© 1998 by Oxford University Press
Journal Of The National Cancer Institute, Vol 90, 150-155, Copyright © 1998 by Oxford University Press
WH Chow, WJ Blot, TL Vaughan, HA Risch, MD Gammon, JL Stanford, R Dubrow, JB Schoenberg, ST Mayne, DC Farrow, H Ahsan, AB West, H Rotterdam, S Niwa and JF Fraumeni Jr
BACKGROUND: Incidence rates have risen rapidly for esophageal
adenocarcinoma and moderately for gastric cardia adenocarcinoma, while
rates have remained stable for esophageal squamous cell carcinoma and have
declined steadily for noncardia gastric adenocarcinoma. We examined
anthropometric risk factors in a population-based case-control study of
esophageal and gastric cancers in Connecticut, New Jersey, and western
Washington. METHODS: Healthy control subjects (n = 695) and case patients
with esophageal squamous cell carcinoma or noncardia gastric adenocarcinoma
(n = 589) were frequency-matched to case patients with adenocarcinomas of
esophagus or gastric cardia (n = 554) by 5-year age groups, sex, and race
(New Jersey only). Classification of cases by tumor site of origin and
histology was determined by review of pathology materials and hospital
records. Data were collected using in-person structured interviews.
Associations with obesity, measured by body mass index (BMI), were
estimated by odds ratios (ORs). All ORs were adjusted for geographic
location, age, sex, race, cigarette smoking, and proxy response status.
RESULTS: The ORs for esophageal adenocarcinoma rose with increasing adult
BMI. The magnitude of association with BMI was greater among the younger
age groups and among nonsmokers. The ORs for gastric cardia adenocarcinoma
rose moderately with increasing BMI. Adult BMI was not associated with risk
of esophageal squamous cell carcinoma or noncardia gastric adenocarcinoma.
CONCLUSIONS: Increasing prevalence of obesity in the United States
population may have contributed to the upward trends in esophageal and
gastric cardia adenocarcinomas.
ARTICLES
Body mass index and risk of adenocarcinomas of the esophagus and gastric cardia
Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD 20892, USA.
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