Body mass index and colon cancer: an evaluation of the modifying effects of estrogen (United States)

作者: M.L. Slattery , Rachel Ballard‐Barbash , Sandra Edwards , Bette J. Caan , John D. Potter

DOI: 10.1023/A:1022545017867

关键词:

摘要: Objective: The association between body mass index (BMI) and colon cancer has been reported to be different for men women. No prior literature examined if estrogen influences these differences. Methods: Using data from an incident population-based case (n = 1972) control 2386) study of we evaluated modifies the BMI risk cancer. Results: Women who were estrogen-negative (postmenopausal women not taking hormone replacement therapy, HRT) at increased regardless indicator status used (i.e. compared estrogen-positive defined as either being premenopausal or postmenopausal using HRT, OR 1.54, 95% CI 1.23–1.93; no recent exposure estrogens current HRT use within past 2 years, 1.58, 1.24–2.00; currently 1.65, 1.29–2.12). (kg/m2) was associated with among estrogen-negative. However, experienced a greater than two-fold increase in they had > 30 relative those <23 (for estrogen-positive, OR, 2.50, 1.51–4.13; premenopausal, 2.19, 0.94–5.07; 3.36, 1.58–7.13). Among decreased advancing age. Physical activity modified large BMI. Conclusions: These suggest importance etiology. Being resulted significant significantly estrogen-positive. We hypothesize that up-regulates IGF-I receptors IRS-I levels colon, which turn increases susceptibility obesity-induced insulin. further androgens may have similar effects given decline

参考文章(44)
G McKeown-Eyssen, Epidemiology of colorectal cancer revisited: are serum triglycerides and/or plasma glucose associated with risk? Cancer Epidemiology, Biomarkers & Prevention. ,vol. 3, pp. 687- 695 ,(1994)
Ronald M. Krauss, Ronald T. Burkman, The metabolic impact of oral contraceptives. American Journal of Obstetrics and Gynecology. ,vol. 167, pp. 1177- 1184 ,(1992) , 10.1016/S0002-9378(12)90408-1
Susan Y. Chu, Nancy C. Lee, Phyllis A. Wingo, Ruby T. Senie, Raymond S. Greenberg, Herbert B. Peterson, The relationship between body mass and breast cancer among women enrolled in the cancer and steroid hormone study Journal of Clinical Epidemiology. ,vol. 44, pp. 1197- 1206 ,(1991) , 10.1016/0895-4356(91)90152-Y
P. A. Newcomb, B. E. Storer, Postmenopausal Hormone Use and Risk of Large-Bowel Cancer Journal of the National Cancer Institute. ,vol. 87, pp. 1067- 1071 ,(1995) , 10.1093/JNCI/87.14.1067
Zhiping Huang, Susan E. Hankinson, Graham A. Colditz, Meir J. Stampfer, David J. Hunter, JoAnn E. Manson, Charles H. Hennekens, Bernard Rosner, Frank E. Speizer, Walter C. Willett, Dual Effects of Weight and Weight Gain on Breast Cancer Risk JAMA. ,vol. 278, pp. 1407- 1411 ,(1997) , 10.1001/JAMA.1997.03550170037029
Ira D. Goldfine, Vincenzo Papa, Riccardo Vigneri, Pentti Siiteri, Stephen Rosenthal, Progestin regulation of insulin and insulin-like growth factor I receptors in cultured human breast cancer cells Breast Cancer Research and Treatment. ,vol. 22, pp. 69- 79 ,(1992) , 10.1007/BF01833335
Loren Lipworth, Hans-Olov Adami, Dimitrios Trichopoulos, Kjell Cartström, Christos Mantzoros, Serum steroid hormone levels, sex hormone-binding globulin, and body mass index in the etiology of postmenopausal breast cancer. Epidemiology. ,vol. 7, pp. 96- 100 ,(1996) , 10.1097/00001648-199601000-00017
P. G. Alley, Raewyn K. McNee, Age and sex differences in right colon cancer. Diseases of The Colon & Rectum. ,vol. 29, pp. 227- 229 ,(1986) , 10.1007/BF02553021
Jarle Breivik, Ragnhild A. Lothe, Gunn Iren Meling, Torleiv O. Rognum, Anne-Lise Børresen-Dale, Gustav Gaudernack, Different genetic pathways to proximal and distal colorectal cancer influenced by sex-related factors. International Journal of Cancer. ,vol. 74, pp. 664- 669 ,(1997) , 10.1002/(SICI)1097-0215(19971219)74:6<664::AID-IJC18>3.0.CO;2-5