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Body Size Indicators and Risk of Gallbladder Cancer: Pooled Analysis of Individual-Level Data from 19 Prospective Cohort Studies.

Identifieur interne : 000E50 ( PubMed/Curation ); précédent : 000E49; suivant : 000E51

Body Size Indicators and Risk of Gallbladder Cancer: Pooled Analysis of Individual-Level Data from 19 Prospective Cohort Studies.

Auteurs : Peter T. Campbell [Géorgie (pays)] ; Christina C. Newton [Géorgie (pays)] ; Cari M. Kitahara [États-Unis] ; Alpa V. Patel [Géorgie (pays)] ; Patricia Hartge [États-Unis] ; Jill Koshiol [États-Unis] ; Katherine A. Mcglynn [États-Unis] ; Hans-Olov Adami [États-Unis] ; Amy Berrington De González [États-Unis] ; Laura E. Beane Freeman [États-Unis] ; Leslie Bernstein [États-Unis] ; Julie E. Buring [États-Unis] ; Neal D. Freedman [États-Unis] ; Yu-Tang Gao [République populaire de Chine] ; Graham G. Giles [Australie] ; Marc J. Gunter [France] ; Mazda Jenab [France] ; Linda M. Liao [États-Unis] ; Roger L. Milne [Australie] ; Kim Robien [États-Unis] ; Dale P. Sandler [États-Unis] ; Catherine Schairer [États-Unis] ; Howard D. Sesso [États-Unis] ; Xiao-Ou Shu [États-Unis] ; Elisabete Weiderpass [Suède] ; Alicja Wolk [Suède] ; Yong-Bing Xiang [République populaire de Chine] ; Anne Zeleniuch-Jacquotte [États-Unis] ; Wei Zheng [États-Unis] ; Susan M. Gapstur [Géorgie (pays)]

Source :

RBID : pubmed:28314823

Abstract

Background: There are few established risk factors for gallbladder cancer beyond gallstones. Recent studies suggest a higher risk with high body mass index (BMI), an indicator of general heaviness, but evidence from other body size measures is lacking.Methods: Associations of adult BMI, young adult BMI, height, adult weight gain, waist circumference (WC), waist-height ratio (WHtR), hip circumference (HC), and waist-hip ratio (WHR) with gallbladder cancer risk were evaluated. Individual-level data from 1,878,801 participants in 19 prospective cohort studies (14 studies had circumference measures) were harmonized and included in this analysis. Multivariable Cox proportional hazards regression estimated hazard ratios (HR) and 95% confidence intervals (CI).Results: After enrollment, 567 gallbladder cancer cases were identified during 20.1 million person-years of observation, including 361 cases with WC measures. Higher adult BMI (per 5 kg/m(2), HR: 1.24; 95% CI, 1.13-1.35), young adult BMI (per 5 kg/m(2), HR: 1.12; 95% CI, 1.00-1.26), adult weight gain (per 5 kg, HR: 1.07; 95% CI, 1.02-1.12), height (per 5 cm, HR: 1.10; 95% CI, 1.03-1.17), WC (per 5 cm, HR: 1.09; 95% CI, 1.02-1.17), WHtR (per 0.1 unit, HR: 1.24; 95% CI, 1.00-1.54), and HC (per 5 cm, HR: 1.13; 95% CI, 1.04-1.22), but not WHR (per 0.1 unit, HR: 1.03; 95% CI, 0.87-1.22), were associated with higher risks of gallbladder cancer, and results did not differ meaningfully by sex or other demographic/lifestyle factors.Conclusions: These findings indicate that measures of overall and central excess body weight are associated with higher gallbladder cancer risks.Impact: Excess body weight is an important, and potentially preventable, gallbladder cancer risk factor. Cancer Epidemiol Biomarkers Prev; 26(4); 597-606. ©2017 AACR.

