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Longitudinal trajectories of lifetime body shape and prostate cancer angiogenesis

Wang, Qiao-Li LU orcid ; Song, Mingyang ; Clinton, Steven K ; Mucci, Lorelei A ; Lagergren, Jesper and Giovannucci, Edward L (2022) In European Journal of Epidemiology 37(3). p.261-270
Abstract

Angiogenesis potentially underlies the pathway between excess adiposity and prostate carcinogenesis. This study examined the association between lifetime body shape trajectories and prostate cancer angiogenesis. 521 prostate cancer patients who underwent prostatectomy or transurethral resection between 1986 and 2000 were enrolled from the Health Professionals Follow-up Study. Cancers were immunostained and quantitated for cancer vessel regularity, diameter, area, and density, and composite angiogenesis (factor analysis). To identify distinct groups of body shape change, we conducted group-based trajectory modeling. We used multivariable linear regression to estimate the percentage difference in angiogenesis score and 95% confidence... (More)

Angiogenesis potentially underlies the pathway between excess adiposity and prostate carcinogenesis. This study examined the association between lifetime body shape trajectories and prostate cancer angiogenesis. 521 prostate cancer patients who underwent prostatectomy or transurethral resection between 1986 and 2000 were enrolled from the Health Professionals Follow-up Study. Cancers were immunostained and quantitated for cancer vessel regularity, diameter, area, and density, and composite angiogenesis (factor analysis). To identify distinct groups of body shape change, we conducted group-based trajectory modeling. We used multivariable linear regression to estimate the percentage difference in angiogenesis score and 95% confidence interval (CI) between body shape change trajectories during lifetime (age 5-60 years), early life (age 5-30 years), or later life (age 30-60 years). Compared to men with lifetime lean or medium body shape, higher angiogenesis scores were observed in men with moderate increase [percentage difference of 35% (95% CI 5-64)], marked increase [24% (95% CI - 2 to 51)], and constantly heavy with mild increase body shape [38% (95% CI 8-69)]. However, a lower angiogenesis score was noted in men with early-life marked increase (- 22%, 95% CI - 44 to 0) and stable medium body shape (- 14%, 95% CI - 40 to 12), compared to moderate increase body shape. Increased angiogenesis was also found for absolute weight gain from age 21-60 years. Lifetime body fatness accumulation, especially after age 21, was associated with increased prostate cancer angiogenesis, while weight gain in early-life adulthood was associated with lower cancer angiogenesis.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Adolescent, Adult, Body Mass Index, Child, Child, Preschool, Follow-Up Studies, Humans, Male, Middle Aged, Prostate, Prostatic Neoplasms, Risk Factors, Somatotypes, Weight Gain, Young Adult
in
European Journal of Epidemiology
volume
37
issue
3
pages
261 - 270
publisher
Springer
external identifiers
  • scopus:85123110675
  • pmid:35025021
ISSN
1573-7284
DOI
10.1007/s10654-021-00838-1
language
English
LU publication?
no
additional info
© 2022. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.
id
4e54c144-2a64-4ea7-a5ed-95dc18cc0597
date added to LUP
2025-05-12 17:03:11
date last changed
2025-07-08 09:51:31
@article{4e54c144-2a64-4ea7-a5ed-95dc18cc0597,
  abstract     = {{<p>Angiogenesis potentially underlies the pathway between excess adiposity and prostate carcinogenesis. This study examined the association between lifetime body shape trajectories and prostate cancer angiogenesis. 521 prostate cancer patients who underwent prostatectomy or transurethral resection between 1986 and 2000 were enrolled from the Health Professionals Follow-up Study. Cancers were immunostained and quantitated for cancer vessel regularity, diameter, area, and density, and composite angiogenesis (factor analysis). To identify distinct groups of body shape change, we conducted group-based trajectory modeling. We used multivariable linear regression to estimate the percentage difference in angiogenesis score and 95% confidence interval (CI) between body shape change trajectories during lifetime (age 5-60 years), early life (age 5-30 years), or later life (age 30-60 years). Compared to men with lifetime lean or medium body shape, higher angiogenesis scores were observed in men with moderate increase [percentage difference of 35% (95% CI 5-64)], marked increase [24% (95% CI - 2 to 51)], and constantly heavy with mild increase body shape [38% (95% CI 8-69)]. However, a lower angiogenesis score was noted in men with early-life marked increase (- 22%, 95% CI - 44 to 0) and stable medium body shape (- 14%, 95% CI - 40 to 12), compared to moderate increase body shape. Increased angiogenesis was also found for absolute weight gain from age 21-60 years. Lifetime body fatness accumulation, especially after age 21, was associated with increased prostate cancer angiogenesis, while weight gain in early-life adulthood was associated with lower cancer angiogenesis.</p>}},
  author       = {{Wang, Qiao-Li and Song, Mingyang and Clinton, Steven K and Mucci, Lorelei A and Lagergren, Jesper and Giovannucci, Edward L}},
  issn         = {{1573-7284}},
  keywords     = {{Adolescent; Adult; Body Mass Index; Child; Child, Preschool; Follow-Up Studies; Humans; Male; Middle Aged; Prostate; Prostatic Neoplasms; Risk Factors; Somatotypes; Weight Gain; Young Adult}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{261--270}},
  publisher    = {{Springer}},
  series       = {{European Journal of Epidemiology}},
  title        = {{Longitudinal trajectories of lifetime body shape and prostate cancer angiogenesis}},
  url          = {{http://dx.doi.org/10.1007/s10654-021-00838-1}},
  doi          = {{10.1007/s10654-021-00838-1}},
  volume       = {{37}},
  year         = {{2022}},
}