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成人身高与日本男性肺癌发病率的关系:宫城队列研究。

Association between Adult Height and Risk of Lung Cancer Incidence among Japanese Men: The Miyagi Cohort Study.

机构信息

Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine.

Division of Epidemiology, Miyagi Prefectural Cancer Research Center.

出版信息

Tohoku J Exp Med. 2020 May;251(1):51-59. doi: 10.1620/tjem.251.51.

Abstract

It is already known that adult height is a factor associated with an increased risk of colon cancer and postmenopausal breast cancer, pancreatic cancer, premenopausal breast cancer, and ovarian cancer. However, the association between adult height and lung cancer incidence remains unclear. The purpose of the present study was to examine the association between adult height and the risk of lung cancer incidence in the Japanese population. We analyzed data for 43,743 men and women who were 40-64 years old at the baseline in 1990. We divided the participants into quintiles based on height at the baseline. Cox proportional hazards analysis was used to estimate the multivariate hazard ratios (HRs) and 95% confidence intervals (CIs) for the incidence of lung cancer according to adult height, after adjustment for potential confounders. We identified 1,101 incident case of lung cancer during 24.5 years of follow-up. The multivariate HRs and 95% CIs for the highest category relative to the lowest were 1.48 (1.15-1.91) in men and 1.35 (0.91-1.99) in women. Furthermore, the association between adult height and the incidence of lung cancer was found the significant increased risk among ever smokers in men, but not never smokers. We also observed that adult height tend to be associated with an increased risk of small cell lung cancer and squamous cell carcinoma. This prospective cohort study has demonstrated a positive association between adult height and the risk of lung cancer incidence among men, especially those who have ever smoked.

摘要

已知成人身高是与结肠癌和绝经后乳腺癌、胰腺癌、绝经前乳腺癌和卵巢癌风险增加相关的因素之一。然而,成人身高与肺癌发病率之间的关联尚不清楚。本研究旨在探讨日本人群中成人身高与肺癌发病率风险之间的关系。我们分析了 1990 年基线时年龄在 40-64 岁的 43743 名男性和女性的数据。我们根据基线时的身高将参与者分为五组。使用 Cox 比例风险分析来估计根据成人身高,调整潜在混杂因素后,肺癌发病率的多变量风险比 (HR) 和 95%置信区间 (CI)。在 24.5 年的随访期间,我们发现了 1101 例肺癌新发病例。男性中最高组相对于最低组的多变量 HR 和 95%CI 为 1.48(1.15-1.91),女性为 1.35(0.91-1.99)。此外,在男性中,成人身高与肺癌发病率之间的关系在曾经吸烟者中存在显著的风险增加,但在从不吸烟者中则不存在。我们还观察到,成人身高与小细胞肺癌和鳞状细胞癌的发病风险呈正相关。这项前瞻性队列研究表明,成人身高与男性肺癌发病率风险之间存在正相关,尤其是那些曾经吸烟的男性。

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