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    Body size and risk of renal cell carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC).

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    Authors
    Pischon, Tobias
    Lahmann, Petra H
    Boeing, Heiner
    Tjønneland, Anne
    Halkjaer, Jytte
    Overvad, Kim
    Klipstein-Grobusch, Kerstin
    Linseisen, Jakob
    Becker, Nikolaus
    Trichopoulou, Antonia
    Benetou, Vassiliki
    Trichopoulos, Dimitrios
    Sieri, Sabina
    Palli, Domenico
    Tumino, Rosario
    Vineis, Paolo
    Panico, Salvatore
    Monninkhof, Evelyn
    Peeters, Petra H M
    Bueno-de-Mesquita, H Bas
    Büchner, Frederike L
    Ljungberg, Börje
    Hallmans, Göran
    Berglund, Göran
    González, Carlos Alberto
    Dorronsoro Iraeta, Miren
    Gurrea, Aurelio Barricarte
    Navarro, Carmen A
    Martínez-García, Carmen
    Quirós, José Ramón
    Roddam, Andrew
    Allen, Naomi E
    Bingham, Sheila A
    Khaw, Kay-Tee
    Kaaks, Rudolf
    Norat, Teresa
    Slimani, Nadia
    Riboli, Elio
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    Type
    Article
    Language
    en
    
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    Title
    Body size and risk of renal cell carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC).
    Publiekssamenvatting
    Previous studies suggest that obesity is related to increased risk of renal cell carcinoma (RCC); however, only a few studies report on measures of central vs. peripheral adiposity. We examined the association between anthropometric measures, including waist and hip circumference and RCC risk among 348,550 men and women free of cancer at baseline from 8 countries of the European Prospective Investigation into Cancer and Nutrition (EPIC). During 6.0 years of follow-up we identified 287 incident cases of RCC. Relative risks were calculated using Cox regression, stratified by age and study center and adjusted for smoking status, education, alcohol consumption, physical activity, menopausal status, and hormone replacement therapy use. Among women, an increased risk of RCC was conferred by body weight (relative risk [RR] in highest vs. lowest quintile = 2.13; 95% confidence interval [CI] = 1.16-3.90; p-trend = 0.003), body mass index (BMI) (RR = 2.25; 95% CI = 1.14-4.44; p-trend = 0.009), and waist (RR = 1.67; 95% CI = 0.94-2.98; p-trend = 0.003) and hip circumference (RR = 2.30; 95% CI = 1.22-4.34; p-trend = 0.01); however, waist and hip circumference were no longer significant after controlling for body weight. Among men, hip circumference (RR = 0.44; 95% CI = 0.20-0.98; p-trend = 0.03) was related significantly to decreased RCC risk only after accounting for body weight. Height was not related significantly to RCC risk. Our findings suggest that obesity is related to increased risk of RCC irrespective of fat distribution among women, whereas low hip circumference is related to increased RCC risk among men. Our data give further credence to public health efforts aiming to reduce the prevalence of obesity to prevent RCC, in addition to other chronic diseases.
    DOI
    10.1002/ijc.21398
    PMID
    16094628
    URI
    http://hdl.handle.net/10029/6924
    ae974a485f413a2113503eed53cd6c53
    10.1002/ijc.21398
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