Anthropometrics, body shape over 12 years and risk of cancer events in pre- and post-menopausal women
Identifieur interne : 005096 ( Main/Exploration ); précédent : 005095; suivant : 005097Anthropometrics, body shape over 12 years and risk of cancer events in pre- and post-menopausal women
Auteurs : Guy Fagherazzi [France] ; Alice Vilier [France] ; Beverley Balkau [France, Australie] ; Françoise Clavel-Chapelon [France] ; Dianna J. Magliano [Australie]Source :
- International journal of cancer : (Print) [ 0020-7136 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
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Abstract
Studies of anthropometry and cancer have focused on body mass index (BMI). Relations between weight, waist (WC) and hip circumferences (HC), birth length and adult height with cancer are less well studied. Women from the French E3N study, born between 1925 and 1950, were followed biennially from 1995 until 2008. Body shape was classed into four groups based on median WC and HC at baseline. Hazard ratios (HRs) were estimated by Cox proportional hazards regression models. Over the 12 years of follow-up, 7,247 of 63,798 women developed cancer. As WC increased, we found a trend for decreasing cancer risk in pre-menopausal women, which reversed to an increasing risk in post-menopausal women. This remained unchanged after further adjustment for HC /or height [HR: 0.72 (0.52-1.00) before menopause and 1.17 (1.04-1.31) in the 5th vs. 1st quintile of HC], and were similar after exclusion of breast cancer. We showed that large body shape decreased cancer risk before menopause and increased it after [HR: 0.87 (0.73-1.02) and 1.11 (1.04-1.17), respectively, in women with large waist and hips compared to small waist and hips]. Adult height was associated with a non-significant increase in cancer in pre-menopause and a significant cancer risk in menopause, independent of other anthropometric characteristics [5th vs. 1st quintile [HR: 1.24 (0.98-1.56) and 1.20 (1.10-1.30)], respectively as was long birth length in post-menopausal women [HR: 1.18 (1.07-1.30) compared to medium birth length]. These results suggest independent roles of height and WC on cancer risk, through different pathways.
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last="Balkau">Beverley Balkau</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Paris-Sud Université</s1><s2>U1018, Villejuif</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Paris-Sud Université</wicri:noRegion><wicri:noRegion>Paris-Sud Université</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Epidemiology of Diabetes, Obesity and Chronic Kidney Disease over the Lifecourse, CESP Centre for Research in Epidemiology and Public Health, U1018 INSERM</s1><s2>Villejuif</s2><s3>FRA</s3><sZ>3 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>U1018 INSERM</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Baker IDI Heart and Diabetes Institute</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Inserm, Centre for research in Epidemiology and Population Health (CESP), CESP U1018, Nutrition, Hormones and Women's Health team</s1><s2>94805, Villejuif</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Hormones and Women's Health team</wicri:noRegion><wicri:noRegion>94805, Villejuif</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Univ Paris Sud</s1><s2>UMRS 1018 94805, Villejuif</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>94805, Villejuif</wicri:noRegion><wicri:noRegion>Univ Paris Sud</wicri:noRegion><wicri:noRegion>Univ Paris Sud</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>IGR</s1><s2>94805, Villejuif</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>IGR</wicri:noRegion><wicri:noRegion>IGR</wicri:noRegion></affiliation></author><author><name sortKey="Magliano, Dianna J" sort="Magliano, Dianna J" uniqKey="Magliano D" first="Dianna J." last="Magliano">Dianna J. Magliano</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Baker IDI Heart and Diabetes Institute</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of cancer : (Print)</title><title level="j" type="abbreviated">Int. j. cancer : (Print)</title><idno type="ISSN">0020-7136</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of cancer : (Print)</title><title level="j" type="abbreviated">Int. j. cancer : (Print)</title><idno type="ISSN">0020-7136</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anthropometry</term><term>Birth height</term><term>Body</term><term>Cancer</term><term>Cancerology</term><term>Female</term><term>Hip</term><term>Human</term><term>Malignant tumor</term><term>Postmenopause</term><term>Risk</term><term>Risk factor</term><term>Shape</term><term>Waist circumference</term><term>Weight</term><term>Woman</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cancer</term><term>Anthropométrie</term><term>Corps</term><term>Tumeur maligne</term><term>Forme</term><term>Facteur risque</term><term>Risque</term><term>Postménopause</term><term>Homme</term><term>Femelle</term><term>Adulte</term><term>Femme</term><term>Tour de taille</term><term>Hanche</term><term>Poids</term><term>Taille naissance</term><term>Cancérologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cancer</term><term>Homme</term><term>Adulte</term><term>Femme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Studies of anthropometry and cancer have focused on body mass index (BMI). Relations between weight, waist (WC) and hip circumferences (HC), birth length and adult height with cancer are less well studied. Women from the French E3N study, born between 1925 and 1950, were followed biennially from 1995 until 2008. Body shape was classed into four groups based on median WC and HC at baseline. Hazard ratios (HRs) were estimated by Cox proportional hazards regression models. Over the 12 years of follow-up, 7,247 of 63,798 women developed cancer. As WC increased, we found a trend for decreasing cancer risk in pre-menopausal women, which reversed to an increasing risk in post-menopausal women. This remained unchanged after further adjustment for HC /or height [HR: 0.72 (0.52-1.00) before menopause and 1.17 (1.04-1.31) in the 5th vs. 1st quintile of HC], and were similar after exclusion of breast cancer. We showed that large body shape decreased cancer risk before menopause and increased it after [HR: 0.87 (0.73-1.02) and 1.11 (1.04-1.17), respectively, in women with large waist and hips compared to small waist and hips]. Adult height was associated with a non-significant increase in cancer in pre-menopause and a significant cancer risk in menopause, independent of other anthropometric characteristics [5th vs. 1st quintile [HR: 1.24 (0.98-1.56) and 1.20 (1.10-1.30)], respectively as was long birth length in post-menopausal women [HR: 1.18 (1.07-1.30) compared to medium birth length]. These results suggest independent roles of height and WC on cancer risk, through different pathways.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Victoria (État)</li></region><settlement><li>Melbourne</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Fagherazzi, Guy" sort="Fagherazzi, Guy" uniqKey="Fagherazzi G" first="Guy" last="Fagherazzi">Guy Fagherazzi</name></noRegion><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name><name sortKey="Fagherazzi, Guy" sort="Fagherazzi, Guy" uniqKey="Fagherazzi G" first="Guy" last="Fagherazzi">Guy Fagherazzi</name><name sortKey="Fagherazzi, Guy" sort="Fagherazzi, Guy" uniqKey="Fagherazzi G" first="Guy" last="Fagherazzi">Guy Fagherazzi</name><name sortKey="Vilier, Alice" sort="Vilier, Alice" uniqKey="Vilier A" first="Alice" last="Vilier">Alice Vilier</name><name sortKey="Vilier, Alice" sort="Vilier, Alice" uniqKey="Vilier A" first="Alice" last="Vilier">Alice Vilier</name><name sortKey="Vilier, Alice" sort="Vilier, Alice" uniqKey="Vilier A" first="Alice" last="Vilier">Alice Vilier</name></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name></region><name sortKey="Magliano, Dianna J" sort="Magliano, Dianna J" uniqKey="Magliano D" first="Dianna J." last="Magliano">Dianna J. 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