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Body composition measurements and risk of hematological malignancies : A population-based cohort study during 20 years of followup

Hagström, Hannes ; Andreasson, Anna ; Carlsson, Axel C. ; Jerkeman, Mats LU and Carlsten, Mattias (2018) In PLoS ONE 13(8).
Abstract

High body mass index (BMI) is associated with development of hematological malignancies (HMs). However, although BMI is a well-established measurement of excess weight, it does not fully reflect body composition and can sometimes misclassify individuals. This study aimed at investigating what body composition measurements had highest association with development of HM. Body composition measurements on 27,557 individuals recorded by healthcare professionals as part of the Malmö Diet and Cancer study conducted in Sweden between 1991–1996 were matched with data from national registers on cancer incidence and causes of death. Cox regression models adjusted for age and sex were used to test the association between one standard deviation... (More)

High body mass index (BMI) is associated with development of hematological malignancies (HMs). However, although BMI is a well-established measurement of excess weight, it does not fully reflect body composition and can sometimes misclassify individuals. This study aimed at investigating what body composition measurements had highest association with development of HM. Body composition measurements on 27,557 individuals recorded by healthcare professionals as part of the Malmö Diet and Cancer study conducted in Sweden between 1991–1996 were matched with data from national registers on cancer incidence and causes of death. Cox regression models adjusted for age and sex were used to test the association between one standard deviation increments in body composition measurements and risk of HM. During a median follow-up of 20 years, 564 persons developed an HM. Several body composition measurements were associated with risk of developing an HM, but the strongest association was found for multiple myeloma (MM). Waist circumference (HR 1.31, p = 0.04) and waist-hip ratio (HR 1.61, p = 0.05) had higher risk estimates than BMI (HR 1.18, p = 0.07) for MM. In conclusion, our study shows that measurements of abdominal adiposity better predict the risk of developing HM, particularly MM, compared to BMI.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
PLoS ONE
volume
13
issue
8
article number
e0202651
publisher
Public Library of Science (PLoS)
external identifiers
  • pmid:30138405
  • scopus:85052156659
ISSN
1932-6203
DOI
10.1371/journal.pone.0202651
language
English
LU publication?
yes
id
71b201c9-2413-4cfa-a0d6-c785f9a1cd66
date added to LUP
2018-09-27 09:20:51
date last changed
2024-04-01 11:02:05
@article{71b201c9-2413-4cfa-a0d6-c785f9a1cd66,
  abstract     = {{<p>High body mass index (BMI) is associated with development of hematological malignancies (HMs). However, although BMI is a well-established measurement of excess weight, it does not fully reflect body composition and can sometimes misclassify individuals. This study aimed at investigating what body composition measurements had highest association with development of HM. Body composition measurements on 27,557 individuals recorded by healthcare professionals as part of the Malmö Diet and Cancer study conducted in Sweden between 1991–1996 were matched with data from national registers on cancer incidence and causes of death. Cox regression models adjusted for age and sex were used to test the association between one standard deviation increments in body composition measurements and risk of HM. During a median follow-up of 20 years, 564 persons developed an HM. Several body composition measurements were associated with risk of developing an HM, but the strongest association was found for multiple myeloma (MM). Waist circumference (HR 1.31, p = 0.04) and waist-hip ratio (HR 1.61, p = 0.05) had higher risk estimates than BMI (HR 1.18, p = 0.07) for MM. In conclusion, our study shows that measurements of abdominal adiposity better predict the risk of developing HM, particularly MM, compared to BMI.</p>}},
  author       = {{Hagström, Hannes and Andreasson, Anna and Carlsson, Axel C. and Jerkeman, Mats and Carlsten, Mattias}},
  issn         = {{1932-6203}},
  language     = {{eng}},
  month        = {{08}},
  number       = {{8}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS ONE}},
  title        = {{Body composition measurements and risk of hematological malignancies : A population-based cohort study during 20 years of followup}},
  url          = {{http://dx.doi.org/10.1371/journal.pone.0202651}},
  doi          = {{10.1371/journal.pone.0202651}},
  volume       = {{13}},
  year         = {{2018}},
}