Abstract:
BACKGROUND:Uterine fibroids (UFs) are the most common form of sex steroid hormone-dependent benign tumours that grow in the walls of the uterus. Several observational studies have examined the association between obesity and the risk of UFs, but findings are inconsistent. The objective of this systematic review and meta-analysis is to further examine the association of obesity with the risk/prevalence of UFs. METHODS:A literature search was performed in three databases (PubMed, EMBASE and Web of Science) from 1 January 1992 to 30 May 2020. We used random-effect models to calculate the pooled ORs with corresponding 95% CIs. Additionally, we performed a dose-response meta-analysis to analyse the effect of body mass index (BMI), weight change since age 18, waist-to-hip ratio and waist circumference on the risk/prevalence of UFs. RESULTS:A total of 22 articles, covering 24 studies including 325 899 participants and 19 593 cases, were selected based on our inclusion criteria. We found a positive association between obesity and the risk/prevalence of UFs (OR, 1.19; 95% CI, 1.09 to 1.29). Among participants with the highest BMI, the pooled OR was 1.19 (1.09 to 1.31) when compared to participants with normal BMI. For weight change since age 18, the pooled OR (95% CI) of UFs was 1.26 (1.12 to 1.42) among the highest change group when compared with no change. Additionally, our meta-analysis indicated the relationship of BMI with risk of UFs to be an inverse J-shaped pattern. CONCLUSIONS:The results of this meta-analysis suggest that obesity may increase the risk/prevalence of UFs, and the association is non-linear.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Qin H,Lin Z,Vásquez E,Luan X,Guo F,Xu Ldoi
10.1136/jech-2019-213364subject
Has Abstractpub_date
2021-02-01 00:00:00pages
197-204issue
2eissn
0143-005Xissn
1470-2738pii
jech-2019-213364journal_volume
75pub_type
杂志文章abstract::An ecological perspective on health emphasises both individual and contextual systems and the interdependent relations between the two. Origins of this approach have emanated from multiple disciplines over the past century or more. This article provides a glossary of perspectives, processes, and settings that pertain ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.018044
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abstract::Over 300 female farmers from 18 regions in various parts of Japan were examined for high density lipoprotein cholesterol (HDL) in the serum. Based on the HDL levels, three examinees with the highest HDL and another three with the lowest HDL were selected from each region to form the high HDL group (high group, 54 subj...
journal_title:Journal of epidemiology and community health
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abstract:INTRODUCTION:The aim of this study was to quantify mortality after elective repair of abdominal aortic aneurysm (AAA) in England, and to compare English case fatality rates (CFRs) with those reported in the literature. PATIENTS AND METHODS:English Hospital Episode Statistics (HES) for the financial years 1998/9 to 200...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
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abstract:OBJECTIVES:To examine the epidemiology of suicide by jumping from the Clifton Suspension Bridge and its impact on local patterns of suicide. DESIGN:Case-control study of falls from the bridge (1974-93) matched by age and sex with those using other methods of suicide. Routine OPCS mortality statistics for Bristol and D...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.50.1.30
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abstract:BACKGROUND:828 elderly subjects residing in nursing homes were followed up during 4 months to ascertain incidence of symptoms associated with Pontiac fever (PF) in a non-epidemic setting. METHODS:The exposure situation was inhalation of Legionella bacteria while showering. An audit of the hot water system in all insti...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.46.1.54
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.2006.046615
更新日期:2007-01-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.1.78
更新日期:1983-03-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.082198
更新日期:2009-07-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2017-08-01 00:00:00
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更新日期:2016-12-01 00:00:00
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更新日期:2018-10-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.6.444
更新日期:2000-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.2003.016444
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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journal_title:Journal of epidemiology and community health
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journal_title:Journal of epidemiology and community health
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更新日期:1989-09-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2001-06-01 00:00:00
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更新日期:2004-09-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2008-02-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:1986-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2005-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
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更新日期:2018-03-01 00:00:00
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更新日期:2007-06-01 00:00:00