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タイトル別表記
Metabolic Phenotypes and Cancer Risk in the J-MICC
著者
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
キーワード
Cancer incidence
cohort study
metabolic syndrome
metabolically unhealthy obesity
Japanese
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
Cancer Research Communications
ISSN
27679764
出版者
American Association for Cancer Research
発行日
2024
権利情報
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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出版社版DOI
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フルテキストファイル
crc.pdf 3.65 MB
言語
eng
著者版フラグ
著者版
部局
医学系