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Published in: BMC Cancer 1/2006

Open Access 01-12-2006 | Research article

Anthropometric measures in relation to Basal Cell Carcinoma: a longitudinal study

Authors: Catherine M Olsen, Maria Celia Hughes, Nirmala Pandeya, Adèle C Green

Published in: BMC Cancer | Issue 1/2006

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Abstract

Background

The relationship between anthropometric indices and risk of basal cell carcinoma (BCC) is largely unknown. We aimed to examine the association between anthropometric measures and development of BCC and to demonstrate whether adherence to World Health Organisation guidelines for body mass index, waist circumference, and waist/hip ratio was associated with risk of BCC, independent of sun exposure.

Methods

Study participants were participants in a community-based skin cancer prevention trial in Nambour, a town in southeast Queensland (latitude 26°S). In 1992, height, weight, and waist and hip circumferences were measured for all 1621 participants and weight was remeasured at the end of the trial in 1996. Prevalence proportion ratios were calculated using a log-binomial model to estimate the risk of BCC prior to or prevalent in 1992, while Poisson regression with robust error variances was used to estimate the relative risk of BCC during the follow-up period.

Results

At baseline, 94 participants had a current BCC, and 202 had a history of BCC. During the 5-year follow-up period, 179 participants developed one or more new BCCs. We found no significant association between any of the anthropometric measures or indices and risk of BCC after controlling for potential confounding factors including sun exposure. There was a suggestion that short-term weight gain may increase the risk of developing BCC for women only.

