Institute of Health and Wellbeing, University of Glasgow, Glasgow, G12 8RZ, UK.
Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, G12 8TA, UK.
Br J Cancer. 2020 Nov;123(11):1697-1704. doi: 10.1038/s41416-020-01059-1. Epub 2020 Sep 14.
Whether the association of height with cancers differs by insulin-like growth factors has not been fully elucidated. Therefore, this study aimed to investigate the sex-specific associations between height and 24 site-specific cancers and to assess whether the association differed by IGF-1.
In total, 414,923 participants from the UK Biobank prospective cohort study were included. The association of height (per 5-cm increment) with incidence and mortality from 24 cancer sites was investigated by using Cox proportional hazard models.
The median follow-up was 6.0 years. In men, height was positively associated with incidence risk of all-cause cancer and at five sites (lung, lymphatic, leukaemia, non-Hodgkin lymphoma and melanoma). In women, it was associated with breast, melanoma, lymphatic, non-Hodgkin lymphoma and all-cause cancer. The association was stronger in women than men for all-cause cancer incidence. The strength of the association did not differ by IGF-1 concentration.
Adult height was associated with risk of several cancer sites. However, some of these associations were sex-specific. There was no strong evidence to support IGF-1 moderating the association between height and cancer.
身高与癌症的相关性是否因胰岛素样生长因子而异尚未完全阐明。因此,本研究旨在调查身高与 24 个特定部位癌症之间的性别特异性关联,并评估这种关联是否因 IGF-1 而异。
本研究共纳入了来自英国生物库前瞻性队列研究的 414923 名参与者。使用 Cox 比例风险模型研究了身高(每增加 5 厘米)与 24 个癌症部位的发病和死亡风险之间的关系。
中位随访时间为 6.0 年。在男性中,身高与所有原因癌症和五个部位(肺、淋巴、白血病、非霍奇金淋巴瘤和黑色素瘤)的发病风险呈正相关。在女性中,身高与乳腺癌、黑色素瘤、淋巴、非霍奇金淋巴瘤和所有原因癌症相关。与男性相比,女性的全因癌症发病率与身高的相关性更强。IGF-1 浓度并未改变这种关联的强度。
成人身高与某些癌症部位的发病风险相关。然而,其中一些关联是性别特异性的。没有强有力的证据支持 IGF-1 调节身高与癌症之间的关联。