Department of Biostatistics and Cancer Epidemiology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
Department of Clinical Pathology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.
J Egypt Natl Canc Inst. 2023 Dec 21;35(1):42. doi: 10.1186/s43046-023-00203-1.
Limited data are available on metabolic syndrome and its relation to breast cancer risk in Egypt. We aimed to study metabolic syndrome and its individual components as risk of breast cancer.
This case-control study recruited 112 breast cancer cases and 112 age-matched controls from Assiut University. In addition to demographic, clinical, and anthropoemetric characteristics, blood samples were collected from both study groups to evaluate metabolic syndrome and its individual components.
Mean age of breast cancer cases and control groups was 46.10 ± 4.34 and 45.66 ± 4.68 years, respectively. According to Joint Interim Statement (JIS) criteria for clinical diagnosis of metabolic syndrome, the overall prevalence of metabolic syndrome in all participants was 42.9%, and prevalence in breast cancer cases and control group was 57.14% and 28.6%, respectively, OR 33.33, 95% CI (1.91-5.81). BMI was more likely to be higher in breast cancer patients with a linear trend, p < 0.001. For individual components of metabolic syndrome, breast cancer cases were more likely to have high fasting blood glucose level, systolic and/or diastolic blood pressure, high triglycerides level, and low HDL-C as compared to the control group.
Metabolic syndrome and its components were found to be associated with the risk of breast cancer. We believe that prevention or reversal of metabolic syndrome by raising community awareness for lifestyle changes could be an effective way in minimizing the toll of the disease.
关于代谢综合征及其与埃及乳腺癌风险的关系,可用数据有限。我们旨在研究代谢综合征及其各个组成部分作为乳腺癌风险的因素。
这项病例对照研究招募了来自 Assiut 大学的 112 例乳腺癌病例和 112 名年龄匹配的对照。除了人口统计学、临床和人体测量特征外,还从两组研究对象中采集血液样本,以评估代谢综合征及其各个组成部分。
乳腺癌病例组和对照组的平均年龄分别为 46.10±4.34 岁和 45.66±4.68 岁。根据联合临时声明(JIS)代谢综合征临床诊断标准,所有参与者的代谢综合征总体患病率为 42.9%,乳腺癌病例组和对照组的患病率分别为 57.14%和 28.6%,比值比为 33.33,95%置信区间(1.91-5.81)。BMI 在乳腺癌患者中更有可能偏高,呈线性趋势,p<0.001。对于代谢综合征的各个组成部分,与对照组相比,乳腺癌病例更有可能出现空腹血糖升高、收缩压和/或舒张压升高、甘油三酯水平升高和高密度脂蛋白胆固醇水平降低。
代谢综合征及其各个组成部分与乳腺癌风险相关。我们相信,通过提高社区对生活方式改变的认识来预防或逆转代谢综合征,可以成为一种有效减少疾病负担的方法。