Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study

Given the well-established links between diabetes and elevated rates of pancreatic cancer, there are reasons to anticipate that other markers of metabolic abnormality (increased body mass index, plasma cholesterol, and blood pressure) and their correlates (physical activity and socioeconomic status)...

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Main Authors: Batty, G., Kivimaki, M., Morrison, D., Huxley, Rachel, Smith, G., Clarke, R., Marmot, M., Shipley, M.
Format: Journal Article
Published: American Association for Cancer Research Inc 2009
Online Access:http://hdl.handle.net/20.500.11937/22866
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author Batty, G.
Kivimaki, M.
Morrison, D.
Huxley, Rachel
Smith, G.
Clarke, R.
Marmot, M.
Shipley, M.
author_facet Batty, G.
Kivimaki, M.
Morrison, D.
Huxley, Rachel
Smith, G.
Clarke, R.
Marmot, M.
Shipley, M.
author_sort Batty, G.
building Curtin Institutional Repository
collection Online Access
description Given the well-established links between diabetes and elevated rates of pancreatic cancer, there are reasons to anticipate that other markers of metabolic abnormality (increased body mass index, plasma cholesterol, and blood pressure) and their correlates (physical activity and socioeconomic status) may also confer increased risk. However, to date, the results of a series of population-based cohort studies are inconclusive. We examined these associations in the original Whitehall cohort study of 17,898 men. A maximum of 38 years of follow-up gave rise to 163 deaths due to carcinoma of the pancreas. Although Poisson regression analyses confirmed established risk factor-disease associations for increasingage, smoking, and type II diabetes, there was essentially no evidence that body mass index (rate ratio, 1.01; 95% confidence interval per 1 SD increase, 0.86-1.18), plasma cholesterol (0.91; 0.78-1.07), diastolic blood pressure (0.93; 0.78-1.09), systolic blood pressure (0.98; 0.83-1.15), physical activity (sedentary versus high: 1.37; 0.89-2.12), or socioeconomic status [clerical (low) versus professional/executive, 0.95; 0.59-1.51] offered any predictive value for pancreatic cancer mortality. These results were unchanged following control for a range of covariates. Copyright © 2009 American Association for Cancer Research.
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spelling curtin-20.500.11937-228662017-09-13T13:59:01Z Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study Batty, G. Kivimaki, M. Morrison, D. Huxley, Rachel Smith, G. Clarke, R. Marmot, M. Shipley, M. Given the well-established links between diabetes and elevated rates of pancreatic cancer, there are reasons to anticipate that other markers of metabolic abnormality (increased body mass index, plasma cholesterol, and blood pressure) and their correlates (physical activity and socioeconomic status) may also confer increased risk. However, to date, the results of a series of population-based cohort studies are inconclusive. We examined these associations in the original Whitehall cohort study of 17,898 men. A maximum of 38 years of follow-up gave rise to 163 deaths due to carcinoma of the pancreas. Although Poisson regression analyses confirmed established risk factor-disease associations for increasingage, smoking, and type II diabetes, there was essentially no evidence that body mass index (rate ratio, 1.01; 95% confidence interval per 1 SD increase, 0.86-1.18), plasma cholesterol (0.91; 0.78-1.07), diastolic blood pressure (0.93; 0.78-1.09), systolic blood pressure (0.98; 0.83-1.15), physical activity (sedentary versus high: 1.37; 0.89-2.12), or socioeconomic status [clerical (low) versus professional/executive, 0.95; 0.59-1.51] offered any predictive value for pancreatic cancer mortality. These results were unchanged following control for a range of covariates. Copyright © 2009 American Association for Cancer Research. 2009 Journal Article http://hdl.handle.net/20.500.11937/22866 10.1158/1055-9965.EPI-08-1032 American Association for Cancer Research Inc unknown
spellingShingle Batty, G.
Kivimaki, M.
Morrison, D.
Huxley, Rachel
Smith, G.
Clarke, R.
Marmot, M.
Shipley, M.
Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study
title Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study
title_full Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study
title_fullStr Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study
title_full_unstemmed Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study
title_short Risk factors for pancreatic cancer mortality: Extended follow-up of the original whitehall study
title_sort risk factors for pancreatic cancer mortality: extended follow-up of the original whitehall study
url http://hdl.handle.net/20.500.11937/22866