Exposure to ultraviolet radiation and risk of malignant lymphoma and multiple myeloma—a multicentre European case–control study
Identifieur interne : 008691 ( Main/Exploration ); précédent : 008690; suivant : 008692Exposure to ultraviolet radiation and risk of malignant lymphoma and multiple myeloma—a multicentre European case–control study
Auteurs : Paolo Boffetta [France] ; Olga Van Der Hel [France] ; Anne Kricker [Australie] ; Alexandra Nieters [Allemagne] ; Silvia De Sanjosé [Espagne] ; Marc Maynadié [France] ; Pier Luigi Cocco [Italie] ; Anthony Staines [Irlande (pays)] ; Nikolaus Becker [Allemagne] ; Rebecca Font [Espagne] ; Andrea Mannetje [France, Nouvelle-Zélande] ; Chris Goumas [Australie] ; Paul Brennan [France]Source :
- International Journal of Epidemiology [ 0300-5771 ] ; 2008-10.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé publique.
English descriptors
- KwdEn :
Abstract
Background Three recent studies have reported a decreased risk of non-Hodgkin lymphoma (NHL) for high ultraviolet (UV) radiation exposure. Methods We conducted a multicentre case–control study during 1998–2004 in France, Germany, Ireland, Italy and Spain, comprising 1518 cases of NHL, 268 cases of Hodgkin lymphoma, 242 cases of multiple myeloma and 2124 population or hospital controls. We collected information on sensitivity to sun and personal exposure to UV radiation in childhood and adulthood via interview, and assessed occupational exposure to UV radiation from the occupational history. Results The risk of Hodgkin and NHL was increased for increasing skin sensitivity to the sun [odds ratio (OR) for no suntan vs very brown 2.35, 95% CI 0.94–5.87 and 1.39, 95% CI 1.03–1.87, respectively]. The risk of diffuse large B-cell lymphoma was reduced for increasing adult personal (OR for highest vs lowest quartile of exposure in free days 0.62, 95% CI 0.44–0.87) and for occupational exposure to UV radiation (OR for highest vs lowest exposure tertile 0.63, 95% CI 0.37–1.04). The risk of multiple myeloma was increased for personal exposure to UV radiation during adulthood (OR for highest vs lowest quartile of exposure in free days 1.49, 95% CI 0.88–2.50). A protective effect was observed for use of sun lamps for diffuse large B-cell lymphoma (OR for 25+ times vs never 0.63, 95% CI 0.38–1.03). Conclusions The hypothesis of a protective effect of UV radiation on lymphoma is supported by our results. The underlying mechanisms might differ from those operating in skin carcinogenesis. The increased risk of multiple myeloma is worth replication.
Url:
DOI: 10.1093/ije/dyn092
Affiliations:
- Allemagne, Australie, Espagne, France, Irlande (pays), Italie, Nouvelle-Zélande
- Auvergne-Rhône-Alpes, Bade-Wurtemberg, Bourgogne, Bourgogne-Franche-Comté, Catalogne, District de Karlsruhe, Nouvelle-Galles du Sud, Rhône-Alpes
- Barcelone, Dijon, Heidelberg, Lyon, Sydney
- Université de Sydney
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sort="Kricker, Anne" uniqKey="Kricker A" first="Anne" last="Kricker">Anne Kricker</name><affiliation wicri:level="4"><country xml:lang="fr">Australie</country><wicri:regionArea>University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Nieters, Alexandra" sort="Nieters, Alexandra" uniqKey="Nieters A" first="Alexandra" last="Nieters">Alexandra Nieters</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="De 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last="Cocco">Pier Luigi Cocco</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Institute of Occupational Medicine, University of Cagliari</wicri:regionArea><wicri:noRegion>University of Cagliari</wicri:noRegion></affiliation></author><author><name sortKey="Staines, Anthony" sort="Staines, Anthony" uniqKey="Staines A" first="Anthony" last="Staines">Anthony Staines</name><affiliation wicri:level="1"><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Public Health University College Dublin</wicri:regionArea></affiliation></author><author><name sortKey="Becker, Nikolaus" sort="Becker, Nikolaus" uniqKey="Becker N" first="Nikolaus" last="Becker">Nikolaus Becker</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Font, Rebecca" sort="Font, Rebecca" uniqKey="Font R" first="Rebecca" last="Font">Rebecca Font</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Catalan Institute of Oncology, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Mannetje, Andrea" sort="Mannetje, Andrea" uniqKey="Mannetje A" first="Andrea" last="Mannetje">Andrea Mannetje</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>International Agency for Research on Cancer, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Centre for Public Health Research, Massey University, Wellington</wicri:regionArea><wicri:noRegion>Wellington</wicri:noRegion></affiliation></author><author><name sortKey="Goumas, Chris" sort="Goumas, Chris" uniqKey="Goumas C" first="Chris" last="Goumas">Chris Goumas</name><affiliation wicri:level="4"><country xml:lang="fr">Australie</country><wicri:regionArea>University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>International Agency for Research on Cancer, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Epidemiology</title><idno type="ISSN">0300-5771</idno><idno type="eISSN">1464-3685</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2008-10">2008-10</date><biblScope