DOI: 10.1158/1055-9965.EPI-16-0796
PubMed: 28314823

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<name sortKey="Berrington De Gonzalez, Amy" sort="Berrington De Gonzalez, Amy" uniqKey="Berrington De Gonzalez A" first="Amy" last="Berrington De González">Amy Berrington De González</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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<wicri:regionArea>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Victoria, Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Victoria</wicri:regionArea>
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<name sortKey="Gunter, Marc J" sort="Gunter, Marc J" uniqKey="Gunter M" first="Marc J" last="Gunter">Marc J. Gunter</name>
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<nlm:affiliation>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France.</nlm:affiliation>
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<wicri:regionArea>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon</wicri:regionArea>
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<name sortKey="Jenab, Mazda" sort="Jenab, Mazda" uniqKey="Jenab M" first="Mazda" last="Jenab">Mazda Jenab</name>
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<nlm:affiliation>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France.</nlm:affiliation>
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<wicri:regionArea>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon</wicri:regionArea>
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<name sortKey="Liao, Linda M" sort="Liao, Linda M" uniqKey="Liao L" first="Linda M" last="Liao">Linda M. Liao</name>
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<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
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<region type="state">Maryland</region>
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<name sortKey="Milne, Roger L" sort="Milne, Roger L" uniqKey="Milne R" first="Roger L" last="Milne">Roger L. Milne</name>
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<name sortKey="Robien, Kim" sort="Robien, Kim" uniqKey="Robien K" first="Kim" last="Robien">Kim Robien</name>
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<region type="state">District de Columbia</region>
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<name sortKey="Sandler, Dale P" sort="Sandler, Dale P" uniqKey="Sandler D" first="Dale P" last="Sandler">Dale P. Sandler</name>
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<name sortKey="Sesso, Howard D" sort="Sesso, Howard D" uniqKey="Sesso H" first="Howard D" last="Sesso">Howard D. Sesso</name>
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<nlm:affiliation>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
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<wicri:cityArea>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston</wicri:cityArea>
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<name sortKey="Shu, Xiao Ou" sort="Shu, Xiao Ou" uniqKey="Shu X" first="Xiao-Ou" last="Shu">Xiao-Ou Shu</name>
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<nlm:affiliation>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Tennessee</region>
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<wicri:cityArea>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville</wicri:cityArea>
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<name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
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<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Insitutet, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Insitutet, Stockholm</wicri:regionArea>
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<name sortKey="Wolk, Alicja" sort="Wolk, Alicja" uniqKey="Wolk A" first="Alicja" last="Wolk">Alicja Wolk</name>
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<nlm:affiliation>Department of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
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<wicri:regionArea>Department of Environmental Medicine, Karolinska Institutet, Stockholm</wicri:regionArea>
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<name sortKey="Xiang, Yong Bing" sort="Xiang, Yong Bing" uniqKey="Xiang Y" first="Yong-Bing" last="Xiang">Yong-Bing Xiang</name>
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<nlm:affiliation>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China.</nlm:affiliation>
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<wicri:regionArea>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai</wicri:regionArea>
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<name sortKey="Zeleniuch Jacquotte, Anne" sort="Zeleniuch Jacquotte, Anne" uniqKey="Zeleniuch Jacquotte A" first="Anne" last="Zeleniuch-Jacquotte">Anne Zeleniuch-Jacquotte</name>
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<nlm:affiliation>Department of Population Health, New York University School of Medicine, New York, New York.</nlm:affiliation>
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<region type="state">État de New York</region>
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<wicri:cityArea>Department of Population Health, New York University School of Medicine, New York</wicri:cityArea>
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<name sortKey="Zheng, Wei" sort="Zheng, Wei" uniqKey="Zheng W" first="Wei" last="Zheng">Wei Zheng</name>
