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Circulating Fatty Acids and Prostate Cancer Risk: Individual Participant Meta-Analysis of Prospective Studies

Identifieur interne : 003B39 ( Main/Exploration ); précédent : 003B38; suivant : 003B40

Circulating Fatty Acids and Prostate Cancer Risk: Individual Participant Meta-Analysis of Prospective Studies

Auteurs : Francesca L. Crowe ; Paul N. Appleby ; Ruth C. Travis ; Matt Barnett ; Theodore M. Brasky ; H. Bas Bueno-De-Mesquita ; Veronique Chajes ; Jorge E. Chavarro ; Maria-Dolores Chirlaque ; Dallas R. English ; Robert A. Gibson ; Graham G. Giles ; Gary E. Goodman ; Susanne M. Henning ; Rudolf Kaaks ; Irena B. King ; Lawrence N. Kolonel ; Alan R. Kristal ; Marian L. Neuhouser ; Song-Yi Park ; Gianluca Severi ; Afshan Siddiq ; Meir J. Stampfer ; P R Stattin ; Catherine M. Tangen ; Anne Tj Nneland ; Dimitrios Trichopoulos ; Rosario Tumino ; Lynne R. Wilkens ; Timothy J. Key ; Naomi E. Allen

Source :

RBID : PMC:4188122

Descripteurs français

English descriptors

Abstract

Background

Individual studies have suggested that some circulating fatty acids are associated with prostate cancer risk, but have not been large enough to provide precise estimates of associations, particularly by stage and grade of disease.

Methods

Principal investigators of prospective studies on circulating fatty acids and prostate cancer were invited to collaborate. Investigators provided individual participant data on circulating fatty acids (weight percent) and other characteristics of prostate cancer cases and controls. Prostate cancer risk by study-specific fifths of 14 fatty acids was estimated using multivariable-adjusted conditional logistic regression. All statistical tests were two-sided.

Results

Five thousand and ninety-eight case patients and 6649 control patients from seven studies with an average follow-up of 5.1 (SD = 3.3) years were included. Stearic acid (18:0) was inversely associated with total prostate cancer (odds ratio [OR] Q5 vs Q1 = 0.88, 95% confidence interval [CI] = 0.78 to 1.00, Ptrend = .043). Prostate cancer risk was, respectively, 14% and 16% greater in the highest fifth of eicosapentaenoic acid (20:5n-3) (OR = 1.14, 95% CI = 1.01 to 1.29, Ptrend = .001) and docosapentaenoic acid (22:5n-3) (OR = 1.16, 95% CI = 1.02 to 1.33, Ptrend = .003), but in each case there was heterogeneity between studies (P = .022 and P < .001, respectively). There was heterogeneity in the association between docosapentaenoic acid and prostate cancer by grade of disease (P = .006); the association was statistically significant for low-grade disease but not high-grade disease. The remaining 11 fatty acids were not statistically associated with total prostate cancer risk.

Conclusion

There was no strong evidence that circulating fatty acids are important predictors of prostate cancer risk. It is not clear whether the modest associations of stearic, eicosapentaenoic, and docosapentaenoic acid are causal.


