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代谢综合征与结直肠癌:一项横断面调查。

Metabolic syndrome and colorectal cancer: a cross-sectional survey.

作者信息

Forootan Mojgan, Tabatabaeefar Morteza, Yahyaei Mansooreh, Maghsoodi Nakisa

机构信息

Gastroenterology and Liver Diseases Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Asian Pac J Cancer Prev. 2012;13(10):4999-5002. doi: 10.7314/apjcp.2012.13.10.4999.

Abstract

INTRODUCTION

There is epidemiological evidence indicating that the metabolic syndrome increases the risk of colorectal cancer. Since there is little information about this issue in Iran, the present study was conducted to evaluate prevalence of metabolic syndrome and its components in patients with colorectal cancer.

MATERIAL AND METHODS

This cross-sectional survey involved 200 patients with a new diagnosis of colorectal cancer. Demographic information of patients was collected through the interview with them. Components of metabolic syndrome including fasting glucose serum, triglyceride, high density lipoprotein, blood pressure and waist circumference were measured for all of the patients.

RESULTS

A total of 72 colorectal cancer patients (36%) met metabolic syndrome criteria with rates of 76% for women and 24% for men. BMI in metabolic syndrome patients was higher than other colorectal cancer patients. Disease history including hypertension, diabetes and cardiovascular disease was most frequent in metabolic syndrome patients. Pathological characteristics of colorectal cancer were not significantly associated with the disease.

CONCLUSION

The findings of present study indicated that the prevalence of metabolic syndrome in CRC patients is relatively high. Therefore, further analytical and multi centric studies are needed to better understand the role of metabolic syndrome in development of CRC in Iran. If this association is confirmed in future studies, metabolic syndrome patients should be considered in CRC screening programs.

摘要

引言

有流行病学证据表明,代谢综合征会增加患结直肠癌的风险。由于伊朗关于这个问题的信息很少,因此开展了本研究以评估结直肠癌患者中代谢综合征及其组成成分的患病率。

材料与方法

这项横断面调查纳入了200例新诊断为结直肠癌的患者。通过与患者访谈收集其人口统计学信息。对所有患者测量代谢综合征的组成成分,包括空腹血糖、甘油三酯、高密度脂蛋白、血压和腰围。

结果

共有72例(36%)结直肠癌患者符合代谢综合征标准,其中女性患病率为76%,男性为24%。代谢综合征患者的体重指数高于其他结直肠癌患者。代谢综合征患者中高血压、糖尿病和心血管疾病等病史最为常见。结直肠癌的病理特征与该疾病无显著关联。

结论

本研究结果表明,结直肠癌患者中代谢综合征的患病率相对较高。因此,需要进一步开展分析性和多中心研究,以更好地了解代谢综合征在伊朗结直肠癌发生发展中的作用。如果在未来研究中证实这种关联,那么在结直肠癌筛查项目中应考虑代谢综合征患者。

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