代谢综合征与大多数癌症的发病率有关。

IF 1.4 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Heart and Vessels Pub Date : 2024-10-09 DOI:10.1007/s00380-024-02474-7
Naoki Kimoto, Yohei Miyashita, Yutaka Yata, Takeshi Aketa, Masami Yabumoto, Yasushi Sakata, Takashi Washio, Seiji Takashima, Masafumi Kitakaze
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引用次数: 0

摘要

由于全球有许多人死于癌症或心血管疾病,因此找到引发心血管疾病和癌症的临床隐患非常重要。由于代谢综合征(MetS)在很大程度上与心血管疾病有关,我们开始考虑代谢综合征,即使是在其早期状态,也可能会导致癌症的发生。事实上,我们的大型医疗数据库已经证明了代谢综合征在导致胰腺癌方面的重要性。我们分析了 2005 年的日本医疗保健和临床数据,对这些人进行了跟踪调查,直至 2020 年,并研究了主要癌症的发病率。在登记时,我们根据日本标准或 NCEP/ATPIII 判断是否存在 MetS。在 270 万名无数据缺失的受试者中,分别有 102,930 人、200,231 人、237,420 人、63,435 人、76,172 人和 2,422 人在随访期间罹患肺癌、胃癌、结肠癌、肝癌和前列腺癌以及骨髓性白血病。根据日本标准定义的 MetS 增加(p
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Metabolic syndrome is linked to most cancers incidence.

Since many people die of either cancers or cardiovascular diseases worldwide, it is important to find the clinical pitfall that provokes cardiovascular diseases and cancer overall. Since metabolic syndrome (MetS) is largely linked to cardiovascular diseases, we have come to consider that MetS, even in its early state, may prime the occurrence of cancers overall. Indeed, the importance of MetS in causing pancreatic cancer has been proved using our large medical database. We analyzed Japanese healthcare and clinical data in 2005, who were followed up until 2020 and we examined the incidence of major cancers. At the enrollment, we examined the presence or absence of MetS judged by either Japanese criteria or NCEP/ATPIII. Of 2.7 million subjects without missing data, 102,930; 200,231; 237,420; 63,435; 76,172; and 2,422 subjects suffered lung, stomach, colon, liver and prostate cancer, respectively, and myelogenous leukemia during follow-up. MetS, defined by Japanese criteria, increased (p < 0.005 each) the incidence of cancer with a hazard ratio (HR) of 1.03-1.47 for lung, stomach, colon, liver, prostate cancers, and myelogenous leukemia. According to Japanese criteria, cancer incidence in the pre-stage MetS group was comparable to the MetS group. The results were almost identical when we defined MetS using NCEP ATP III. Taken together, we conclude that MetS is linked to majority of cancers.

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来源期刊
Heart and Vessels
Heart and Vessels 医学-外周血管病
CiteScore
3.10
自引率
13.30%
发文量
211
审稿时长
2 months
期刊介绍: Heart and Vessels is an English-language journal that provides a forum of original ideas, excellent methods, and fascinating techniques on cardiovascular disease fields. All papers submitted for publication are evaluated only with regard to scientific quality and relevance to the heart and vessels. Contributions from those engaged in practical medicine, as well as from those involved in basic research, are welcomed.
期刊最新文献
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