Adiposity and risk of oesophageal cancer subtypes in the Million Women Study
© The Author(s) 2023. Published by Oxford University Press on behalf of the International Epidemiological Association..
BACKGROUND: The strong association of body mass index (BMI) with increased oesophageal adenocarcinoma risk is established, but its relationship with oesophageal squamous cell carcinoma is less clear. There is little evidence regarding the association of abdominal adiposity with either subtype.
METHODS: In a large prospective cohort of women in the UK, mean age 56.2 [standard deviation (SD) = 4.9] years, we investigated the risk of oesophageal adenocarcinoma and squamous cell carcinoma in relation to self-reported BMI, waist circumference (WC) and waist-hip ratio (WHR), using Cox regression to estimate adjusted relative risks (RR) and 95% confidence intervals (CIs), taking account of potential reverse causation bias.
RESULTS: During mean follow-up of 17.7 (SD = 4.9) years, 1386 adenocarcinomas and 1799 squamous cell carcinomas of the oesophagus were registered among 1 255 529 women. Compared with women of BMI 22.5 to <25 kg/m2, those with BMI ≥35 kg/m2 had a 2.5-fold risk of adenocarcinoma (adjusted RR = 2.46, 95% CI = 1.99-3.05) and an almost 70% reduction in risk of squamous cell carcinoma (RR = 0.32, 95% CI = 0.22-0.46). These associations were broadly similar in each 5-year follow-up period, and were evident in both never and ever smokers, although somewhat stronger for squamous cell carcinoma among current and past smokers than in never smokers (Pheterogeneity = 0.007). After controlling for BMI, WC and WHR were associated with risk of squamous cell carcinoma but not adenocarcinoma.
CONCLUSIONS: In this population of middle-aged women, there was robust evidence that greater BMI is associated with an increased risk of oesophageal adenocarcinoma and a reduced risk of squamous cell carcinoma.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:52 |
|---|---|
| Enthalten in: |
International journal of epidemiology - 52(2023), 6 vom: 25. Dez., Seite 1795-1804 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Sweetland, Siân [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Abdominal adiposity |
|---|
| Anmerkungen: |
Date Completed 27.12.2023 Date Revised 14.02.2024 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1093/ije/dyad094 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM359387055 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM359387055 | ||
| 003 | DE-627 | ||
| 005 | 20240214232732.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/ije/dyad094 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1292.xml |
| 035 | |a (DE-627)NLM359387055 | ||
| 035 | |a (NLM)37437897 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Sweetland, Siân |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Adiposity and risk of oesophageal cancer subtypes in the Million Women Study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 27.12.2023 | ||
| 500 | |a Date Revised 14.02.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2023. Published by Oxford University Press on behalf of the International Epidemiological Association. | ||
| 520 | |a BACKGROUND: The strong association of body mass index (BMI) with increased oesophageal adenocarcinoma risk is established, but its relationship with oesophageal squamous cell carcinoma is less clear. There is little evidence regarding the association of abdominal adiposity with either subtype | ||
| 520 | |a METHODS: In a large prospective cohort of women in the UK, mean age 56.2 [standard deviation (SD) = 4.9] years, we investigated the risk of oesophageal adenocarcinoma and squamous cell carcinoma in relation to self-reported BMI, waist circumference (WC) and waist-hip ratio (WHR), using Cox regression to estimate adjusted relative risks (RR) and 95% confidence intervals (CIs), taking account of potential reverse causation bias | ||
