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Anthropometry and Esophageal Cancer Risk in the European Prospective Investigation into Cancer and Nutrition

Steffen, Annika (författare)
Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
Schulze, Matthias B. (författare)
Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
Pischon, Tobias (författare)
Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
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Dietrich, Thomas (författare)
Department of Oral Surgery, The School of Dentistry, University of Birmingham, Birmingham, United Kingdom
Molina, Esther (författare)
Andalusian School of Public Health, Granada, Spain
Chirlaque, Maria-Dolores (författare)
CIBER de Epidemiología y Salud Pública, Madrid, Spain
Barricarte, Aurelio (författare)
CIBER de Epidemiología y Salud Pública, Madrid, Spain
Amiano, Pilar (författare)
CIBER de Epidemiología y Salud Pública, Madrid, Spain
Quiros, J. Ramon (författare)
CIBER de Epidemiología y Salud Pública, Madrid, Spain
Tumino, Rosario (författare)
Cancer Registry and Histopathology Unit, “Civile-M.P.Arezzo” Hospital, Ragusa, Italy
Mattiello, Amalia (författare)
Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy
Palli, Domenico (författare)
Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute, Florence, Italy
Vineis, Paolo (författare)
Department of Epidemiology and Public Health, Imperial College, London, United Kingdom
Agnoli, Claudia (författare)
Department of Preventive and Predictive Medicine, Nutritional Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
Misirli, Gesthimani (författare)
Department of Hygiene and Epidemiology, University of Athens Medical School, Athens, Greece
Boffetta, Paolo (författare)
Lifestyle, Environment and Cancer Group, IARC, Lyon, France
Kaaks, Rudolf (författare)
Division of Clinical Epidemiology, German Cancer Research Center, Heidelberg, Germany
Rohrmann, Sabine (författare)
Division of Clinical Epidemiology, German Cancer Research Center, Heidelberg, Germany
Bueno-de-Mesquita, H. Bas (författare)
National Institute for Public Health and the Environment, Bilthoven, the Netherlands
Peeters, Petra H. M. (författare)
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands
May, Anne M. (författare)
National Institute for Public Health and the Environment, Bilthoven, the Netherlands
Spencer, Elizabeth A. (författare)
Cancer Epidemiology Unit, University of Oxford, Oxford, United Kingdom
Allen, Naomi E. (författare)
Cancer Epidemiology Unit, University of Oxford, Oxford, United Kingdom
Bingham, Sheila (författare)
Department of Public Health and Primary Care, MRC Centre for Nutritional Epidemiology in Cancer Prevention and Survival, Cambridge, United Kingdom
Tjonneland, Anne (författare)
Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen, Denmark
Halkjaer, Jytte (författare)
Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen, Denmark
Overvad, Kim (författare)
Department of Clinical Epidemiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark
Stegger, Jakob (författare)
Department of Cardiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark
Manjer, Jonas (författare)
Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Department of Surgery, Malmö University Hospital, Malmö, Sweden
Lindkvist, Bjorn (författare)
Department of Internal Medicine, Division of Gastroenterology and Hepatology, Sahlgrenska University Hospital, Gothenburg, Sweden
Hallmanns, Göran (författare)
Umeå universitet,Näringsforskning
Stenling, Roger (författare)
Umeå universitet,Patologi
Lund, Eiliv (författare)
The Institute of Community Medicine, University of Tromsø, Tromsø, Norway
Riboli, Elio (författare)
Department of Epidemiology and Public Health, Imperial College, London, United Kingdom
Gonzalez, Carlos A. (författare)
Department of Epidemiology, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain
Boeing, Heiner (författare)
Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
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 (creator_code:org_t)
2009
2009
Engelska.
Ingår i: Cancer Epidemiology Biomarkers & Prevention. - 1538-7755 .- 1055-9965. ; 18:7, s. 2079-2089
Relaterad länk:
http://dx.doi.org/10...
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https://lup.lub.lu.s...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Increasing evidence suggests that general obesity [measured by body mass index (BMI)] is positively associated with risk of esophageal adenocarcinoma (EAC). In contrast, previous studies have shown inverse relations with esophageal squamous cell carcinoma (ESCC). However, it is still unclear whether body fat distribution, particularly abdominal obesity, is associated with each type of esophageal cancer. Methods: We applied multivariable adjusted Cox proportional hazards regression to investigate the association between anthropometric measures and risk of EAC and ESCC among 346,554 men and women participating in the European Prospective Investigation into Cancer and Nutrition. All statistical tests were two sided. Results: During 8.9 years of follow-up, we documented 88 incident cases of EAC and 110 cases of ESCC. BMI, waist circumference, and waist-to-hip ratio (WHR) were positively associated with EAC risk [highest versus lowest quintile; relative risk (RR), 2.60; 95% confidence interval (95% CI), 1.23-5.51; P-trend < 0.01; RR, 3.07; 95% CI, 1.35-6.98; P-trend < 0.003; and RR, 2.12; 95% CI, 0.98-4.57; P-trend < 0.004]. In contrast, BMI and waist circumference were inversely related to ESCC risk, whereas WHR showed no association with ESCC. In stratified analyses, BMI and waist circumference were significantly inversely related to ESCC only among smokers but not among nonsmokers. However, when controlled for BMI, we found positive associations for waist circumference and WHR with ESCC, and these associations were observed among smokers and nonsmokers. Conclusion: General and abdominal obesity were associated with higher EAC risk. Further, our study suggests that particularly an abdominal body fat distribution might also be a risk factor for ESCC. (Cancer Epidemiol Biomarkers Prev 2009;18(7):2079-89)

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

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