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ID 119641
Title Alternative
Metabolic Phenotypes and Cancer Risk in the J-MICC
Author
Nguyen, Tien Van Thai Binh University of Medicine and Pharmacine
Unohara, Taichi Tokushima University
Tanaka, Keitaro Saga University
Shimanoe, Chisato Saga University
Nagayoshi, Mako Nagoya University
Tamura, Takashi Gifu University
Kubo, Yoko Nagoya University
Kato, Yasufumi Nagoya University
Oze, Isao Aichi Cancer Center Research Institute
Ito, Hidemi Aichi Cancer Center Research Institute
Michihata, Nobuaki Chiba Cancer Center
Nakamura, Yohko Chiba Cancer Center Research Institute
Tanoue, Shiroh Kagoshima University
Koriyama, Chihaya Kagoshima University
Suzuki, Sadao Nagoya City University
Nakagawa-Senda, Hiroko Nagoya City University
Koyama, Teruhide Kyoto Prefectural University of Medicine
Tomida, Satomi Kyoto Prefectural University of Medicine
Kuriki, Kiyonori University of Shizuoka
Takashima, Naoyuki Kyoto Prefectural University of Medicine
Harada, Akiko Shiga University of Medical Science
Wakai, Kenji Nagoya University
Matsuo, Keitaro Aichi Cancer Center Research Institute
Keywords
Cancer incidence
cohort study
metabolic syndrome
metabolically unhealthy obesity
Japanese
Content Type
Journal Article
Description
The present study investigated the relationship between metabolic phenotypes and the risk of cancer in a Japanese population using the criteria of metabolic phenotypes based on an examination and those based on questionnaires. We used data from 25,357 subjects for examination-based analyses and those from 53,042 subjects for questionnaire-based analyses in the Japan Multi-Institutional Collaborative Cohort Study. Metabolic phenotypes were defined by classifying subjects according to their BMI (obesity: BMI ≥25 kg/m2; normal weight: BMI <25 kg/m2) and the number of metabolic abnormalities. Metabolic abnormalities were defined according to metabolic syndrome components of the Joint Interim Statement Criteria for examination-based analyses and self-reported histories of diabetes, dyslipidemia, and hypertension for questionnaire-based analyses. Cox proportional hazards regression analyses adjusted for potential confounders were performed for total and site-specific cancer incidence according to metabolic phenotypes. Metabolically unhealthy obesity (MUHO) was significantly associated with cancer incidence in both examination-based [HR (95% CI): 1.17 (1.01-1.36)] and questionnaire-based analyses [HR (95% CI): 1.15 (1.04-1.26)]. Regarding site-specific cancer in questionnaire-based analyses, metabolically healthy obesity and MUHO were associated with colorectum and liver cancers in all subjects and with breast cancer in female subjects. Subjects with a metabolically unhealthy normal weight had a higher risk of pancreatic cancer. Moreover, MUHO was associated with corpus uteri cancer in female subjects. This prospective cohort study suggests that metabolic phenotypes are important risk factors for total and some site-specific cancers in Japanese adults.
Journal Title
Cancer Research Communications
ISSN
27679764
Publisher
American Association for Cancer Research
Volume
4
Issue
11
Start Page
2986
End Page
2997
Published Date
2024-10-29
Rights
This open access article is distributed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license (https://creativecommons.org/licenses/by/4.0/).
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language
eng
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departments
Medical Sciences