Olsen Catherine M, Green Adèle C, Zens Michael S, Stukel Therese A, Bataille Veronique, Berwick Marianne, Elwood J Mark, Gallagher Richard, Holly Elizabeth A, Kirkpatrick Connie, Mack Thomas, Østerlind Anne, Rosso Stefano, Swerdlow Anthony J, Karagas Margaret R
Cancer and Population Studies Group, Queensland Institute of Medical Research, PO Royal Brisbane Hospital, Brisbane, QLD, Australia.
Int J Cancer. 2008 Mar 1;122(5):1100-8. doi: 10.1002/ijc.23214.
Anthropometric factors such as height, weight and body mass index are related to the occurrence of certain malignancies in women including cancers of the breast, ovary and endometrium. Several studies have investigated the relation between height and weight or body mass and the risk of cutaneous melanoma in women, but results have been inconsistent. We conducted a collaborative analysis of these factors using the original data from 8 case-control studies of melanoma in women (2,083 cases and 2,782 controls), with assessment of the potential confounding effects of socioeconomic, pigmentary and sun exposure-related factors. Women in the highest quartile of height had an increased risk of melanoma [pooled odds ratio (pOR) 1.3, 95% confidence interval (CI) 1.1-1.6]. We also found an elevated risk associated with weight gain in adult life of 2 kg or more (pOR 1.5, 95% CI 1.1-2.0). Stratifying by age at melanoma diagnosis (<50, >or=50 yr), we found this risk greater among women <50 yr of age. Associations were unaffected by adjustment for other known risk factors for melanoma. There was no evidence that the effects varied for different histologic subtypes of cutaneous melanoma. There was no association with body weight per se, body mass index, or body surface area, either recent or in young adulthood. In aggregate, data from these studies suggest that greater height and weight gain may be risk factors for cutaneous melanoma in women.
身高、体重和体重指数等人体测量因素与女性某些恶性肿瘤的发生有关,包括乳腺癌、卵巢癌和子宫内膜癌。多项研究调查了身高、体重或体重与女性皮肤黑色素瘤风险之间的关系,但结果并不一致。我们利用8项女性黑色素瘤病例对照研究的原始数据(2083例病例和2782例对照)对这些因素进行了联合分析,并评估了社会经济、色素沉着和阳光暴露相关因素的潜在混杂效应。身高处于最高四分位数的女性患黑色素瘤的风险增加[合并比值比(pOR)为1.3,95%置信区间(CI)为1.1 - 1.6]。我们还发现,成年后体重增加2千克或更多会增加患黑色素瘤的风险(pOR为1.5,95%CI为1.1 - 2.0)。按黑色素瘤诊断时的年龄(<50岁、≥50岁)分层,我们发现年龄<50岁的女性患黑色素瘤的风险更高。对黑色素瘤的其他已知风险因素进行调整后,这种关联不受影响。没有证据表明不同组织学亚型的皮肤黑色素瘤的影响有所不同。近期或年轻时的体重本身、体重指数或体表面积均无关联。总体而言,这些研究的数据表明,较高的身高和体重增加可能是女性皮肤黑色素瘤的风险因素。