Am J Epidemiol. 2021 Feb 1;190(2):230-238. doi: 10.1093/aje/kwaa175.
People with Lynch syndrome (LS), who carry a pathogenic mutation in a DNA mismatch repair gene, have increased risks of colorectal cancer (CRC) and endometrial cancer (EC). A high reported variability in cancer risk suggests the existence of factors that modify cancer risk for persons with LS. We aimed to investigate the associations between height and CRC and EC risk for persons with LS using data from 2 large studies. Information on 1,115 men and 1,553 women with LS from the Colon Cancer Family Registry (1998-2007) and the GEOLynch Cohort Study (2006-2017) was harmonized. We used weighted Cox proportional hazards regression models with age on the time axis to estimate adjusted hazard ratios and 95% confidence intervals for each 5-cm increment in self-reported height. CRC was diagnosed in 947 persons during 65,369 person-years of observation, and 171 women were diagnosed with EC during 39,227 person-years. Height was not associated with CRC for either men (per 5-cm increment, hazard ratio (HR) = 1.00, 95% confidence interval (CI): 0.91, 1.11) or women (per 5-cm increment, HR = 1.01, 95% CI: 0.92, 1.11), nor was height associated with EC (per 5-cm increment, HR = 1.08, 95% CI: 0.94, 1.24). Hence, we observed no evidence for an association of height with either CRC or EC among persons with LS.
林奇综合征(LS)患者携带 DNA 错配修复基因的致病性突变,结直肠癌(CRC)和子宫内膜癌(EC)的风险增加。较高的癌症风险报告变异性表明存在修饰 LS 患者癌症风险的因素。我们旨在使用来自两项大型研究的数据,调查 LS 患者身高与 CRC 和 EC 风险之间的关联。1998-2007 年结肠癌家族登记处(1998-2007)和 GEOLynch 队列研究(2006-2017)中,有 1115 名男性和 1553 名女性的 LS 患者的信息得到了协调。我们使用加权 Cox 比例风险回归模型,年龄为时间轴,以估计每个 5 厘米自报身高增加的调整后危害比和 95%置信区间。在 65369 人年的观察期间,947 人被诊断患有 CRC,171 名女性在 39227 人年期间被诊断患有 EC。身高与男性(每 5 厘米增加,风险比(HR)= 1.00,95%置信区间(CI):0.91,1.11)或女性(每 5 厘米增加,HR = 1.01,95%CI:0.92,1.11)的 CRC 无关,身高也与 EC 无关(每 5 厘米增加,HR = 1.08,95%CI:0.94,1.24)。因此,我们在 LS 患者中没有观察到身高与 CRC 或 EC 之间存在关联的证据。