HYPERTENSION AND OBESITY AND THE RISK OF KIDNEY CANCER IN TWO LARGE COHORTS OF US MEN AND WOMEN
Identifieur interne : 001154 ( Pmc/Checkpoint ); précédent : 001153; suivant : 001155HYPERTENSION AND OBESITY AND THE RISK OF KIDNEY CANCER IN TWO LARGE COHORTS OF US MEN AND WOMEN
Auteurs : Kristen M. Sanfilippo ; Kathleen M. Mctigue [États-Unis] ; Christian J. Fidler [États-Unis] ; James D. Neaton [États-Unis] ; Yuefang Chang [États-Unis] ; Linda F. Fried [États-Unis] ; Simin Liu [États-Unis] ; Lewis H. Kuller [États-Unis]Source :
- Hypertension [ 0194-911X ] ; 2014.
Abstract
Kidney cancer incidence is increasing globally. Reasons for this rise are unclear, but could relate to obesity and hypertension. We analyzed longitudinal relationships between hypertension and obesity and kidney cancer incidence in 156,774 participants of the Women’s Health Initiative (WHI) clinical trials and observational studies over 10.8 years. In addition, we examined the impact of blood pressure (BP) on kidney cancer deaths over 25 years among the 353,340 men screened for the Multiple Risk Factor Intervention Trial (MRFIT). In the WHI, systolic SBP was categorized in 6 groups from <120 to >160 mmHg and body mass index (BMI) was categorized using standard criteria. In age-adjusted analyses, kidney cancer risk increased across SBP categories (p-value for trend <0.0001) and BMI categories (p-value for trend <0.0001). In adjusted Cox proportional hazards models, both SBP levels and BMI were predictors of kidney cancer. In the MRFIT sample, there were 906 deaths after an average of 25 years of follow-up attributed to kidney cancer amongst the 353,340 participants aged 35–57 years at screening. The risk of death from kidney cancer increased in a dose-response fashion with increasing SBP (HR=1.87 for SBP>160 versus <120 mmHg; 95% CI, 1.38–2.53). Risk was increased among cigarette smokers. Further research is needed to determine the pathophysiologic basis of relationships between both higher BP and the risk of kidney cancer, and whether specific drug therapies for hypertension can reduce kidney cancer risk.
Url:
DOI: 10.1161/HYPERTENSIONAHA.113.02953
PubMed: 24637660
PubMed Central: 4098147
Affiliations:
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<front><div type="abstract" xml:lang="en"><p id="P1">Kidney cancer incidence is increasing globally. Reasons for this rise are unclear, but could relate to obesity and hypertension. We analyzed longitudinal relationships between hypertension and obesity and kidney cancer incidence in 156,774 participants of the Women’s Health Initiative (WHI) clinical trials and observational studies over 10.8 years. In addition, we examined the impact of blood pressure (BP) on kidney cancer deaths over 25 years among the 353,340 men screened for the Multiple Risk Factor Intervention Trial (MRFIT). In the WHI, systolic SBP was categorized in 6 groups from <120 to >160 mmHg and body mass index (BMI) was categorized using standard criteria. In age-adjusted analyses, kidney cancer risk increased across SBP categories (p-value for trend <0.0001) and BMI categories (p-value for trend <0.0001). In adjusted Cox proportional hazards models, both SBP levels and BMI were predictors of kidney cancer. In the MRFIT sample, there were 906 deaths after an average of 25 years of follow-up attributed to kidney cancer amongst the 353,340 participants aged 35–57 years at screening. The risk of death from kidney cancer increased in a dose-response fashion with increasing SBP (HR=1.87 for SBP>160 versus <120 mmHg; 95% CI, 1.38–2.53). Risk was increased among cigarette smokers. Further research is needed to determine the pathophysiologic basis of relationships between both higher BP and the risk of kidney cancer, and whether specific drug therapies for hypertension can reduce kidney cancer risk.</p>
</div>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>HYPERTENSION AND OBESITY AND THE RISK OF KIDNEY CANCER IN TWO LARGE COHORTS OF US MEN AND WOMEN</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sanfilippo</surname>
<given-names>Kristen M.</given-names>
</name>
<degrees>MD, MPHS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author"><name><surname>McTigue</surname>
<given-names>Kathleen M.</given-names>
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<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Neaton</surname>
<given-names>James D.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chang</surname>
<given-names>Yuefang</given-names>
</name>
<degrees>PHD</degrees>
<xref ref-type="aff" rid="A6">6</xref>
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<contrib contrib-type="author"><name><surname>Fried</surname>
