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身高体重与乳腺癌发病率和死亡率的关系。对挪威57万名女性的前瞻性研究。

Height and weight in relation to breast cancer morbidity and mortality. A prospective study of 570,000 women in Norway.

作者信息

Tretli S

机构信息

Cancer Registry of Norway, Institute of Epidemiological Cancer Research, Oslo.

出版信息

Int J Cancer. 1989 Jul 15;44(1):23-30. doi: 10.1002/ijc.2910440105.

Abstract

The height and weight of 570,000 Norwegian women, aged 30-69 years, were measured and the subjects were then followed up for 6-18 years with regard to breast cancer morbidity and mortality. They were arranged in 5-year age-groups. In all age-groups the tallest women were found to have the highest risk for both morbidity and mortality. Overweight was a risk factor for breast cancer mortality in all age-groups, but it was a risk factor only in the post-menopausal age-groups in the case of morbidity. It appeared to protect against breast cancer in the pre-menopausal age-group. Stages I and II-IV follow-up endpoints show negative and positive associations, respectively, with overweight. It is not likely that this can be fully explained by earlier detection of cancer among slim women.

摘要

对570,000名年龄在30至69岁之间的挪威女性进行了身高和体重测量,随后对这些受试者进行了6至18年的随访,以了解乳腺癌的发病率和死亡率。她们被分为5岁年龄组。在所有年龄组中,发现身高最高的女性患乳腺癌的发病率和死亡率风险最高。超重是所有年龄组乳腺癌死亡的一个风险因素,但就发病率而言,超重仅在绝经后年龄组中是一个风险因素。在绝经前年龄组中,超重似乎对乳腺癌有预防作用。I期和II-IV期随访终点分别与超重呈负相关和正相关。苗条女性中癌症的早期发现不太可能完全解释这一现象。

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