Body mass index and risk of head and neck cancer by race: the Carolina Head and Neck Cancer Epidemiology Study.

Abstract:

PURPOSE:Most studies, primarily conducted in populations of European ancestry, reported increased risk of head and neck cancer (HNC) associated with leanness (body mass index [BMI] <18.5 kg/m(2)) and decreased for overweight or obesity (25.0 to <30.0 and >30 kg/m(2), respectively), compared with normal weight (18.5 to <25.0 kg/m(2)). METHODS:The Carolina Head and Neck Cancer Epidemiology Study is a population-based, racially diverse case-control study of 1289 incident HNC cases (330 African Americans) and 1361 controls (261 African Americans). Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated for associations between BMI 1 year prediagnosis and HNC risk stratified by race and adjusted for age, sex, smoking, alcohol, and education. RESULTS:Multiplicative interaction between BMI and race was evident (Pint = .00007). Compared with normal weight, ORs for leanness were increased for African Americans (OR, 3.91; 95% CI, 0.72-21.17) and whites (OR, 1.48; 95% CI, 0.60-3.65). For overweight and obesity, ORs were decreased in African Americans (OR, 0.51; 95% CI, 0.32-0.83 and OR, 0.47; 95% CI, 0.28-0.79, respectively) but in not whites. The increased risk associated with leanness was greater for smokers than nonsmokers (Pint = .02). CONCLUSIONS:These data, which require replication, suggest that leanness is associated with increased HNC risk among African Americans to a greater extent than whites and overweight and obesity is associated with decreased HNC risk only among African Americans.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Petrick JL,Gaudet MM,Weissler MC,Funkhouser WK,Olshan AF

doi

10.1016/j.annepidem.2013.11.004

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

160-164.e1

issue

2

eissn

1047-2797

issn

1873-2585

pii

S1047-2797(13)00420-1

journal_volume

24

pub_type

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