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1. Tobacco use, body mass index, and the risk of leukemia and multiple myeloma: a nationwide cohort study in Sweden

Author

Fernberg, P, Odenbro, A, Bellocco, R, Beffetta, P, Pawitan, Y, Zendehdel, K, Adami, J, Adami, J., BELLOCCO, RINO, Fernberg, P, Odenbro, A, Bellocco, R, Beffetta, P, Pawitan, Y, Zendehdel, K, Adami, J, Adami, J., and BELLOCCO, RINO

Abstract

In a prospective cohort study of more than 330,000 Swedish construction workers, we explored the effect of tobacco smoking, oral moist snuff use, and body mass index (BMI) on the risk of developing leukemia (excluding chronic lymphocytic leukemia) and multiple myeloma (MM). Study subjects were participants of a health surveillance system within the building industry. Record linkage to the nationwide Swedish cancer registry, migration registry, and cause of death registry made a comprehensive follow-up available. A total of 372 incident cases of leukemia and 520 subjects with MM was ascertained. An increase in risk of acute myelogenous leukemia (AML) was observed in current smokers (incidence rate ratio, 1.50; 95% confidence interval, 1.06-2.11). Furthermore, there was an indication of a possible association between smoking intensity and risk of acute lymphocytic leukemia. Results on snuff use as well as BMI showed no association. This study confirms the role of smoking as a risk factor for AML and gives no support to the hypothesis of a role of snuff use or BMI level on the risk of leukemia or MM.

Published
2007

2. Tobacco use, body mass index, and the risk of leukemia and multiple myeloma: a nationwide cohort study in Sweden

Author

Johanna Adami, Rino Bellocco, Paolo Boffetta, Yudi Pawitan, Kazem Zendehdel, Pia Fernberg, Asa Odenbro, Fernberg, P., Odenbro, Å., Bellocco, R., Boffetta, P., Pawitan, Y., Zendehdel, K., Adami, J., Fernberg, P, Odenbro, A, Bellocco, R, Beffetta, P, Pawitan, Y, Zendehdel, K, and Adami, J

Subjects
Adult, Male, Cancer Research, medicine.medical_specialty, Tobacco, Smokeless, Adolescent, Rate ratio, Body Mass Index, Cohort Studies, Risk Factors, hemic and lymphatic diseases, Internal medicine, Acute lymphocytic leukemia, Medicine, Humans, Snuff, Prospective Studies, Registries, Risk factor, Prospective cohort study, Tobacco use body mass index risk leukemia multiple myeloma nationwide cohort study Sweden, Aged, Aged, 80 and over, Sweden, Leukemia, business.industry, Smoking, Cohort Study, smoking, leukemia, Middle Aged, medicine.disease, Surgery, Cancer registry, Oncology, Female, business, Multiple Myeloma, Body mass index, Cohort study
Abstract

In a prospective cohort study of more than 330,000 Swedish construction workers, we explored the effect of tobacco smoking, oral moist snuff use, and body mass index (BMI) on the risk of developing leukemia (excluding chronic lymphocytic leukemia) and multiple myeloma (MM). Study subjects were participants of a health surveillance system within the building industry. Record linkage to the nationwide Swedish cancer registry, migration registry, and cause of death registry made a comprehensive follow-up available. A total of 372 incident cases of leukemia and 520 subjects with MM was ascertained. An increase in risk of acute myelogenous leukemia (AML) was observed in current smokers (incidence rate ratio, 1.50; 95% confidence interval, 1.06–2.11). Furthermore, there was an indication of a possible association between smoking intensity and risk of acute lymphocytic leukemia. Results on snuff use as well as BMI showed no association. This study confirms the role of smoking as a risk factor for AML and gives no support to the hypothesis of a role of snuff use or BMI level on the risk of leukemia or MM. [Cancer Res 2007;67(12):5983–6]

Published
2007

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