Conclusion

Adherence to World Health Organisation guidelines for body mass index, waist circumference and waist/hip ratio is not significantly associated with occurrence of basal cell carcinomas of the skin.
Literature
1.
go back to reference Sahl WJ, Glore S, Garrison P, Oakleaf K, Johnson SD: Basal cell carcinoma and lifestyle characteristics. Int J Dermatol. 1995, 34 (6): 398-402.CrossRefPubMed Sahl WJ, Glore S, Garrison P, Oakleaf K, Johnson SD: Basal cell carcinoma and lifestyle characteristics. Int J Dermatol. 1995, 34 (6): 398-402.CrossRefPubMed
2.
go back to reference Milan T, Verkasalo PK, Kaprio J, Koskenvuo M: Lifestyle differences in twin pairs discordant for basal cell carcinoma of the skin. Br J Dermatol. 2003, 149 (1): 115-123. 10.1046/j.1365-2133.2003.05352.x.CrossRefPubMed Milan T, Verkasalo PK, Kaprio J, Koskenvuo M: Lifestyle differences in twin pairs discordant for basal cell carcinoma of the skin. Br J Dermatol. 2003, 149 (1): 115-123. 10.1046/j.1365-2133.2003.05352.x.CrossRefPubMed
3.
go back to reference Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ: Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med. 2003, 348 (17): 1625-1638. 10.1056/NEJMoa021423.CrossRefPubMed Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ: Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med. 2003, 348 (17): 1625-1638. 10.1056/NEJMoa021423.CrossRefPubMed
4.
go back to reference Hebert PR, Ajani U, Cook NR, Lee IM, Chan KS, Hennekens CH: Adult height and incidence of cancer in male physicians (United States). Cancer Causes Control. 1997, 8 (4): 591-597. 10.1023/A:1018442329319.CrossRefPubMed Hebert PR, Ajani U, Cook NR, Lee IM, Chan KS, Hennekens CH: Adult height and incidence of cancer in male physicians (United States). Cancer Causes Control. 1997, 8 (4): 591-597. 10.1023/A:1018442329319.CrossRefPubMed
5.
go back to reference Albanes D, Jones DY, Schatzkin A, Micozzi MS, Taylor PR: Adult stature and risk of cancer. Cancer Res. 1988, 48 (6): 1658-1662.PubMed Albanes D, Jones DY, Schatzkin A, Micozzi MS, Taylor PR: Adult stature and risk of cancer. Cancer Res. 1988, 48 (6): 1658-1662.PubMed
6.
go back to reference Bianchini F, Kaaks R, Vainio H: Overweight, obesity, and cancer risk. Lancet Oncol. 2002, 3 (9): 565-574. 10.1016/S1470-2045(02)00849-5.CrossRefPubMed Bianchini F, Kaaks R, Vainio H: Overweight, obesity, and cancer risk. Lancet Oncol. 2002, 3 (9): 565-574. 10.1016/S1470-2045(02)00849-5.CrossRefPubMed
7.
go back to reference Albanes D, Winick M: Are cell number and cell proliferation risk factors for cancer?. J Natl Cancer Inst. 1988, 80 (10): 772-774.CrossRefPubMed Albanes D, Winick M: Are cell number and cell proliferation risk factors for cancer?. J Natl Cancer Inst. 1988, 80 (10): 772-774.CrossRefPubMed
8.
go back to reference Ross MH, Bras G: Tumor incidence patterns and nutrition in the rat. J Nutr. 1965, 87 (3): 245-260.PubMed Ross MH, Bras G: Tumor incidence patterns and nutrition in the rat. J Nutr. 1965, 87 (3): 245-260.PubMed
9.
go back to reference Ross MH, Bras G: Lasting influence of early caloric restriction on prevalence of neoplasms in the rat. J Natl Cancer Inst. 1971, 47 (5): 1095-1113.PubMed Ross MH, Bras G: Lasting influence of early caloric restriction on prevalence of neoplasms in the rat. J Natl Cancer Inst. 1971, 47 (5): 1095-1113.PubMed
10.
go back to reference Frankel S, Gunnell DJ, Peters TJ, Maynard M, Davey Smith G: Childhood energy intake and adult mortality from cancer: the Boyd Orr Cohort Study. Bmj. 1998, 316 (7130): 499-504.CrossRefPubMedPubMedCentral Frankel S, Gunnell DJ, Peters TJ, Maynard M, Davey Smith G: Childhood energy intake and adult mortality from cancer: the Boyd Orr Cohort Study. Bmj. 1998, 316 (7130): 499-504.CrossRefPubMedPubMedCentral
11.