Url:
DOI: 10.1093/jnci/dju240
PubMed: 25210201
PubMed Central: 4188122


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H. Bas" last="Bueno-De-Mesquita">H. Bas Bueno-De-Mesquita</name>
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<name sortKey="Chajes, Veronique" sort="Chajes, Veronique" uniqKey="Chajes V" first="Veronique" last="Chajes">Veronique Chajes</name>
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<name sortKey="Chavarro, Jorge E" sort="Chavarro, Jorge E" uniqKey="Chavarro J" first="Jorge E." last="Chavarro">Jorge E. Chavarro</name>
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<name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name>
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<name sortKey="English, Dallas R" sort="English, Dallas R" uniqKey="English D" first="Dallas R." last="English">Dallas R. English</name>
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<name sortKey="Gibson, Robert A" sort="Gibson, Robert A" uniqKey="Gibson R" first="Robert A." last="Gibson">Robert A. Gibson</name>
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<name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G." last="Giles">Graham G. Giles</name>
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<name sortKey="Goodman, Gary E" sort="Goodman, Gary E" uniqKey="Goodman G" first="Gary E." last="Goodman">Gary E. Goodman</name>
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<name sortKey="Henning, Susanne M" sort="Henning, Susanne M" uniqKey="Henning S" first="Susanne M." last="Henning">Susanne M. Henning</name>
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<name sortKey="Kaaks, Rudolf" sort="Kaaks, Rudolf" uniqKey="Kaaks R" first="Rudolf" last="Kaaks">Rudolf Kaaks</name>
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<name sortKey="King, Irena B" sort="King, Irena B" uniqKey="King I" first="Irena B." last="King">Irena B. King</name>
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<name sortKey="Kolonel, Lawrence N" sort="Kolonel, Lawrence N" uniqKey="Kolonel L" first="Lawrence N." last="Kolonel">Lawrence N. Kolonel</name>
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<name sortKey="Kristal, Alan R" sort="Kristal, Alan R" uniqKey="Kristal A" first="Alan R." last="Kristal">Alan R. Kristal</name>
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<name sortKey="Neuhouser, Marian L" sort="Neuhouser, Marian L" uniqKey="Neuhouser M" first="Marian L." last="Neuhouser">Marian L. Neuhouser</name>
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<author>
<name sortKey="Park, Song Yi" sort="Park, Song Yi" uniqKey="Park S" first="Song-Yi" last="Park">Song-Yi Park</name>
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<author>
<name sortKey="Severi, Gianluca" sort="Severi, Gianluca" uniqKey="Severi G" first="Gianluca" last="Severi">Gianluca Severi</name>
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<author>
<name sortKey="Siddiq, Afshan" sort="Siddiq, Afshan" uniqKey="Siddiq A" first="Afshan" last="Siddiq">Afshan Siddiq</name>
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<author>
<name sortKey="Stampfer, Meir J" sort="Stampfer, Meir J" uniqKey="Stampfer M" first="Meir J." last="Stampfer">Meir J. Stampfer</name>
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<name sortKey="Stattin, P R" sort="Stattin, P R" uniqKey="Stattin P" first="P R" last="Stattin">P R Stattin</name>
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<name sortKey="Tangen, Catherine M" sort="Tangen, Catherine M" uniqKey="Tangen C" first="Catherine M." last="Tangen">Catherine M. Tangen</name>
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<name sortKey="Tj Nneland, Anne" sort="Tj Nneland, Anne" uniqKey="Tj Nneland A" first="Anne" last="Tj Nneland">Anne Tj Nneland</name>
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<name sortKey="Trichopoulos, Dimitrios" sort="Trichopoulos, Dimitrios" uniqKey="Trichopoulos D" first="Dimitrios" last="Trichopoulos">Dimitrios Trichopoulos</name>
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<name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name>
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<name sortKey="Wilkens, Lynne R" sort="Wilkens, Lynne R" uniqKey="Wilkens L" first="Lynne R." last="Wilkens">Lynne R. Wilkens</name>
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<name sortKey="Key, Timothy J" sort="Key, Timothy J" uniqKey="Key T" first="Timothy J." last="Key">Timothy J. Key</name>
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<name sortKey="Allen, Naomi E" sort="Allen, Naomi E" uniqKey="Allen N" first="Naomi E." last="Allen">Naomi E. Allen</name>
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<title level="j">JNCI Journal of the National Cancer Institute</title>
<idno type="ISSN">0027-8874</idno>
<idno type="eISSN">1460-2105</idno>
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<term>Aged</term>
<term>Case-Control Studies</term>
<term>Eicosapentaenoic Acid (blood)</term>
<term>Fatty Acids (blood)</term>
<term>Fatty Acids, Unsaturated (blood)</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Prospective Studies</term>
<term>Prostatic Neoplasms (blood)</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
<term>Stearic Acids (blood)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Acide eicosapentanoïque (sang)</term>
<term>Acides gras (sang)</term>
<term>Acides gras insaturés (sang)</term>
<term>Acides stéariques (sang)</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Sujet âgé</term>
<term>Tumeurs de la prostate (sang)</term>
<term>Études cas-témoins</term>
<term>Études prospectives</term>
<term>Évaluation des risques</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en">
<term>Eicosapentaenoic Acid</term>
<term>Fatty Acids</term>
<term>Fatty Acids, Unsaturated</term>
<term>Stearic Acids</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Prostatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Acide eicosapentanoïque</term>
<term>Acides gras</term>
<term>Acides gras insaturés</term>
<term>Acides stéariques</term>
<term>Tumeurs de la prostate</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Case-Control Studies</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Prospective Studies</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Sujet âgé</term>
<term>Études cas-témoins</term>
<term>Études prospectives</term>
<term>Évaluation des risques</term>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Individual studies have suggested that some circulating fatty acids are associated with prostate cancer risk, but have not been large enough to provide precise estimates of associations, particularly by stage and grade of disease.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>Principal investigators of prospective studies on circulating fatty acids and prostate cancer were invited to collaborate. Investigators provided individual participant data on circulating fatty acids (weight percent) and other characteristics of prostate cancer cases and controls. Prostate cancer risk by study-specific fifths of 14 fatty acids was estimated using multivariable-adjusted conditional logistic regression. All statistical tests were two-sided.</p>
</sec>
<sec>
<title>Results</title>
<p>Five thousand and ninety-eight case patients and 6649 control patients from seven studies with an average follow-up of 5.1 (SD = 3.3) years were included. Stearic acid (18:0) was inversely associated with total prostate cancer (odds ratio [OR] Q5 vs Q1 = 0.88, 95% confidence interval [CI] = 0.78 to 1.00,
<italic>P</italic>
<sub>trend</sub>
= .043). Prostate cancer risk was, respectively, 14% and 16% greater in the highest fifth of eicosapentaenoic acid (20:5n-3) (OR = 1.14, 95% CI = 1.01 to 1.29,
<italic>P</italic>
<sub>trend</sub>
= .001) and docosapentaenoic acid (22:5n-3) (OR = 1.16, 95% CI = 1.02 to 1.33,
<italic>P</italic>
<sub>trend</sub>
= .003), but in each case there was heterogeneity between studies (
<italic>P</italic>
= .022 and
<italic>P</italic>
< .001, respectively). There was heterogeneity in the association between docosapentaenoic acid and prostate cancer by grade of disease (
<italic>P</italic>
= .006); the association was statistically significant for low-grade disease but not high-grade disease. The remaining 11 fatty acids were not statistically associated with total prostate cancer risk.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>There was no strong evidence that circulating fatty acids are important predictors of prostate cancer risk. It is not clear whether the modest associations of stearic, eicosapentaenoic, and docosapentaenoic acid are causal.</p>
</sec>
</div>
</front>
<back>
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