Body size in relation to cancer of the uterine corpus in 1 million Norwegian women

Authors

  • Tone Bjørge,

    Corresponding author
    1. Department of Public Health and Primary Health Care, Section for Epidemiology and Medical Statistics, University of Bergen, N-5018 Bergen, Norway
    2. Division of Epidemiology, Norwegian Institute of Public Health, N-5018 Bergen/N-0403 Oslo, Norway
    • Department of Public Health and Primary Health Care, Section for Epidemiology and Medical Statistics, University of Bergen, N-5018 Bergen, Norway
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    • Fax: +47-55-58-61-30.

  • Anders Engeland,

    1. Department of Public Health and Primary Health Care, Section for Epidemiology and Medical Statistics, University of Bergen, N-5018 Bergen, Norway
    2. Division of Epidemiology, Norwegian Institute of Public Health, N-5018 Bergen/N-0403 Oslo, Norway
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  • Steinar Tretli,

    1. The Cancer Registry of Norway, Institute of Population-Based Cancer Research, Montebello, N-0310 Oslo, Norway
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  • Elisabete Weiderpass

    1. The Cancer Registry of Norway, Institute of Population-Based Cancer Research, Montebello, N-0310 Oslo, Norway
    2. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, SE-171 77 Stockholm, Sweden
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Abstract

A positive association between overweight/obesity and endometrial cancer has been observed. It has been hypothesized that obesity is mostly associated with a subtype described as estrogen-dependent (Type I tumors), constituting about 80% of the endometrial tumors. Few epidemiologic studies have, however, analyzed different histological subtypes separately. The present study aimed at exploring the relations between body size and histological subtypes of cancer of the uterine corpus. Height and weight were measured in over 1 million Norwegian women aged 20–74 during 1963–2001. During follow-up, 9,227 cancers of the uterine corpus were diagnosed. The tumors were classified as Type I tumors (mostly endometrial adenocarcinomas with subgroups), Type II tumors (papillary, serous, and clear cell adenocarcinomas and some poorly differentiated carcinomas), sarcomas, and mixed tumors. Relative risks (RRs) of cancer of the uterine corpus were estimated using Cox proportional hazards regression. Compared with women with normal BMI, overweight and obese women had an overall RR of cancer of the uterine corpus of 1.36 (95% CI: 1.29–1.42) and 2.51 (95% CI: 2.83–2.66). The increase in risk was most pronounced for Type I tumors, but was also seen for Type II tumors, sarcomas and mixed tumors. The overall RR of corpus uteri cancer associated with a 10-cm increase in height was 1.09 (95% CI: 1.05–1.13), and was mostly observed for Type I tumors. © 2006 Wiley-Liss, Inc.

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