go back to reference Juul A, Dalgaard P, Blum WF, Bang P, Hall K, Michaelsen KF, Muller J, Skakkebaek NE: Serum levels of insulin-like growth factor (IGF)-binding protein-3 (IGFBP-3) in healthy infants, children, and adolescents: the relation to IGF-I, IGF-II, IGFBP-1, IGFBP-2, age, sex, body mass index, and pubertal maturation. J Clin Endocrinol Metab. 1995, 80 (8): 2534-2542. 10.1210/jc.80.8.2534.PubMed Juul A, Dalgaard P, Blum WF, Bang P, Hall K, Michaelsen KF, Muller J, Skakkebaek NE: Serum levels of insulin-like growth factor (IGF)-binding protein-3 (IGFBP-3) in healthy infants, children, and adolescents: the relation to IGF-I, IGF-II, IGFBP-1, IGFBP-2, age, sex, body mass index, and pubertal maturation. J Clin Endocrinol Metab. 1995, 80 (8): 2534-2542. 10.1210/jc.80.8.2534.PubMed
12.
go back to reference Henderson BE, Ross RK, Pike MC, Casagrande JT: Endogenous hormones as a major factor in human cancer. Cancer Res. 1982, 42 (8): 3232-3239.PubMed Henderson BE, Ross RK, Pike MC, Casagrande JT: Endogenous hormones as a major factor in human cancer. Cancer Res. 1982, 42 (8): 3232-3239.PubMed
13.
go back to reference Krotkiewski M, Bjorntorp P, Sjostrom L, Smith U: Impact of obesity on metabolism in men and women. Importance of regional adipose tissue distribution. J Clin Invest. 1983, 72 (3): 1150-1162.CrossRefPubMedPubMedCentral Krotkiewski M, Bjorntorp P, Sjostrom L, Smith U: Impact of obesity on metabolism in men and women. Importance of regional adipose tissue distribution. J Clin Invest. 1983, 72 (3): 1150-1162.CrossRefPubMedPubMedCentral
14.
go back to reference Scrimshaw NS, SanGiovanni JP: Synergism of nutrition, infection, and immunity: an overview. Am J Clin Nutr. 1997, 66 (2): 464S-477S.PubMed Scrimshaw NS, SanGiovanni JP: Synergism of nutrition, infection, and immunity: an overview. Am J Clin Nutr. 1997, 66 (2): 464S-477S.PubMed
15.
go back to reference Green A, Battistutta D, Hart V, Leslie D, Marks G, Williams G, Gaffney P, Parsons P, Hirst L, Frost C, et al: The Nambour Skin Cancer and Actinic Eye Disease Prevention Trial: design and baseline characteristics of participants. Control Clin Trials. 1994, 15 (6): 512-522. 10.1016/0197-2456(94)90008-6.CrossRefPubMed Green A, Battistutta D, Hart V, Leslie D, Marks G, Williams G, Gaffney P, Parsons P, Hirst L, Frost C, et al: The Nambour Skin Cancer and Actinic Eye Disease Prevention Trial: design and baseline characteristics of participants. Control Clin Trials. 1994, 15 (6): 512-522. 10.1016/0197-2456(94)90008-6.CrossRefPubMed
16.
go back to reference Green A, Williams G, Neale R, Hart V, Leslie D, Parsons P, Marks GC, Gaffney P, Battistutta D, Frost C, Lang C, Russell A: Daily sunscreen application and betacarotene supplementation in prevention of basal-cell and squamous-cell carcinomas of the skin: a randomised controlled trial. Lancet. 1999, 354 (9180): 723-729. 10.1016/S0140-6736(98)12168-2.CrossRefPubMed Green A, Williams G, Neale R, Hart V, Leslie D, Parsons P, Marks GC, Gaffney P, Battistutta D, Frost C, Lang C, Russell A: Daily sunscreen application and betacarotene supplementation in prevention of basal-cell and squamous-cell carcinomas of the skin: a randomised controlled trial. Lancet. 1999, 354 (9180): 723-729. 10.1016/S0140-6736(98)12168-2.CrossRefPubMed
17.
go back to reference Green A, Beardmore G, Hart V, Leslie D, Marks R, Staines D: Skin cancer in a Queensland population. J Am Acad Dermatol. 1988, 19 (6): 1045-1052.CrossRefPubMed Green A, Beardmore G, Hart V, Leslie D, Marks R, Staines D: Skin cancer in a Queensland population. J Am Acad Dermatol. 1988, 19 (6): 1045-1052.CrossRefPubMed
18.
go back to reference Green A, Battistutta D: Incidence and determinants of skin cancer in a high-risk Australian population. Int J Cancer. 1990, 46 (3): 356-361.CrossRefPubMed Green A, Battistutta D: Incidence and determinants of skin cancer in a high-risk Australian population. Int J Cancer. 1990, 46 (3): 356-361.CrossRefPubMed