| 520 | |a RESULTS: During mean follow-up of 17.7 (SD = 4.9) years, 1386 adenocarcinomas and 1799 squamous cell carcinomas of the oesophagus were registered among 1 255 529 women. Compared with women of BMI 22.5 to <25 kg/m2, those with BMI ≥35 kg/m2 had a 2.5-fold risk of adenocarcinoma (adjusted RR = 2.46, 95% CI = 1.99-3.05) and an almost 70% reduction in risk of squamous cell carcinoma (RR = 0.32, 95% CI = 0.22-0.46). These associations were broadly similar in each 5-year follow-up period, and were evident in both never and ever smokers, although somewhat stronger for squamous cell carcinoma among current and past smokers than in never smokers (Pheterogeneity = 0.007). After controlling for BMI, WC and WHR were associated with risk of squamous cell carcinoma but not adenocarcinoma | ||
| 520 | |a CONCLUSIONS: In this population of middle-aged women, there was robust evidence that greater BMI is associated with an increased risk of oesophageal adenocarcinoma and a reduced risk of squamous cell carcinoma | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Oesophageal cancer | |
| 650 | 4 | |a abdominal adiposity | |
| 650 | 4 | |a adenocarcinoma | |
| 650 | 4 | |a body mass index | |
| 650 | 4 | |a squamous cell carcinoma | |
| 700 | 1 | |a Floud, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Gaitskell, Kezia |e verfasserin |4 aut | |
| 700 | 1 | |a Reeves, Gillian K |e verfasserin |4 aut | |
| 700 | 0 | |a Million Women Study Collaborators |e verfasserin |4 aut | |
| 700 | 1 | |a Banks, Emily |e investigator |4 oth | |
| 700 | 1 | |a Beral, Valerie |e investigator |4 oth | |
| 700 | 1 | |a Carpenter, Lucy |e investigator |4 oth | |
| 700 | 1 | |a Dezateux Chair, Carol |e investigator |4 oth | |
| 700 | 1 | |a Floud, Sarah |e investigator |4 oth | |
| 700 | 1 | |a Green, Jane |e investigator |4 oth | |
| 700 | 1 | |a Patnick, Julietta |e investigator |4 oth | |
| 700 | 1 | |a Peto, Richard |e investigator |4 oth | |
| 700 | 1 | |a Reeves, Gillian |e investigator |4 oth | |
| 700 | 1 | |a Sudlow, Cathie |e investigator |4 oth | |
| 700 | 1 | |a Abbott, Simon |e investigator |4 oth | |
| 700 | 1 | |a Alison, Rupert |e investigator |4 oth | |
| 700 | 1 | |a Atkinson, Sarah |e investigator |4 oth | |
| 700 | 1 | |a Baker, Krys |e investigator |4 oth | |
| 700 | 1 | |a Balkwill, Angela |e investigator |4 oth | |
| 700 | 1 | |a Barnes, Isobel |e investigator |4 oth | |
| 700 | 1 | |a Black, Judith |e investigator |4 oth | |
| 700 | 1 | |a Blanks, Roger |e investigator |4 oth | |
| 700 | 1 | |a Brown, Anna |e investigator |4 oth | |
| 700 | 1 | |a Chadwick, Andrew |e investigator |4 oth | |
| 700 | 1 | |a Ewart, Dave |e investigator |4 oth | |
| 700 | 1 | |a Floud, Sarah |e investigator |4 oth | |
| 700 | 1 | |a Gaitskell, Kezia |e investigator |4 oth | |
| 700 | 1 | |a Gathani, Toral |e investigator |4 oth | |
| 700 | 1 | |a Gerrard, Laura |e investigator |4 oth | |
| 700 | 1 | |a Goodill, Adrian |e investigator |4 oth | |
| 700 | 1 | |a Hermon, Carol |e investigator |4 oth | |
| 700 | 1 | |a Hogg, Darren |e investigator |4 oth | |
| 700 | 1 | |a Hudak, Alison |e investigator |4 oth | |
| 700 | 1 | |a Lingard, Isobel |e investigator |4 oth | |
| 700 | 1 | |a Kan, Sau Wan |e investigator |4 oth | |
| 700 | 1 | |a Langston, Nicky |e investigator |4 oth | |
| 700 | 1 | |a Pepier, Keren |e investigator |4 oth | |
| 700 | 1 | |a Pirie, Kirstin |e investigator |4 oth | |
| 700 | 1 | |a Reeves, Gillian |e investigator |4 oth | |
| 700 | 1 | |a Shaw, Keith |e investigator |4 oth | |
| 700 | 1 | |a Sherman, Emma |e investigator |4 oth | |
| 700 | 1 | |a Smith-Byrne, Karl |e investigator |4 oth | |
| 700 | 1 | |a Strange, Helena |e investigator |4 oth | |
| 700 | 1 | |a Sweetland, Siân |e investigator |4 oth | |
| 700 | 1 | |a Travis, Ruth |e investigator |4 oth | |
| 700 | 1 | |a Trickett, Lyndsey |e investigator |4 oth | |
| 700 | 1 | |a Wotton, Clare |e investigator |4 oth | |
| 700 | 1 | |a Yang, Owen |e investigator |4 oth | |
| 700 | 1 | |a Young, Heather |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t International journal of epidemiology |d 1975 |g 52(2023), 6 vom: 25. Dez., Seite 1795-1804 |w (DE-627)NLM00011930X |x 1464-3685 |7 nnns |
| 773 | 1 | 8 | |g volume:52 |g year:2023 |g number:6 |g day:25 |g month:12 |g pages:1795-1804 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/ije/dyad094 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 52 |j 2023 |e 6 |b 25 |c 12 |h 1795-1804 | ||