and pancreatic cancer risk. However, after excluding pancreatic cancer cases and person-years in the first three years of follow-up, never smokers with a BMI ≥ 27.5 kg/m<sup>2</sup> showed a suggestive increased risk of pancreatic cancer relative to never smokers with a BMI of 21.5–24.4 kg/m<sup>2</sup> (HR = 1.75, 95% CI = 0.93–3.3). In conclusion, Singaporean Chinese who were underweight with a history of smoking had an increased risk of developing pancreatic cancer, whereas there was no significant association between BMI and pancreatic cancer in never smokers.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Parkin, Dm" uniqKey="Parkin D">DM Parkin</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Pisani, P" uniqKey="Pisani P">P Pisani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lu, Xh" uniqKey="Lu X">XH Lu</name></author><author><name sortKey="Wang, L" uniqKey="Wang L">L Wang</name></author><author><name sortKey="Li, H" uniqKey="Li H">H Li</name></author><author><name sortKey="Qian, Jm" uniqKey="Qian J">JM Qian</name></author><author><name sortKey="Deng, Rx" uniqKey="Deng R">RX 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Jacob</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kuczmarski, Rj" uniqKey="Kuczmarski R">RJ Kuczmarski</name></author><author><name sortKey="Carroll, Md" uniqKey="Carroll M">MD Carroll</name></author><author><name sortKey="Flegal, Km" uniqKey="Flegal K">KM Flegal</name></author><author><name sortKey="Troiano, Rp" uniqKey="Troiano R">RP Troiano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koh, Wp" uniqKey="Koh W">WP Koh</name></author><author><name sortKey="Yuan, Jm" uniqKey="Yuan J">JM Yuan</name></author><author><name sortKey="Sun, Cl" uniqKey="Sun C">CL Sun</name></author><author><name sortKey="Lee, Hp" uniqKey="Lee H">HP Lee</name></author><author><name sortKey="Yu, Mc" uniqKey="Yu M">MC Yu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Connor Gorber, S" uniqKey="Connor Gorber S">S Connor Gorber</name></author><author><name sortKey="Tremblay, M" uniqKey="Tremblay M">M Tremblay</name></author><author><name sortKey="Moher, D" uniqKey="Moher D">D Moher</name></author><author><name sortKey="Gorber, B" uniqKey="Gorber B">B Gorber</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Singapour</li><li>États-Unis</li></country><region><li>Minnesota</li><li>Pennsylvanie</li><li>Washington (État)</li></region><orgName><li>Université nationale de Singapour</li></orgName></list><tree><noCountry><name sortKey="Jin, Ai Zhen" sort="Jin, Ai Zhen" uniqKey="Jin A" first="Ai Zhen" last="Jin">Ai Zhen Jin</name></noCountry><country name="États-Unis"><region name="Minnesota"><name sortKey="Untawale, Seema" sort="Untawale, Seema" uniqKey="Untawale S" first="Seema" last="Untawale">Seema Untawale</name></region><name sortKey="Anderson, Kristin E" sort="Anderson, Kristin E" uniqKey="Anderson K" first="Kristin E." last="Anderson">Kristin E. Anderson</name><name sortKey="Anderson, Kristin E" sort="Anderson, Kristin E" uniqKey="Anderson K" first="Kristin E." last="Anderson">Kristin E. Anderson</name><name sortKey="Odegaard, Andrew O" sort="Odegaard, Andrew O" uniqKey="Odegaard A" first="Andrew O." last="Odegaard">Andrew O. Odegaard</name><name sortKey="Untawale, Seema" sort="Untawale, Seema" uniqKey="Untawale S" first="Seema" last="Untawale">Seema Untawale</name><name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name><name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name></country><country name="Singapour"><noRegion><name sortKey="Koh, Woon Puay" sort="Koh, Woon Puay" uniqKey="Koh W" first="Woon-Puay" last="Koh">Woon-Puay Koh</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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