<given-names>Linda F.</given-names>
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<contrib contrib-type="author"><name><surname>Liu</surname>
<given-names>Simin</given-names>
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<degrees>MD MPH ScD</degrees>
<xref ref-type="aff" rid="A8">8</xref>
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<contrib contrib-type="author"><name><surname>Kuller</surname>
<given-names>Lewis H.</given-names>
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<degrees>MD, DrPH</degrees>
<xref ref-type="aff" rid="A3">3</xref>
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<aff id="A1"><label>1</label>
Department of Hematology, Washington University, St. Louis, MO and VA Saint Louis Healthcare System, St. Louis MO</aff>
<aff id="A2"><label>2</label>
Department of Medicine, University of Pittsburgh, Pittsburgh PA</aff>
<aff id="A3"><label>3</label>
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh PA</aff>
<aff id="A4"><label>4</label>
Rosenfeld Cancer Center, Abington Memorial Hospital, Abington, PA</aff>
<aff id="A5"><label>5</label>
Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN</aff>
<aff id="A6"><label>6</label>
Department of Neurological Surgery, University of Pittsburgh, Pittsburgh PA</aff>
<aff id="A7"><label>7</label>
VA Pittsburgh Healthcare System, Pittsburgh PA</aff>
<aff id="A8"><label>8</label>
Department of Epidemiology, Brown University, Providence, RI</aff>
<author-notes><corresp id="cor1"><bold>Corresponding author:</bold>
Kathleen M. McTigue MD MPH, Associate Professor of Medicine and Epidemiology, University of Pittsburgh, 230 McKee Place Suite 600, Pittsburgh PA 15213, 412-692-2940 (phone), 412-692-4838 (fax), <email>kmm34@pitt.edu</email>
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<pub-date pub-type="pmc-release"><day>01</day>
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<pmc-comment>elocation-id from pubmed: 10.1161/HYPERTENSIONAHA.113.02953</pmc-comment>
<abstract><p id="P1">Kidney cancer incidence is increasing globally. Reasons for this rise are unclear, but could relate to obesity and hypertension. We analyzed longitudinal relationships between hypertension and obesity and kidney cancer incidence in 156,774 participants of the Women’s Health Initiative (WHI) clinical trials and observational studies over 10.8 years. In addition, we examined the impact of blood pressure (BP) on kidney cancer deaths over 25 years among the 353,340 men screened for the Multiple Risk Factor Intervention Trial (MRFIT). In the WHI, systolic SBP was categorized in 6 groups from <120 to >160 mmHg and body mass index (BMI) was categorized using standard criteria. In age-adjusted analyses, kidney cancer risk increased across SBP categories (p-value for trend <0.0001) and BMI categories (p-value for trend <0.0001). In adjusted Cox proportional hazards models, both SBP levels and BMI were predictors of kidney cancer. In the MRFIT sample, there were 906 deaths after an average of 25 years of follow-up attributed to kidney cancer amongst the 353,340 participants aged 35–57 years at screening. The risk of death from kidney cancer increased in a dose-response fashion with increasing SBP (HR=1.87 for SBP>160 versus <120 mmHg; 95% CI, 1.38–2.53). Risk was increased among cigarette smokers. Further research is needed to determine the pathophysiologic basis of relationships between both higher BP and the risk of kidney cancer, and whether specific drug therapies for hypertension can reduce kidney cancer risk.</p>
</abstract>
<kwd-group><kwd>blood pressure</kwd>
<kwd>body weight</kwd>
<kwd>epidemiology</kwd>
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<tree><noCountry><name sortKey="Sanfilippo, Kristen M" sort="Sanfilippo, Kristen M" uniqKey="Sanfilippo K" first="Kristen M." last="Sanfilippo">Kristen M. Sanfilippo</name>
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<name sortKey="Fried, Linda F" sort="Fried, Linda F" uniqKey="Fried L" first="Linda F." last="Fried">Linda F. Fried</name>
<name sortKey="Fried, Linda F" sort="Fried, Linda F" uniqKey="Fried L" first="Linda F." last="Fried">Linda F. Fried</name>
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<name sortKey="Liu, Simin" sort="Liu, Simin" uniqKey="Liu S" first="Simin" last="Liu">Simin Liu</name>
<name sortKey="Mctigue, Kathleen M" sort="Mctigue, Kathleen M" uniqKey="Mctigue K" first="Kathleen M." last="Mctigue">Kathleen M. Mctigue</name>
<name sortKey="Neaton, James D" sort="Neaton, James D" uniqKey="Neaton J" first="James D." last="Neaton">James D. Neaton</name>
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