Engeland Anders, Tretli Steinar, Hansen Svein, Bjørge Tone
Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
Am J Epidemiol. 2007 Jan 1;165(1):44-52. doi: 10.1093/aje/kwj353. Epub 2006 Oct 13.
Reports on the association between obesity and lymphohematopoietic malignancies (LHMs) have been inconsistent. The present study aimed at exploring this association for specific disease lymphohematopoietic entities in a large Norwegian cohort. Height and weight were measured in two million Norwegian men and women aged 20-74 years during 1963-2001. During follow-up, 24,500 cases of LHMs were observed. Relative risks of disease were estimated by Cox proportional hazards regression. The risk of LHMs overall increased moderately by increasing body mass index and height in both sexes. The relative risk of LHMs per five-unit increase in body mass index was 1.11 (95% confidence interval (CI): 1.08, 1.14) in men and 1.08 (95% CI: 1.05, 1.11) in women. For each 10-cm increase in height, the relative risk was 1.19 (95% CI: 1.16, 1.22) in men and 1.16 (95% CI: 1.12, 1.20) in women. Separate analyses for different lymphohematopoietic malignancies did not reveal any group's being particularly strongly associated with body mass index. A modest increase in the risk of LHMs combined was observed with increasing height. The moderate associations between height and body mass index and LHMs found in the present study indicate that the observed increase in overweight/obesity plays only a minor role in explaining the increase in the incidence of LHMs.
关于肥胖与淋巴造血系统恶性肿瘤(LHMs)之间关联的报道并不一致。本研究旨在探讨挪威一个大型队列中特定疾病的淋巴造血实体之间的这种关联。在1963年至2001年期间,对两百万名年龄在20至74岁的挪威男性和女性测量了身高和体重。在随访期间,观察到24500例LHMs病例。通过Cox比例风险回归估计疾病的相对风险。总体而言,LHMs的风险随着体重指数和身高的增加在两性中均适度增加。体重指数每增加五个单位,男性LHMs的相对风险为1.11(95%置信区间(CI):1.08,1.14),女性为1.08(95%CI:1.05,1.11)。身高每增加10厘米,男性的相对风险为1.19(95%CI:1.16,1.22),女性为1.16(95%CI:1.12,1.20)。对不同淋巴造血系统恶性肿瘤的单独分析未发现任何一组与体重指数有特别强的关联。随着身高增加,观察到LHMs综合风险有适度增加。本研究中发现的身高、体重指数与LHMs之间的适度关联表明,观察到的超重/肥胖增加在解释LHMs发病率增加方面仅起次要作用。