Anthropometric measures at multiple times throughout lfe and prostate cancer diagnosis, metastasis, and death Journal Article

Authors: Gerdtsson, A.; Poon, J. B.; Thorek, D. L.; Mucci, L. A.; Evans, M. J.; Scardino, P.; Abrahamsson, P. A.; Nilsson, P.; Manjer, J.; Bjartell, A.; Malm, J.; Vickers, A.; Freedland, S. J.; Lilja, H.; Ulmert, D.
Article Title: Anthropometric measures at multiple times throughout lfe and prostate cancer diagnosis, metastasis, and death
Abstract: Background Previous studies of prostate cancer (PCA) risk and anthropometrics (ie, body measurements) were based on single measurements or obtained over limited time spans. Objective To study the association between anthropometrics measured at multiple time points in life and their relation to later diagnosis, metastasis, or death from PCA. Design, setting, and participants This case-control study includes 27 167 Swedish men enrolled in two population-based projects from 1974 to 1996. PCA diagnosis up to December 31, 2006, disease information, gestation time, and anthropometrics at birth, military conscript testing, and adulthood were collected. A total of 1355 PCA cases were matched with 5271 controls. Outcome measurements and statistical analysis Univariate conditional logistic regression was used to determine whether clinical diagnosis, metastasis, or PCA death was associated with low birth weight (weight <2500 g); with small size for gestational age; or with weight, length, or body mass index (BMI) at birth, adolescence (aged 16-22 yr), or early middle age (aged 44-50 yr). Results and limitations Apart from weight at adolescence, which was associated with an increased risk of PCA diagnosis (odds ratio [OR] per 5 kg: 1.05; 95% confidence interval [CI], 1.01-1.09; p = 0.026), preadulthood measurements were not associated with any PCA end point. Adulthood parameters were not associated with diagnosis. In contrast, weight and BMI at early middle age were significantly associated with metastasis (OR per 5 kg: 1.13; 95% CI, 1.06-1.20; p < 0.0001, and OR: 1.09; 95% CI, 1.05-1.14; p < 0.0001) and death (OR per 5 kg: 1.11 (95% CI, 1.03-1.19; p = 0.005, and OR: 1.08; 95% CI, 1.03-1.13; p = 0.003), respectively. It remains unclear whether these results apply to men of nonwhite origin, to populations with active PCA screening programs, or to countries without socialized health care. Conclusions The analyses of these large data sets demonstrate that significant effects of body characteristics (with links to metabolic syndrome) measured at early middle age are associated with PCA disease severity, metastatic progression, and outcome. Conversely, measurements at birth and adolescence are not associated with PCA prevalence or outcome. Patient summary Increased weight and body mass index in adults is associated with a higher risk of prostate cancer metastasis and death. © 2015 European Association of Urology.
Keywords: risk factors; prostate cancer; exposure windows; long-term risk predictions; metabolic syndrome-associated anthropometrics
Journal Title: European Urology
Volume: 68
Issue: 6
ISSN: 0302-2838
Publisher: Elsevier Science, Inc.  
Date Published: 2015-12-01
Start Page: 1076
End Page: 1082
Language: English
DOI: 10.1016/j.eururo.2015.03.017
PROVIDER: scopus
PMCID: PMC4573834
PUBMED: 25794458
Notes: Article -- Export Date: 3 February 2016 -- Source: Scopus
Citation Impact
MSK Authors
  1. Peter T Scardino
    639 Scardino
  2. Hans Gosta Lilja
    307 Lilja
  3. Hans David Staffan Ulmert
    51 Ulmert
  4. Jessica Bing Ying Poon
    15 Poon