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<nlm:affiliation>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee.</nlm:affiliation>
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<placeName>
<region type="state">Tennessee</region>
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<wicri:cityArea>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville</wicri:cityArea>
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<name sortKey="Gapstur, Susan M" sort="Gapstur, Susan M" uniqKey="Gapstur S" first="Susan M" last="Gapstur">Susan M. Gapstur</name>
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<nlm:affiliation>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia.</nlm:affiliation>
<country xml:lang="fr">Géorgie (pays)</country>
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<title xml:lang="en">Body Size Indicators and Risk of Gallbladder Cancer: Pooled Analysis of Individual-Level Data from 19 Prospective Cohort Studies.</title>
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<name sortKey="Campbell, Peter T" sort="Campbell, Peter T" uniqKey="Campbell P" first="Peter T" last="Campbell">Peter T. Campbell</name>
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<name sortKey="Newton, Christina C" sort="Newton, Christina C" uniqKey="Newton C" first="Christina C" last="Newton">Christina C. Newton</name>
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<nlm:affiliation>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia.</nlm:affiliation>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Epidemiology Research Program, American Cancer Society, Atlanta</wicri:regionArea>
</affiliation>
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<name sortKey="Kitahara, Cari M" sort="Kitahara, Cari M" uniqKey="Kitahara C" first="Cari M" last="Kitahara">Cari M. Kitahara</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
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<name sortKey="Patel, Alpa V" sort="Patel, Alpa V" uniqKey="Patel A" first="Alpa V" last="Patel">Alpa V. Patel</name>
<affiliation wicri:level="1">
<nlm:affiliation>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia.</nlm:affiliation>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Epidemiology Research Program, American Cancer Society, Atlanta</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hartge, Patricia" sort="Hartge, Patricia" uniqKey="Hartge P" first="Patricia" last="Hartge">Patricia Hartge</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
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<name sortKey="Koshiol, Jill" sort="Koshiol, Jill" uniqKey="Koshiol J" first="Jill" last="Koshiol">Jill Koshiol</name>
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<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Mcglynn, Katherine A" sort="Mcglynn, Katherine A" uniqKey="Mcglynn K" first="Katherine A" last="Mcglynn">Katherine A. Mcglynn</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Adami, Hans Olov" sort="Adami, Hans Olov" uniqKey="Adami H" first="Hans-Olov" last="Adami">Hans-Olov Adami</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Berrington De Gonzalez, Amy" sort="Berrington De Gonzalez, Amy" uniqKey="Berrington De Gonzalez A" first="Amy" last="Berrington De González">Amy Berrington De González</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Beane Freeman, Laura E" sort="Beane Freeman, Laura E" uniqKey="Beane Freeman L" first="Laura E" last="Beane Freeman">Laura E. Beane Freeman</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Etiology, Department of Population Sciences, Beckman Research Institute of the City of Hope, Duarte, California.</nlm:affiliation>
<country>États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
<wicri:cityArea>Division of Cancer Etiology, Department of Population Sciences, Beckman Research Institute of the City of Hope, Duarte</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Buring, Julie E" sort="Buring, Julie E" uniqKey="Buring J" first="Julie E" last="Buring">Julie E. Buring</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Freedman, Neal D" sort="Freedman, Neal D" uniqKey="Freedman N" first="Neal D" last="Freedman">Neal D. Freedman</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Gao, Yu Tang" sort="Gao, Yu Tang" uniqKey="Gao Y" first="Yu-Tang" last="Gao">Yu-Tang Gao</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Giles, Graham G" sort="Giles, Graham G" uniqKey="Giles G" first="Graham G" last="Giles">Graham G. Giles</name>
<affiliation wicri:level="1">
<nlm:affiliation>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Victoria, Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Victoria, Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Victoria</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Gunter, Marc J" sort="Gunter, Marc J" uniqKey="Gunter M" first="Marc J" last="Gunter">Marc J. Gunter</name>
<affiliation wicri:level="1">
<nlm:affiliation>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Jenab, Mazda" sort="Jenab, Mazda" uniqKey="Jenab M" first="Mazda" last="Jenab">Mazda Jenab</name>
<affiliation wicri:level="1">
<nlm:affiliation>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Liao, Linda M" sort="Liao, Linda M" uniqKey="Liao L" first="Linda M" last="Liao">Linda M. Liao</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Milne, Roger L" sort="Milne, Roger L" uniqKey="Milne R" first="Roger L" last="Milne">Roger L. Milne</name>
<affiliation wicri:level="1">
