Keywords:
CANCER
;
MODEL
;
SUPPORT
;
EPIDEMIOLOGY
;
LONG-TERM
;
RISK
;
COMPONENTS
;
ASSOCIATION
;
NO
;
LYMPHOMA
;
WOMEN
;
MEN
;
OBESITY
;
UNITED-STATES
;
case-control studies
;
ALCOHOL-CONSUMPTION
;
nutrition
;
B-CELL LYMPHOMA
;
ONCOLOGY
;
case-control study
;
REGRESSION
;
MALIGNANT-LYMPHOMA
;
WEIGHT
;
PHYSICAL-ACTIVITY
;
HEIGHT
;
non-Hodgkin lymphoma
;
analysis
;
diffuse large B-cell lymphoma
;
SUBTYPES
;
BODY-MASS INDEX
;
pooled analysis
;
OVERWEIGHT
;
USA
;
BMI
;
RISK-FACTOR
;
CANCER-RISK
;
B-CELL
;
ENGLAND
;
RATIO
;
non Hodgkin lymphoma
;
EXCESS
;
POOLED-ANALYSIS
;
NO EVIDENCE
;
non-Hodgkin
;
CONSORTIUM
;
nutritional status
;
INTERLYMPH
;
body mass index weight
;
FORMER COLLEGE-STUDENTS
;
LYMPHOHEMATOPOIETIC MALIGNANCIES
;
SCANDINAVIAN MEN
Abstract:
Nutritional status is known to alter immune function, a suspected risk factor for non-Hodgkin lymphoma (NHL). To investigate whether long-term over, or under, nutrition is associated with NHL, self-reported anthropometric data on weight and height from over 10,000 cases of NHL and 16,000 controls were pooled across 18 case-control studies identified through the International Lymphoma Epidemiology Consortium. Study-specific odds ratios (OR) were estimated using logistic regression and combined using a random-effects model. Severe obesity, defined as BMI of 40 kg m(-2) or more, was not associated with NHL overall (pooled OR = 1.00, 95% confidence interval (CI) 0.70-1.41) or the majority of NHL subtypes. An excess was however observed for diffuse large B-cell lymphoma (pooled OR = 1.80, 95% CI 1.24-2.62), although not all study-specific ORs were raised. Among the overweight (BMI 25-29.9 kg m(-2)) and obese (BMI 30-39.9 kg m(-2)), associations were elevated in some studies and decreased in others, while no association was observed among the underweight (BMI 〈 18.5 kg m(-2)). There was little suggestion of increasing ORs for NHL or its subtypes with every 5 kg m(-2) rise in BMI above 18.5 kg m(-2). BMI components height and weight were also examined, and the tallest men, but not women, were at marginally increased risk (pooled OR = 1.19, 95% CI 1.06-1.34). In summary, whilst we conclude that there is no evidence to support the hypothesis that obesity is a determinant of all types of NHL combined, the association between severe obesity and diffuse large B-cell lymphoma may warrant further investigation. (C) 2007 Wiley-Liss, Inc
Type of Publication:
Journal article published
Deep Link:
http://www.dkfz.de/cgi-bin/sel?http://www.dkfz.de/PublicationManager/Show/ShowJournal.aspx%3fpublishedId=7309
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