19.
go back to reference Green A, Battistutta D, Hart V, Leslie D, Weedon D: Skin cancer in a subtropical Australian population: incidence and lack of association with occupation. The Nambour Study Group. Am J Epidemiol. 1996, 144 (11): 1034-1040.CrossRefPubMed Green A, Battistutta D, Hart V, Leslie D, Weedon D: Skin cancer in a subtropical Australian population: incidence and lack of association with occupation. The Nambour Study Group. Am J Epidemiol. 1996, 144 (11): 1034-1040.CrossRefPubMed
20.
go back to reference Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995, 854: 1-452. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995, 854: 1-452.
21.
go back to reference Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000, 894: i-xii, 1-253. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000, 894: i-xii, 1-253.
22.
go back to reference Han TS, Seidell JC, Currall JE, Morrison CE, Deurenberg P, Lean ME: The influences of height and age on waist circumference as an index of adiposity in adults. Int J Obes Relat Metab Disord. 1997, 21 (1): 83-89. 10.1038/sj.ijo.0800371.CrossRefPubMed Han TS, Seidell JC, Currall JE, Morrison CE, Deurenberg P, Lean ME: The influences of height and age on waist circumference as an index of adiposity in adults. Int J Obes Relat Metab Disord. 1997, 21 (1): 83-89. 10.1038/sj.ijo.0800371.CrossRefPubMed
23.
go back to reference Skov T, Deddens J, Petersen MR, Endahl L: Prevalence proportion ratios: estimation and hypothesis testing. Int J Epidemiol. 1998, 27 (1): 91-95. 10.1093/ije/27.1.91.CrossRefPubMed Skov T, Deddens J, Petersen MR, Endahl L: Prevalence proportion ratios: estimation and hypothesis testing. Int J Epidemiol. 1998, 27 (1): 91-95. 10.1093/ije/27.1.91.CrossRefPubMed
24.
go back to reference Zou G: A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004, 159 (7): 702-706. 10.1093/aje/kwh090.CrossRefPubMed Zou G: A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004, 159 (7): 702-706. 10.1093/aje/kwh090.CrossRefPubMed
25.
go back to reference Greenland S, Rothman KJ: Introduction to stratified analysis. Modern Epidemiology. Edited by: Rothman KJ, Greenland S. 1998, Philadelphia , Lippincott-Raven, 253-281. Greenland S, Rothman KJ: Introduction to stratified analysis. Modern Epidemiology. Edited by: Rothman KJ, Greenland S. 1998, Philadelphia , Lippincott-Raven, 253-281.
26.
go back to reference Valery PC, Neale R, Williams G, Pandeya N, Siller G, Green A: The effect of skin examination surveys on the incidence of basal cell carcinoma in a Queensland community sample: a 10-year longitudinal study. J Investig Dermatol Symp Proc. 2004, 9 (2): 148-151. 10.1046/j.1087-0024.2003.09114.x.CrossRefPubMed Valery PC, Neale R, Williams G, Pandeya N, Siller G, Green A: The effect of skin examination surveys on the incidence of basal cell carcinoma in a Queensland community sample: a 10-year longitudinal study. J Investig Dermatol Symp Proc. 2004, 9 (2): 148-151. 10.1046/j.1087-0024.2003.09114.x.CrossRefPubMed
27.
go back to reference Turturro A, Blank K, Murasko D, Hart R: Mechanisms of caloric restriction affecting aging and disease. Ann N Y Acad Sci. 1994, 719: 159-170.CrossRefPubMed Turturro A, Blank K, Murasko D, Hart R: Mechanisms of caloric restriction affecting aging and disease. Ann N Y Acad Sci. 1994, 719: 159-170.CrossRefPubMed
28.
go back to reference Birt DF, Pelling JC, White LT, Dimitroff K, Barnett T: Influence of diet and calorie restriction on the initiation and promotion of skin carcinogenesis in the SENCAR mouse model. Cancer Res. 1991, 51 (7): 1851-1854.PubMed Birt DF, Pelling JC, White LT, Dimitroff K, Barnett T: Influence of diet and calorie restriction on the initiation and promotion of skin carcinogenesis in the SENCAR mouse model. Cancer Res. 1991, 51 (7): 1851-1854.PubMed
