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The association between change in body mass index and upper aerodigestive tract cancers in the ARCAGE project: multicenter case-control study.

Abstract：

:Previous studies reported an inverse relationship between body mass index (BMI) and upper aerodigestive tract (UADT) cancers. Examining change in BMI over time may clarify these previous observations. We used data from 2,048 cases and 2,173 hospital- and population-based controls from ten European countries (alcohol-related cancers and genetic susceptibility in Europe study) to investigate the relationship with BMI and adult change in BMI on UADT cancer risk. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated for associations between BMI at three time intervals and BMI change on UADT cancer development, adjusting for center, age, sex, education, fruit and vegetable intake, smoking and alcohol consumption. We found an inverse relationship between UADT cancers and BMI at time of interview and 2 years before interview. No association was found with BMI at 30 years of age. Regarding BMI change between age 30 and 2 years before interview, BMI decrease (BMI change <-5%) vs. BMI stability (-5% ≤ BMI change <5%) showed no overall association with UADT cancers (OR = 1.15; 95% CI = 0.89, 1.49). An increase in BMI (BMI change ≥+5%) was inversely associated with UADT cancers (OR = 0.74; 95% CI = 0.62, 0.89). BMI gain remained inversely associated across all subsites except for esophageal cancer. When stratified by smoking or by drinking, association with BMI gain was detected only in drinkers and smokers. In conclusion, BMI gain is inversely associated with UADT cancers. These findings may be influenced by smoking and/or drinking behaviors and/or the development of preclinical UADT cancers and should be corroborated in studies of a prospective nature.

journal_name

Int J Cancer

journal_title

International journal of cancer

authors

Park SL,Lee YC,Marron M,Agudo A,Ahrens W,Barzan L,Bencko V,Benhamou S,Bouchardy C,Canova C,Castellsague X,Conway DI,Healy CM,Holcátová I,Kjaerheim K,Lagiou P,Lowry RJ,Macfarlane TV,Macfarlane GJ,McCartan BE,McKinn

doi

10.1002/ijc.25468

subject

Has Abstract

pub_date

2011-03-15 00:00:00

pages

1449-61

issue

eissn

0020-7136

issn

1097-0215

journal_volume

128

pub_type

杂志文章,多中心研究

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The association between change in body mass index and upper aerodigestive tract cancers in the ARCAGE project: multicenter case-control study.