Body size and risk of renal cell carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC)

Tobias Pischon, Petra H. Lahmann, Heiner Boeing, Anne Tjønneland, Jytte Halkjær, Kim Overvad, Kerstin Klipstein-Grobusch, Jakob Linseisen, Nikolaus Becker, Antonia Trichopoulou, Vassiliki Benetou, Dimitrios Trichopoulos, Sabina Sieri, Domenico Palli, Rosario Tumino, Paolo Vineis, Salvatore Panico, Evelyn Monninkhof, Petra H M Peeters, H. Bas Bueno-De-MesquitaFrederike L. Büchner, Börje Ljungberg, Göran Hallmans, Göran Berglund, Carlos Alberto Gonzalez, Miren Dorronsoro, Aurelio Barricarte Gurrea, Carmen Navarro, Carmen Martinez, J. Ramón Quirós, Andrew Roddam, Naomi Allen, Sheila Bingham, Kay Tee Khaw, Rudolf Kaaks, Teresa Norat, Nadia Slimani, Elio Riboli

Research output: Contribution to journalArticle

Abstract

Previous studies suggest that obesity is related to increased risk of renal cell carcinoma (RCC); however, only a few studies report on measures of central vs. peripheral adiposity. We examined the association between anthropometric measures, including waist and hip circumference and RCC risk among 348,550 men and women free of cancer at baseline from 8 countries of the European Prospective Investigation into Cancer and Nutrition (EPIC). During 6.0 years of follow-up we identified 287 incident cases of RCC. Relative risks were calculated using Cox regression, stratified by age and study center and adjusted for smoking status, education, alcohol consumption, physical activity, menopausal status, and hormone replacement therapy use. Among women, an increased risk of RCC was conferred by body weight (relative risk [RR] in highest vs. lowest quintile = 2.13; 95% confidence interval [CI] = 1.16-3.90; p-trend = 0.003), body mass index (BMI) (RR = 2.25; 95% CI = 1.14-4.44; p-trend = 0.009), and waist (RR = 1.67; 95% CI = 0.94-2.98; p-trend = 0.003) and hip circumference (RR = 2.30; 95% CI = 1.22-4.34; p-trend = 0.01); however, waist and hip circumference were no longer significant after controlling for body weight. Among men, hip circumference (RR = 0.44; 95% CI = 0.20-0.98; p-trend = 0.03) was related significantly to decreased RCC risk only after accounting for body weight. Height was not related significantly to RCC risk. Our findings suggest that obesity is related to increased risk of RCC irrespective of fat distribution among women, whereas low hip circumference is related to increased RCC risk among men. Our data give further credence to public health efforts aiming to reduce the prevalence of obesity to prevent RCC, in addition to other chronic diseases.

Original languageEnglish
Pages (from-to)728-738
Number of pages11
JournalInternational Journal of Cancer
Volume118
Issue number3
DOIs
Publication statusPublished - Mar 1 2006

Keywords

  • Anthropometry
  • Cohort study
  • Epidemiology
  • Kidney cancer
  • Obesity

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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  • Cite this

    Pischon, T., Lahmann, P. H., Boeing, H., Tjønneland, A., Halkjær, J., Overvad, K., Klipstein-Grobusch, K., Linseisen, J., Becker, N., Trichopoulou, A., Benetou, V., Trichopoulos, D., Sieri, S., Palli, D., Tumino, R., Vineis, P., Panico, S., Monninkhof, E., Peeters, P. H. M., ... Riboli, E. (2006). Body size and risk of renal cell carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC). International Journal of Cancer, 118(3), 728-738. https://doi.org/10.1002/ijc.21398