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Circulating Leptin and Risk of Pancreatic Cancer: A Pooled Analysis From 3 Cohorts.
- Source :
-
American journal of epidemiology [Am J Epidemiol] 2015 Aug 01; Vol. 182 (3), pp. 187-97. Date of Electronic Publication: 2015 Jun 17. - Publication Year :
- 2015
-
Abstract
- Adiposity is associated with pancreatic cancer; however, the underlying mechanism(s) is uncertain. Leptin is an adipokine involved in metabolic regulation, and obese individuals have higher concentrations. We conducted a pooled, nested case-control study of cohort participants from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial, the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study, and the Cancer Prevention Study II Nutrition Cohort to investigate whether prediagnostic serum leptin was associated with pancreatic cancer. A total of 731 pancreatic adenocarcinoma cases that occurred between 1986 and 2010 were included (maximum follow-up, 23 years). Incidence density-selected controls (n = 909) were matched to cases by cohort, age, sex, race, and blood draw date. Conditional logistic regression was used to calculate odds ratios and 95% confidence intervals. Sex-specific quintiles were based on the distribution of the controls. Overall, serum leptin was not associated with pancreatic cancer (quintile 5 vs. quintile 1: odds ratio = 1.13, 95% confidence interval: 0.75, 1.71; Ptrend = 0.38). There was a significant interaction by follow-up time (P = 0.003), such that elevated risk was apparent only during follow-up of more than 10 years after blood draw (quintile 5 vs. quintile 1: odds ratio = 2.55, 95% confidence interval: 1.23, 5.27; Ptrend = 0.004). Our results support an association between increasing leptin concentration and pancreatic cancer; however, long follow-up is necessary to observe the relationship. Subclinical disease may explain the lack of association during early follow-up.<br /> (Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2015. This work is written by (a) US Government employee(s) and is in the public domain in the US.)
- Subjects :
- Aged
Case-Control Studies
Cohort Studies
Early Detection of Cancer
Female
Follow-Up Studies
Humans
Incidence
Insulin Resistance
Logistic Models
Male
Middle Aged
Odds Ratio
Pancreatic Neoplasms diagnosis
Risk Assessment
Risk Factors
United States epidemiology
Biomarkers, Tumor blood
Leptin blood
Pancreatic Neoplasms blood
Pancreatic Neoplasms epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1476-6256
- Volume :
- 182
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 26085045
- Full Text :
- https://doi.org/10.1093/aje/kwv041