Association of hypertension and obesity with renal cell carcinoma risk: a report from the Shanghai Men’s and Women’s Health Studies

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• 作者：Tian Shen ; Xiao-Ou Shu ; Yong-Bing Xiang ; Hong-Lan Li ; Hui Cai…
• 关键词：Body mass index ; Carcinoma ; Renal cell ; Case–control ; Hypertension ; Obesity
• 刊名：Cancer Causes & Control
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：26
• 期：8
• 页码：1173-1180
• 全文大小：377 KB
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• 作者单位：Tian Shen (1) (3) (4)
  Xiao-Ou Shu (1)
  Yong-Bing Xiang (2)
  Hong-Lan Li (2)
  Hui Cai (1)
  Yu-Tang Gao (2)
  Wei Zheng (1)
  Loren Lipworth (1)
  
  1. Division of Epidemiology, Vanderbilt University School of Medicine, 2525 West End Avenue, Suite 800, Nashville, TN, 37203-1738, USA
  3. Fudan University School of Public Health, Shanghai, China
  4. Shanghai Jiao Tong University School of Public Health, Shanghai, China
  2. Shanghai Cancer Institute, Shanghai, China
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Oncology
  Cancer Research
  Public Health
  Epidemiology
  Hematology
  
• 出版者：Springer Netherlands
• ISSN：1573-7225

文摘

Purpose Consistently reported associations between hypertension and obesity and renal cell carcinoma (RCC) risk have largely come from studies in Western populations. These associations were examined in a case–control study nested in the Shanghai Women’s Health Study (SWHS, 1996-000) and Shanghai Men’s Health Study (SMHS, 2001-006). Methods Overall, 271 incident RCC cases (124 women, 147 men) were identified through 31 December 2011, and 2,693 controls were individually matched by sex, age, and calendar time at cohort enrollment, and menopausal status (for women). Participants completed a structured questionnaire by in-person interview at baseline, and conditional logistic regression was used to estimate odds ratios (ORs) and 95?% confidence intervals (CIs). Results Self-reported hypertension was associated with a significant 40?% increased risk of RCC among women and men (95?% CI 1.1, 1.9). Body mass index (BMI), modeled continuously, was associated with an elevated risk of RCC among men, with an OR of 1.5 (95?% CI 1.1, 2.0) per 5?kg/m2 increase in BMI, but not among women. Conclusions Hypertension is independently associated with risk of RCC among both women and men in Shanghai, while overweight and obesity appear to be associated with risk of RCC in Chinese men only.