Total cholesterol and cancer risk in a large prospective study in Korea
MetadataShow full item record
Purpose: To further clarify the relationship between total cholesterol and cancer, which remains unclear. Methods: We prospectively examined the association between total cholesterol and site-specific and all-cancer incidence among 1,189,719 Korean adults enrolled in the National Health Insurance Corporation who underwent a standardized biennial medical examination in 1992 to 1995 and were observed for 14 years until cancer diagnosis or death.Results: Over follow-up, 53,944 men and 24,475 women were diagnosed with a primary cancer. Compared with levels less than 160 mg/dL, high total cholesterol (≥ 240 mg/dL) was positively associated with prostate cancer (hazard ratio [HR], 1.24; 95% CI, 1.07 to 1.44; P trend = .001) and colon cancer (HR, 1.12; 95% CI, 1.00 to 1.25; P trend = .05) in men and breast cancer in women (HR, 1.17; 95% CI, 1.03 to 1.33; P trend = .03). Higher total cholesterol was associated with a lower incidence of liver cancer (men: HR, 0.42; 95% CI, 0.38 to 0.45; P trend < .001; women: HR, 0.32; 95% CI, 0.27 to 0.39; P trend < .001), stomach cancer (men: HR, 0.87; 95% CI, 0.82 to 0.93; P trend ≤ .001; women: HR, 0.86; 95% CI, 0.77 to 0.97; P trend = .06), and, in men, lung cancer (HR, 0.89; 95% CI, 0.82 to 0.96; P trend < .001).Results for liver cancer were slightly attenuated after additional adjustment for liver enzyme levels and hepatitis B surface antigen status (men: HR, 0.60; P trend < .001; women: HR, 0.46; P trend = .003) and exclusion of the first 10 years of follow-up (men: HR, 0.59; P trend < .001; women: HR, 0.44; P trend < .001). Total cholesterol was inversely associated with all-cancer incidence in both men (HR, 0.84; 95% CI, 0.81 to 0.86; P trend < .001) and women (HR, 0.91; 95% CI, 0.87 to 0.95; P trend < .001), but these associations were attenuated after excluding incident liver cancers (men: HR, 0.95; P trend < .001; women: HR, 0.98; P trend = .32). Conclusion: In this large prospective study, we found that total cholesterol was associated with the risk of several different cancers, although these relationships differed markedly by cancer site.
Showing items related by title, author, creator and subject.
Sex-specific relevance of diabetes to occlusive vascular and other mortality: a collaborative meta-analysis of individual data from 980?793 adults from 68 prospective studiesGnatiuc, L.; Herrington, W.; Halsey, J.; Tuomilehto, J.; Fang, X.; Kim, H.; De Bacquer, D.; Dobson, A.; Criqui, M.; Jacobs, D.; Leon, D.; Peters, S.; Ueshima, H.; Sherliker, P.; Peto, R.; Collins, R.; Huxley, Rachel; Emberson, J.; Woodward, M.; Lewington, S.; Aoki, N.; Arima, H.; Arnesen, E.; Aromaa, A.; Assmann, G.; Bachman, D.; Baigent, C.; Bartholomew, H.; Benetos, A.; Bengtsson, C.; Bennett, D.; Björkelund, C.; Blackburn, H.; Bonaa, K.; Boyle, E.; Broadhurst, R.; Carstensen, J.; Chambless, L.; Chen, Z.; Chew, S.; Clarke, R.; Cox, C.; Curb, J.; D'Agostino, R.; Date, C.; Davey Smith, G.; De Backer, G.; Dhaliwal, S.; Duan, X.; Ducimetiere, P.; Duffy, S.; Eliassen, H.; Elwood, P.; Empana, J.; Garcia-Palmieri, M.; Gazes, P.; Giles, G.; Gillis, C.; Goldbourt, U.; Gu, D.; Guasch-Ferre, M.; Guize, L.; Haheim, L.; Hart, C.; Hashimoto, S.; Hashimoto, T.; Heng, D.; Hjermann, I.; Ho, S.; Hobbs, M.; Hole, D.; Holme, I.; Horibe, H.; Hozawa, A.; Hu, F.; Hughes, K.; Iida, M.; Imai, K.; Imai, Y.; Iso, H.; Jackson, R.; Jamrozik, K.; Jee, S.; Jensen, G.; Jiang, C.; Johansen, N.; Jorgensen, T.; Jousilahti, P.; Kagaya, M.; Keil, J.; Keller, J.; Kim, I.; Kita, Y.; Kitamura, A.; Kiyohara, Y.; Knekt, P.; Knuiman, M.; Kornitzer, M.; Kromhout, D.; Kronmal, R. (2018)© 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Several studies have shown that diabetes confers a higher relative risk of vascular mortality among ...
Obesity and overweight in relation to liver disease mortality in men: 38 Year follow-up of the original Whitehall studyBatty, G.; Shipley, M.; Kivimaki, M.; Barzi, F.; Smith, G.; Mitchell, R.; Marmot, M.; Huxley, Rachel (2008)Obesity has been implicated in the aetiology of liver disease. However, to date, evidence is largely drawn from cross-sectional studies, where interpretation is hampered by reverse causality, and from studies on clinical ...
Blood lipids and the incidence of atrial fibrillation: The multi-ethnic study of atherosclerosis and the framingham heart studyAlonso, A.; Yin, X.; Roetker, N.; Magnani, J.; Kronmal, R.; Ellinor, P.; Chen, L.; Lubitz, S.; McClelland, R.; McManus, D.; Soliman, E.; Huxley, Rachel; Nazarian, S.; Szklo, M.; Heckbert, S.; Benjamin, E. (2014)© 2014 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. Background-Dyslipidemia is a major contributor to the development of atherosclerosis and coronary disease. Its role in ...