Document Type

Article

Subject Area(s)

Public Health

Abstract

We tested the hypothesis that risk of early mortality from cancers of the digestive system will be greater in men with, compared to men without, the metabolic syndrome (MetS). Participants were 33,230 men who were seen at the Cooper Clinic in Dallas, Texas and followed for 14.4 (SD=7.0) yrs. MetS was defined as having at least three of the following risk factors: abdominal obesity, fasting hypertriglyceridemia, low high-density lipoprotein cholesterol, high blood pressure, or high fasting glucose level or diabetes. MetS was associated with higher mortality (HR=1.90 [95% Confidence Interval=1.42-2.55]), and there was a graded positive association for the addition of more syndrome components (p<0.01). Adjustment for cardiorespiratory fitness attenuated the risk estimates by 20 to 30%, but they remained significant following this adjustment. Evaluation of the independent contribution of each of the syndrome components revealed that both abdominal obesity (HR=1.89 [1.36-2.62]) and high glucose (HR=1.38 [1.02-1.87]) were independently associated with cancer morality. Our results support the hypothesis that MetS is positively associated with mortality from cancers of the digestive system. Interventions which reduce abnormalities associated with the syndrome could reduce risk of premature death from these cancers.

Rights

Matthews, C.E., Sui, X., LaMonte, M.J., Adams, S.A., Hébert, J.R., & Blair, S.N. (2010). Metabolic syndrome and risk of death from cancers of the digestive system. Metabolism, 59(8), 1231-1239.

DOI: 10.1016/j.metabol.2009.11.019

NOTICE: This is the author's version of a work that was accepted for publication in Metabolism. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in Metabolism, [Volume #59, Issue #8, (2010)] DOI: 10.1016/j.metabol.2009.11.019

© Metabolism, 2010, Elsevier

http://www.sciencedirect.com/science/article/pii/S0026049509005022

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