Metabolic factors associated with risk of renal cell carcinoma.

Previous studies have shown that obesity and hypertension are associated with increased risk of renal cell carcinoma (RCC), but less is known about the association to other metabolic factors. In the Metabolic Syndrome and Cancer project (Me-Can) data on body mass index (BMI, kg/m2), blood pressure,...

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Autores principales: Christel Häggström, Kilian Rapp, Tanja Stocks, Jonas Manjer, Tone Bjørge, Hanno Ulmer, Anders Engeland, Martin Almqvist, Hans Concin, Randi Selmer, Börje Ljungberg, Steinar Tretli, Gabriele Nagel, Göran Hallmans, Håkan Jonsson, Pär Stattin
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:8dd1243da3554e2ba0d5cfb428ca68ba2021-11-18T07:55:31ZMetabolic factors associated with risk of renal cell carcinoma.1932-620310.1371/journal.pone.0057475https://doaj.org/article/8dd1243da3554e2ba0d5cfb428ca68ba2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23468995/?tool=EBIhttps://doaj.org/toc/1932-6203Previous studies have shown that obesity and hypertension are associated with increased risk of renal cell carcinoma (RCC), but less is known about the association to other metabolic factors. In the Metabolic Syndrome and Cancer project (Me-Can) data on body mass index (BMI, kg/m2), blood pressure, and circulating levels of glucose, cholesterol, and triglycerides were collected from 560,388 men and women in cohorts from Norway, Austria, and Sweden. By use of Cox proportional hazard models, hazard ratios (HR) were calculated for separate and composite metabolic exposures. During a median follow-up of 10 years, 592 men and 263 women were diagnosed with RCC. Among men, we found an increased risk of RCC for BMI, highest vs. lowest quintile, (HR = 1.51, 95% CI 1.13-2.03), systolic blood pressure, (HR = 3.40, 95% CI 1.91-6.06), diastolic blood pressure, (HR = 3.33, 95% CI 1.85-5.99), glucose, (HR = 3.75, 95% CI 1.46-9.68), triglycerides, (HR = 1.79, 95% CI 1.00-3.21) and a composite score of these metabolic factors, (HR = 2.68, 95% CI 1.75-4.11). Among women we found an increased risk of RCC for BMI, highest vs. lowest quintile, (HR = 2.21, 95% CI 1.32-3.70) and the composite score, (HR = 2.29, 95% CI 1.12-4.68). High levels of the composite score were also associated with risk of death from RCC among both men and women. No multiplicative statistical or biological interactions between metabolic factors on risk of RCC were found. High levels of BMI, blood pressure, glucose and triglycerides among men and high BMI among women were associated with increased risk of RCC.Christel HäggströmKilian RappTanja StocksJonas ManjerTone BjørgeHanno UlmerAnders EngelandMartin AlmqvistHans ConcinRandi SelmerBörje LjungbergSteinar TretliGabriele NagelGöran HallmansHåkan JonssonPär StattinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e57475 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Christel Häggström
Kilian Rapp
Tanja Stocks
Jonas Manjer
Tone Bjørge
Hanno Ulmer
Anders Engeland
Martin Almqvist
Hans Concin
Randi Selmer
Börje Ljungberg
Steinar Tretli
Gabriele Nagel
Göran Hallmans
Håkan Jonsson
Pär Stattin
Metabolic factors associated with risk of renal cell carcinoma.
description Previous studies have shown that obesity and hypertension are associated with increased risk of renal cell carcinoma (RCC), but less is known about the association to other metabolic factors. In the Metabolic Syndrome and Cancer project (Me-Can) data on body mass index (BMI, kg/m2), blood pressure, and circulating levels of glucose, cholesterol, and triglycerides were collected from 560,388 men and women in cohorts from Norway, Austria, and Sweden. By use of Cox proportional hazard models, hazard ratios (HR) were calculated for separate and composite metabolic exposures. During a median follow-up of 10 years, 592 men and 263 women were diagnosed with RCC. Among men, we found an increased risk of RCC for BMI, highest vs. lowest quintile, (HR = 1.51, 95% CI 1.13-2.03), systolic blood pressure, (HR = 3.40, 95% CI 1.91-6.06), diastolic blood pressure, (HR = 3.33, 95% CI 1.85-5.99), glucose, (HR = 3.75, 95% CI 1.46-9.68), triglycerides, (HR = 1.79, 95% CI 1.00-3.21) and a composite score of these metabolic factors, (HR = 2.68, 95% CI 1.75-4.11). Among women we found an increased risk of RCC for BMI, highest vs. lowest quintile, (HR = 2.21, 95% CI 1.32-3.70) and the composite score, (HR = 2.29, 95% CI 1.12-4.68). High levels of the composite score were also associated with risk of death from RCC among both men and women. No multiplicative statistical or biological interactions between metabolic factors on risk of RCC were found. High levels of BMI, blood pressure, glucose and triglycerides among men and high BMI among women were associated with increased risk of RCC.
format article
author Christel Häggström
Kilian Rapp
Tanja Stocks
Jonas Manjer
Tone Bjørge
Hanno Ulmer
Anders Engeland
Martin Almqvist
Hans Concin
Randi Selmer
Börje Ljungberg
Steinar Tretli
Gabriele Nagel
Göran Hallmans
Håkan Jonsson
Pär Stattin
author_facet Christel Häggström
Kilian Rapp
Tanja Stocks
Jonas Manjer
Tone Bjørge
Hanno Ulmer
Anders Engeland
Martin Almqvist
Hans Concin
Randi Selmer
Börje Ljungberg
Steinar Tretli
Gabriele Nagel
Göran Hallmans
Håkan Jonsson
Pär Stattin
author_sort Christel Häggström
title Metabolic factors associated with risk of renal cell carcinoma.
title_short Metabolic factors associated with risk of renal cell carcinoma.
title_full Metabolic factors associated with risk of renal cell carcinoma.
title_fullStr Metabolic factors associated with risk of renal cell carcinoma.
title_full_unstemmed Metabolic factors associated with risk of renal cell carcinoma.
title_sort metabolic factors associated with risk of renal cell carcinoma.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/8dd1243da3554e2ba0d5cfb428ca68ba
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