<nlm:affiliation>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Victoria, Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Victoria, Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Victoria</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Robien, Kim" sort="Robien, Kim" uniqKey="Robien K" first="Kim" last="Robien">Kim Robien</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University, Washington, DC.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">District de Columbia</region>
</placeName>
<wicri:cityArea>Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University, Washington</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Sandler, Dale P" sort="Sandler, Dale P" uniqKey="Sandler D" first="Dale P" last="Sandler">Dale P. Sandler</name>
<affiliation wicri:level="2">
<nlm:affiliation>Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health/Department of Health and Human Services, Research Triangle Park, North Carolina.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health/Department of Health and Human Services, Research Triangle Park</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Schairer, Catherine" sort="Schairer, Catherine" uniqKey="Schairer C" first="Catherine" last="Schairer">Catherine Schairer</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Sesso, Howard D" sort="Sesso, Howard D" uniqKey="Sesso H" first="Howard D" last="Sesso">Howard D. Sesso</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Shu, Xiao Ou" sort="Shu, Xiao Ou" uniqKey="Shu X" first="Xiao-Ou" last="Shu">Xiao-Ou Shu</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Insitutet, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Medical Epidemiology and Biostatistics, Karolinska Insitutet, Stockholm</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Wolk, Alicja" sort="Wolk, Alicja" uniqKey="Wolk A" first="Alicja" last="Wolk">Alicja Wolk</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Environmental Medicine, Karolinska Institutet, Stockholm</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Xiang, Yong Bing" sort="Xiang, Yong Bing" uniqKey="Xiang Y" first="Yong-Bing" last="Xiang">Yong-Bing Xiang</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Zeleniuch Jacquotte, Anne" sort="Zeleniuch Jacquotte, Anne" uniqKey="Zeleniuch Jacquotte A" first="Anne" last="Zeleniuch-Jacquotte">Anne Zeleniuch-Jacquotte</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Population Health, New York University School of Medicine, New York, New York.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Population Health, New York University School of Medicine, New York</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Zheng, Wei" sort="Zheng, Wei" uniqKey="Zheng W" first="Wei" last="Zheng">Wei Zheng</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Tennessee</region>
</placeName>
<wicri:cityArea>Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Gapstur, Susan M" sort="Gapstur, Susan M" uniqKey="Gapstur S" first="Susan M" last="Gapstur">Susan M. Gapstur</name>
<affiliation wicri:level="1">
<nlm:affiliation>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia.</nlm:affiliation>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Epidemiology Research Program, American Cancer Society, Atlanta</wicri:regionArea>
</affiliation>
</author>
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<series>
<title level="j">Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology</title>
<idno type="eISSN">1538-7755</idno>
<imprint>
<date when="2017" type="published">2017</date>
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<div type="abstract" xml:lang="en">Background: There are few established risk factors for gallbladder cancer beyond gallstones. Recent studies suggest a higher risk with high body mass index (BMI), an indicator of general heaviness, but evidence from other body size measures is lacking.Methods: Associations of adult BMI, young adult BMI, height, adult weight gain, waist circumference (WC), waist-height ratio (WHtR), hip circumference (HC), and waist-hip ratio (WHR) with gallbladder cancer risk were evaluated. Individual-level data from 1,878,801 participants in 19 prospective cohort studies (14 studies had circumference measures) were harmonized and included in this analysis. Multivariable Cox proportional hazards regression estimated hazard ratios (HR) and 95% confidence intervals (CI).Results: After enrollment, 567 gallbladder cancer cases were identified during 20.1 million person-years of observation, including 361 cases with WC measures. Higher adult BMI (per 5 kg/m(2), HR: 1.24; 95% CI, 1.13-1.35), young adult BMI (per 5 kg/m(2), HR: 1.12; 95% CI, 1.00-1.26), adult weight gain (per 5 kg, HR: 1.07; 95% CI, 1.02-1.12), height (per 5 cm, HR: 1.10; 95% CI, 1.03-1.17), WC (per 5 cm, HR: 1.09; 95% CI, 1.02-1.17), WHtR (per 0.1 unit, HR: 1.24; 95% CI, 1.00-1.54), and HC (per 5 cm, HR: 1.13; 95% CI, 1.04-1.22), but not WHR (per 0.1 unit, HR: 1.03; 95% CI, 0.87-1.22), were associated with higher risks of gallbladder cancer, and results did not differ meaningfully by sex or other demographic/lifestyle factors.Conclusions: These findings indicate that measures of overall and central excess body weight are associated with higher gallbladder cancer risks.Impact: Excess body weight is an important, and potentially preventable, gallbladder cancer risk factor. Cancer Epidemiol Biomarkers Prev; 26(4); 597-606. ©2017 AACR.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="In-Process" Owner="NLM">
<PMID Version="1">28314823</PMID>
<DateCreated>
<Year>2017</Year>