unit="volume">37</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="1080">1080</biblScope><biblScope unit="page" to="1094">1094</biblScope></imprint><idno type="ISSN">0300-5771</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0300-5771</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case control study</term><term>Epidemiology</term><term>Europe</term><term>European</term><term>Exposure</term><term>Hodgkin disease</term><term>Malignant lymphoma</term><term>Multicenter study</term><term>Myeloma</term><term>Non Hodgkin lymphoma</term><term>Public health</term><term>Risk</term><term>Risk factor</term><term>Ultraviolet radiation</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Epidémiologie</term><term>Etude cas témoin</term><term>Etude multicentrique</term><term>Europe</term><term>Européen</term><term>Exposition</term><term>Facteur risque</term><term>Lymphome malin</term><term>Lymphome non hodgkinien</term><term>Maladie de Hodgkin</term><term>Myélome</term><term>Rayonnement UV</term><term>Risque</term><term>Santé publique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background Three recent studies have reported a decreased risk of non-Hodgkin lymphoma (NHL) for high ultraviolet (UV) radiation exposure. Methods We conducted a multicentre case–control study during 1998–2004 in France, Germany, Ireland, Italy and Spain, comprising 1518 cases of NHL, 268 cases of Hodgkin lymphoma, 242 cases of multiple myeloma and 2124 population or hospital controls. We collected information on sensitivity to sun and personal exposure to UV radiation in childhood and adulthood via interview, and assessed occupational exposure to UV radiation from the occupational history. Results The risk of Hodgkin and NHL was increased for increasing skin sensitivity to the sun [odds ratio (OR) for no suntan vs very brown 2.35, 95% CI 0.94–5.87 and 1.39, 95% CI 1.03–1.87, respectively]. The risk of diffuse large B-cell lymphoma was reduced for increasing adult personal (OR for highest vs lowest quartile of exposure in free days 0.62, 95% CI 0.44–0.87) and for occupational exposure to UV radiation (OR for highest vs lowest exposure tertile 0.63, 95% CI 0.37–1.04). The risk of multiple myeloma was increased for personal exposure to UV radiation during adulthood (OR for highest vs lowest quartile of exposure in free days 1.49, 95% CI 0.88–2.50). A protective effect was observed for use of sun lamps for diffuse large B-cell lymphoma (OR for 25+ times vs never 0.63, 95% CI 0.38–1.03). Conclusions The hypothesis of a protective effect of UV radiation on lymphoma is supported by our results. The underlying mechanisms might differ from those operating in skin carcinogenesis. The increased risk of multiple myeloma is worth replication.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Espagne</li><li>France</li><li>Irlande (pays)</li><li>Italie</li><li>Nouvelle-Zélande</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Bade-Wurtemberg</li><li>Bourgogne</li><li>Bourgogne-Franche-Comté</li><li>Catalogne</li><li>District de Karlsruhe</li><li>Nouvelle-Galles du Sud</li><li>Rhône-Alpes</li></region><settlement><li>Barcelone</li><li>Dijon</li><li>Heidelberg</li><li>Lyon</li><li>Sydney</li></settlement><orgName><li>Université de Sydney</li></orgName></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name></region><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name><name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name><name sortKey="Mannetje, Andrea" sort="Mannetje, Andrea" uniqKey="Mannetje A" first="Andrea" last="Mannetje">Andrea Mannetje</name><name sortKey="Maynadie, Marc" sort="Maynadie, Marc" uniqKey="Maynadie M" first="Marc" last="Maynadié">Marc Maynadié</name><name sortKey="Van Der Hel, Olga" sort="Van Der Hel, Olga" uniqKey="Van Der Hel O" first="Olga" last="Van Der Hel">Olga Van Der Hel</name></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Kricker, Anne" sort="Kricker, Anne" uniqKey="Kricker A" first="Anne" last="Kricker">Anne Kricker</name></region><name sortKey="Goumas, Chris" sort="Goumas, Chris" uniqKey="Goumas C" first="Chris" last="Goumas">Chris Goumas</name></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Nieters, Alexandra" sort="Nieters, Alexandra" uniqKey="Nieters A" first="Alexandra" last="Nieters">Alexandra Nieters</name></region><name sortKey="Becker, Nikolaus" sort="Becker, Nikolaus" uniqKey="Becker N" first="Nikolaus" last="Becker">Nikolaus Becker</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="De Sanjose, Silvia" sort="De Sanjose, Silvia" uniqKey="De Sanjose S" first="Silvia" last="De Sanjosé">Silvia De Sanjosé</name></region><name sortKey="Font, Rebecca" sort="Font, Rebecca" uniqKey="Font R" first="Rebecca" last="Font">Rebecca Font</name></country><country name="Italie"><noRegion><name sortKey="Cocco, Pier Luigi" sort="Cocco, Pier Luigi" uniqKey="Cocco P" first="Pier Luigi" last="Cocco">Pier Luigi Cocco</name></noRegion></country><country name="Irlande (pays)"><noRegion><name sortKey="Staines, Anthony" sort="Staines, Anthony" uniqKey="Staines A" first="Anthony" last="Staines">Anthony Staines</name></noRegion></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Mannetje, Andrea" sort="Mannetje, Andrea" uniqKey="Mannetje A" first="Andrea" last="Mannetje">Andrea Mannetje</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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