The metabolic syndrome as a risk factor for colorectal cancer

Objective. To evaluate the prognostic significance of metabolic syndrome (MS) in the development of colorectal cancer (CRC) using various MS criteria in Novosibirsk population. Materials and Methods. The study was designed as nested «case-control». Baseline population cohort (936...

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Main Authors: Tatiana M. Nikitenko, Lilia V. Shcherbakova, Sofia K. Malyutina, Svetlana V. Mustafina, Eugene G. Verevkin, Yuliya I. Ragino, Vladimir E. Voytsitsky, Anna V. Pyatibratova, Oksana D. Rymar
Format: Article
Language:English
Published: Endocrinology Research Centre 2017-09-01
Series:Ожирение и метаболизм
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Online Access:https://www.omet-endojournals.ru/jour/article/view/8178
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author Tatiana M. Nikitenko
Lilia V. Shcherbakova
Sofia K. Malyutina
Svetlana V. Mustafina
Eugene G. Verevkin
Yuliya I. Ragino
Vladimir E. Voytsitsky
Anna V. Pyatibratova
Oksana D. Rymar
author_facet Tatiana M. Nikitenko
Lilia V. Shcherbakova
Sofia K. Malyutina
Svetlana V. Mustafina
Eugene G. Verevkin
Yuliya I. Ragino
Vladimir E. Voytsitsky
Anna V. Pyatibratova
Oksana D. Rymar
author_sort Tatiana M. Nikitenko
collection DOAJ
description Objective. To evaluate the prognostic significance of metabolic syndrome (MS) in the development of colorectal cancer (CRC) using various MS criteria in Novosibirsk population. Materials and Methods. The study was designed as nested «case-control». Baseline population cohort (9360 men, women aged 45–69) was examined in the HAPIEE project and followed-up during 11 years. The “cases” included all subjects, who had CRC during 11-year follow-up according to the Register of Cancer (n=99, M-52, M-47). The matched control group (2/1) was selected from HAPIEE cohort (n=198, m-104, w-94). The prospective study of CRC was supported by RSF. MS criteria were determined in accordance to VNOK (2009), IDF (2005), NCEP ATP III (2001). Statistical package SPSS v.11.0 was used. Logistic regression was used to estimate the association between MS and risk of CRC. Results. Women with glucose levels ≥6.1 mmol/l had 3 times higher 11-year risk of CRC then those with glucose <6.1 mmol/l (OR=3.11; 95%CI:1.23–7.87, VNOK, 2009; OR=3.20; 95%CI:1.27–8.08, NCEP ATP III, 2001). Blood pressure (BP) ≥130/85 mmHg was associated with decreased risk of CRC in women and in both sexes, but the relationship became insignificant after controlling for antihypertensive treatment. Other components of the MS were not significantly associated with CRC risk. Conclusions. In studied sample the 11-year risk of developing CRC was significantly increased in women with elevated glucose levels. The negative relationship between elevated BP and the risk of CRC in women and both sexes became insignificant when adjusted for antihypertensive treatment; this finding requires further exploration.
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spelling doaj.art-45286815667f424dac1fc7ec7cc3aaf92024-04-16T16:16:10ZengEndocrinology Research CentreОжирение и метаболизм2071-87132306-55242017-09-01142243210.14341/omet2017224-327602The metabolic syndrome as a risk factor for colorectal cancerTatiana M. Nikitenko0Lilia V. Shcherbakova1Sofia K. Malyutina2Svetlana V. Mustafina3Eugene G. Verevkin4Yuliya I. Ragino5Vladimir E. Voytsitsky6Anna V. Pyatibratova7Oksana D. Rymar8<p>&lsquo;&lsquo;Institution of Internal and Preventive Medicine&rdquo;</p><p>&lsquo;&lsquo;Institution of Internal and Preventive Medicine&rdquo;</p><p>&lsquo;&lsquo;Institution of Internal and Preventive Medicine&rdquo;</p><p>&lsquo;&lsquo;Institution of Internal and Preventive Medicine&rdquo;</p><p>&laquo;Institution of Internal and Preventive Medicine&raquo;; The Institute of Molecular Biology and Biophysics</p><p>&laquo;Institution of Internal and Preventive Medicine&raquo;</p><p>&laquo;Novosibirsk Regional Clinical Oncology Center&raquo;</p><p>&laquo;Novosibirsk Regional Clinical Oncology Center&raquo;</p><p>&laquo;Institution of Internal and Preventive Medicine&raquo;</p>Objective. To evaluate the prognostic significance of metabolic syndrome (MS) in the development of colorectal cancer (CRC) using various MS criteria in Novosibirsk population. Materials and Methods. The study was designed as nested &laquo;case-control&raquo;. Baseline population cohort (9360 men, women aged 45&ndash;69) was examined in the HAPIEE project and followed-up during 11 years. The &ldquo;cases&rdquo; included all subjects, who had CRC during 11-year follow-up according to the Register of Cancer (n=99, M-52, M-47). The matched control group (2/1) was selected from HAPIEE cohort (n=198, m-104, w-94). The prospective study of CRC was supported by RSF. MS criteria were determined in accordance to VNOK (2009), IDF (2005), NCEP ATP III (2001). Statistical package SPSS v.11.0 was used. Logistic regression was used to estimate the association between MS and risk of CRC. Results. Women with glucose levels &ge;6.1 mmol/l had 3 times higher 11-year risk of CRC then those with glucose &lt;6.1 mmol/l (OR=3.11; 95%CI:1.23&ndash;7.87, VNOK, 2009; OR=3.20; 95%CI:1.27&ndash;8.08, NCEP ATP III, 2001). Blood pressure (BP) &ge;130/85 mmHg was associated with decreased risk of CRC in women and in both sexes, but the relationship became insignificant after controlling for antihypertensive treatment. Other components of the MS were not significantly associated with CRC risk. Conclusions. In studied sample the 11-year risk of developing CRC was significantly increased in women with elevated glucose levels. The negative relationship between elevated BP and the risk of CRC in women and both sexes became insignificant when adjusted for antihypertensive treatment; this finding requires further exploration.https://www.omet-endojournals.ru/jour/article/view/8178metabolic syndromecolorectal cancerthe components of the metabolic syndromecolon and rectum cancer
spellingShingle Tatiana M. Nikitenko
Lilia V. Shcherbakova
Sofia K. Malyutina
Svetlana V. Mustafina
Eugene G. Verevkin
Yuliya I. Ragino
Vladimir E. Voytsitsky
Anna V. Pyatibratova
Oksana D. Rymar
The metabolic syndrome as a risk factor for colorectal cancer
Ожирение и метаболизм
metabolic syndrome
colorectal cancer
the components of the metabolic syndrome
colon and rectum cancer
title The metabolic syndrome as a risk factor for colorectal cancer
title_full The metabolic syndrome as a risk factor for colorectal cancer
title_fullStr The metabolic syndrome as a risk factor for colorectal cancer
title_full_unstemmed The metabolic syndrome as a risk factor for colorectal cancer
title_short The metabolic syndrome as a risk factor for colorectal cancer
title_sort metabolic syndrome as a risk factor for colorectal cancer
topic metabolic syndrome
colorectal cancer
the components of the metabolic syndrome
colon and rectum cancer
url https://www.omet-endojournals.ru/jour/article/view/8178
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