29.
go back to reference Birt DF, Przybyszewski J, Wang W, Stewart J, Liu Y: Identification of molecular targets for dietary energy restriction prevention of skin carcinogenesis: an idea cultivated by Edward Bresnick. J Cell Biochem. 2004, 91 (2): 258-264. 10.1002/jcb.10741.CrossRefPubMed Birt DF, Przybyszewski J, Wang W, Stewart J, Liu Y: Identification of molecular targets for dietary energy restriction prevention of skin carcinogenesis: an idea cultivated by Edward Bresnick. J Cell Biochem. 2004, 91 (2): 258-264. 10.1002/jcb.10741.CrossRefPubMed
30.
go back to reference Patel AV, Rodriguez C, Bernstein L, Chao A, Thun MJ, Calle EE: Obesity, recreational physical activity, and risk of pancreatic cancer in a large u.s. Cohort. Cancer Epidemiol Biomarkers Prev. 2005, 14 (2): 459-466. 10.1158/1055-9965.EPI-04-0583.CrossRefPubMed Patel AV, Rodriguez C, Bernstein L, Chao A, Thun MJ, Calle EE: Obesity, recreational physical activity, and risk of pancreatic cancer in a large u.s. Cohort. Cancer Epidemiol Biomarkers Prev. 2005, 14 (2): 459-466. 10.1158/1055-9965.EPI-04-0583.CrossRefPubMed
31.
go back to reference Ross JA, Parker E, Blair CK, Cerhan JR, Folsom AR: Body mass index and risk of leukemia in older women. Cancer Epidemiol Biomarkers Prev. 2004, 13 (11 Pt 1): 1810-1813.PubMed Ross JA, Parker E, Blair CK, Cerhan JR, Folsom AR: Body mass index and risk of leukemia in older women. Cancer Epidemiol Biomarkers Prev. 2004, 13 (11 Pt 1): 1810-1813.PubMed
32.
go back to reference Murphy TK, Calle EE, Rodriguez C, Kahn HS, Thun MJ: Body mass index and colon cancer mortality in a large prospective study. Am J Epidemiol. 2000, 152 (9): 847-854. 10.1093/aje/152.9.847.CrossRefPubMed Murphy TK, Calle EE, Rodriguez C, Kahn HS, Thun MJ: Body mass index and colon cancer mortality in a large prospective study. Am J Epidemiol. 2000, 152 (9): 847-854. 10.1093/aje/152.9.847.CrossRefPubMed
33.
go back to reference McCullough ML, Giovannucci EL: Diet and cancer prevention. Oncogene. 2004, 23 (38): 6349-6364. 10.1038/sj.onc.1207716.CrossRefPubMed McCullough ML, Giovannucci EL: Diet and cancer prevention. Oncogene. 2004, 23 (38): 6349-6364. 10.1038/sj.onc.1207716.CrossRefPubMed
34.
go back to reference Norton K, Olds T: Morphological evolution of athletes over the 20th century: causes and consequences. Sports Med. 2001, 31 (11): 763-783. 10.2165/00007256-200131110-00001.CrossRefPubMed Norton K, Olds T: Morphological evolution of athletes over the 20th century: causes and consequences. Sports Med. 2001, 31 (11): 763-783. 10.2165/00007256-200131110-00001.CrossRefPubMed
35.
go back to reference Baumgartner RN, Stauber PM, McHugh D, Koehler KM, Garry PJ: Cross-sectional age differences in body composition in persons 60+ years of age. J Gerontol A Biol Sci Med Sci. 1995, 50 (6): M307-16.CrossRefPubMed Baumgartner RN, Stauber PM, McHugh D, Koehler KM, Garry PJ: Cross-sectional age differences in body composition in persons 60+ years of age. J Gerontol A Biol Sci Med Sci. 1995, 50 (6): M307-16.CrossRefPubMed
36.
go back to reference de Groot CP, Perdigao AL, Deurenberg P: Longitudinal changes in anthropometric characteristics of elderly Europeans. SENECA Investigators. Eur J Clin Nutr. 1996, 50 Suppl 2: S9-15.PubMed de Groot CP, Perdigao AL, Deurenberg P: Longitudinal changes in anthropometric characteristics of elderly Europeans. SENECA Investigators. Eur J Clin Nutr. 1996, 50 Suppl 2: S9-15.PubMed
Metadata
Title
Anthropometric measures in relation to Basal Cell Carcinoma: a longitudinal study
Authors
Catherine M Olsen
Maria Celia Hughes
Nirmala Pandeya
Adèle C Green
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2006
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-6-82

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