<Month>03</Month>
<Day>18</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>04</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1538-7755</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>26</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2017</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology</Title>
<ISOAbbreviation>Cancer Epidemiol. Biomarkers Prev.</ISOAbbreviation>
</Journal>
<ArticleTitle>Body Size Indicators and Risk of Gallbladder Cancer: Pooled Analysis of Individual-Level Data from 19 Prospective Cohort Studies.</ArticleTitle>
<Pagination>
<MedlinePgn>597-606</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1158/1055-9965.EPI-16-0796</ELocationID>
<Abstract>
<AbstractText>Background: There are few established risk factors for gallbladder cancer beyond gallstones. Recent studies suggest a higher risk with high body mass index (BMI), an indicator of general heaviness, but evidence from other body size measures is lacking.Methods: Associations of adult BMI, young adult BMI, height, adult weight gain, waist circumference (WC), waist-height ratio (WHtR), hip circumference (HC), and waist-hip ratio (WHR) with gallbladder cancer risk were evaluated. Individual-level data from 1,878,801 participants in 19 prospective cohort studies (14 studies had circumference measures) were harmonized and included in this analysis. Multivariable Cox proportional hazards regression estimated hazard ratios (HR) and 95% confidence intervals (CI).Results: After enrollment, 567 gallbladder cancer cases were identified during 20.1 million person-years of observation, including 361 cases with WC measures. Higher adult BMI (per 5 kg/m(2), HR: 1.24; 95% CI, 1.13-1.35), young adult BMI (per 5 kg/m(2), HR: 1.12; 95% CI, 1.00-1.26), adult weight gain (per 5 kg, HR: 1.07; 95% CI, 1.02-1.12), height (per 5 cm, HR: 1.10; 95% CI, 1.03-1.17), WC (per 5 cm, HR: 1.09; 95% CI, 1.02-1.17), WHtR (per 0.1 unit, HR: 1.24; 95% CI, 1.00-1.54), and HC (per 5 cm, HR: 1.13; 95% CI, 1.04-1.22), but not WHR (per 0.1 unit, HR: 1.03; 95% CI, 0.87-1.22), were associated with higher risks of gallbladder cancer, and results did not differ meaningfully by sex or other demographic/lifestyle factors.Conclusions: These findings indicate that measures of overall and central excess body weight are associated with higher gallbladder cancer risks.Impact: Excess body weight is an important, and potentially preventable, gallbladder cancer risk factor. Cancer Epidemiol Biomarkers Prev; 26(4); 597-606. ©2017 AACR.</AbstractText>
<CopyrightInformation>©2017 American Association for Cancer Research.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Campbell</LastName>
<ForeName>Peter T</ForeName>
<Initials>PT</Initials>
<AffiliationInfo>
<Affiliation>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia. peter.campbell@cancer.org.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Newton</LastName>
<ForeName>Christina C</ForeName>
<Initials>CC</Initials>
<AffiliationInfo>
<Affiliation>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kitahara</LastName>
<ForeName>Cari M</ForeName>
<Initials>CM</Initials>
<AffiliationInfo>
<Affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Patel</LastName>
<ForeName>Alpa V</ForeName>
<Initials>AV</Initials>
<AffiliationInfo>
<Affiliation>Epidemiology Research Program, American Cancer Society, Atlanta, Georgia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hartge</LastName>
<ForeName>Patricia</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Koshiol</LastName>
<ForeName>Jill</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>McGlynn</LastName>
<ForeName>Katherine A</ForeName>
<Initials>KA</Initials>
<AffiliationInfo>
<Affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Adami</LastName>
<ForeName>Hans-Olov</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Insitutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Berrington de González</LastName>
<ForeName>Amy</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Beane Freeman</LastName>
<ForeName>Laura E</ForeName>
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<AffiliationInfo>
<Affiliation>Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bernstein</LastName>
<ForeName>Leslie</ForeName>
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<AffiliationInfo>
<Affiliation>Division of Cancer Etiology, Department of Population Sciences, Beckman Research Institute of the City of Hope, Duarte, California.</Affiliation>
</AffiliationInfo>
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<LastName>Buring</LastName>
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<AffiliationInfo>
<Affiliation>Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Divisions of Preventive Medicine and Aging, Brigham and Women's Hospital, Boston, Massachusetts.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Freedman</LastName>
<ForeName>Neal D</ForeName>
<Initials>ND</Initials>
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</AffiliationInfo>
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<LastName>Gao</LastName>
<ForeName>Yu-Tang</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Giles</LastName>
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<Affiliation>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Victoria, Australia; and Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia.</Affiliation>
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<LastName>Liao</LastName>
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