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Published in: Archives of Gynecology and Obstetrics 5/2011

01-11-2011 | Gynecologic Oncology

Metabolic syndrome is an independent risk factor for breast cancer

Authors: Lakymê Ângelo Mangueira Porto, Karla Jamille Bezerra Lora, Juliana Coutinho Miranda Soares, Laura Olinda Bregieiro Fernandes Costa

Published in: Archives of Gynecology and Obstetrics | Issue 5/2011

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Abstract

Objective

This study was aimed to assess the prevalence of metabolic syndrome in patients with breast cancer and the independent effect of metabolic syndrome on breast cancer risk.

Methods

Eighty-one women aged 40–80 years with breast cancer and 81 controls of similar age were screened for metabolic syndrome prevalence and breast cancer risk factors, including age at diagnosis, age at menarche, reproductive status, live births, breastfeeding, family history of breast cancer, physical activity, cigarette smoking, body mass index, and metabolic syndrome parameters. Each variable was first assessed for baseline comparisons using the univariate model, and significant variables were then added to the multivariate conditional logistic regression model.

Results

Prevalence of metabolic syndrome was 59.2% in breast cancer patients, and 37% in the control group (p < 0.005). A positive and independent association was observed between metabolic syndrome and breast cancer risk (odds ratio = 2.49; 95% confidence interval 1.17–5.30).

Conclusion

Metabolic syndrome is more prevalent in breast cancer patients and is an independent risk factor for breast cancer.
Literature
1.
go back to reference Jemal A, Murray T, Ward E, Samuels A, Tiwari RC, Ghafoor A et al (2005) Cancer statistics, 2005. CA Cancer J Clin 55(1):10–30PubMedCrossRef Jemal A, Murray T, Ward E, Samuels A, Tiwari RC, Ghafoor A et al (2005) Cancer statistics, 2005. CA Cancer J Clin 55(1):10–30PubMedCrossRef
2.
go back to reference Cust AE, Stocks T, Lukanova A, Lundin E, Hallmans G, Kaaks R et al (2009) The influence of overweight and insulin resistance on breast cancer risk and tumour stage at diagnosis: a prospective study. Breast Cancer Res Treat 113(3):567–576PubMedCrossRef Cust AE, Stocks T, Lukanova A, Lundin E, Hallmans G, Kaaks R et al (2009) The influence of overweight and insulin resistance on breast cancer risk and tumour stage at diagnosis: a prospective study. Breast Cancer Res Treat 113(3):567–576PubMedCrossRef
3.
go back to reference Rose DP, Haffner SM, Baillargeon J (2007) Adiposity, the metabolic syndrome, and breast cancer in African-American and white American women. Endocr Rev 28(7):763–777PubMedCrossRef Rose DP, Haffner SM, Baillargeon J (2007) Adiposity, the metabolic syndrome, and breast cancer in African-American and white American women. Endocr Rev 28(7):763–777PubMedCrossRef
4.
go back to reference Connolly BS, Barnett C, Vogt KN, Li T, Stone J, Boyd NF (2002) A meta-analysis of published literature on waist-to-hip ratio and risk of breast cancer. Nutr Cancer 44(2):127–138PubMedCrossRef Connolly BS, Barnett C, Vogt KN, Li T, Stone J, Boyd NF (2002) A meta-analysis of published literature on waist-to-hip ratio and risk of breast cancer. Nutr Cancer 44(2):127–138PubMedCrossRef
5.
go back to reference Harvie M, Hooper L, Howell AH (2003) Central obesity and breast cancer risk: a systematic review. Obes Rev 4(3):157–173PubMedCrossRef Harvie M, Hooper L, Howell AH (2003) Central obesity and breast cancer risk: a systematic review. Obes Rev 4(3):157–173PubMedCrossRef
6.
go back to reference Lawlor DA, Smith GD, Ebramim S (2004) Hyperinsulinaemia and increased risk of breast cancer: findings from the British Women’s Heart and Health Study. Cancer Causes Control 15(3):267–275PubMedCrossRef Lawlor DA, Smith GD, Ebramim S (2004) Hyperinsulinaemia and increased risk of breast cancer: findings from the British Women’s Heart and Health Study. Cancer Causes Control 15(3):267–275PubMedCrossRef
7.
go back to reference Strange KS, Wilkinson D, Edin G, Emerman JT (2004) Mitogenic properties of insulin-like growth factors I and II, insulin-like growth factor binding protein-3 and epidermal growth factor on human breast stromal cells in primary culture. Breast Cancer Res Treat 84(2):77–84PubMedCrossRef Strange KS, Wilkinson D, Edin G, Emerman JT (2004) Mitogenic properties of insulin-like growth factors I and II, insulin-like growth factor binding protein-3 and epidermal growth factor on human breast stromal cells in primary culture. Breast Cancer Res Treat 84(2):77–84PubMedCrossRef
8.
go back to reference Sinagra D, Amato C, Scarpita AM, Brigandi M, Amato M, Saura G et al (2002) Metabolic syndrome and breast cancer risk. Eur Rev Med Pharmacol Sci 6(2–3):55–59PubMed Sinagra D, Amato C, Scarpita AM, Brigandi M, Amato M, Saura G et al (2002) Metabolic syndrome and breast cancer risk. Eur Rev Med Pharmacol Sci 6(2–3):55–59PubMed
9.
go back to reference Campbell CY, Nasir K, Carvalho JA, Blumenthal RS, Santos RD (2008) The metabolic syndrome adds incremental value to the Framingham risk score in identifying asymptomatic individuals with higher degrees of inflammation. J Cardiometab Syndr 3(1):7–11PubMedCrossRef Campbell CY, Nasir K, Carvalho JA, Blumenthal RS, Santos RD (2008) The metabolic syndrome adds incremental value to the Framingham risk score in identifying asymptomatic individuals with higher degrees of inflammation. J Cardiometab Syndr 3(1):7–11PubMedCrossRef
10.
go back to reference Guastamacchia E, Resta F, Triggiani V, Liso A, Licchelli B, Ghiyasaldin S et al (2004) Evidence for a putative relationship between type 2 diabetes and neoplasia with particular reference to breast cancer: role of hormones, growth factors and specific receptors. Curr Drug Targets Immune Endocr Metabol Disord 4(1):59–66PubMedCrossRef Guastamacchia E, Resta F, Triggiani V, Liso A, Licchelli B, Ghiyasaldin S et al (2004) Evidence for a putative relationship between type 2 diabetes and neoplasia with particular reference to breast cancer: role of hormones, growth factors and specific receptors. Curr Drug Targets Immune Endocr Metabol Disord 4(1):59–66PubMedCrossRef
11.
go back to reference Pasanisi P, Berrino F, De Petris M, Venturelli E, Mastroiani A, Panico S (2006) Metabolic syndrome as a prognostic factor for breast cancer recurrences. Int J Cancer 119(1):236–238PubMedCrossRef Pasanisi P, Berrino F, De Petris M, Venturelli E, Mastroiani A, Panico S (2006) Metabolic syndrome as a prognostic factor for breast cancer recurrences. Int J Cancer 119(1):236–238PubMedCrossRef
12.
go back to reference Bener A, Zirie M, Musallam M, Khader YS, Al-Hamaq A (2009) Prevalence of metabolic syndrome according to Adult Treatment Panel III and International Diabetes Federation criteria: a population-based study. Metab Syndr Relat Disord 7(3):221–229PubMedCrossRef Bener A, Zirie M, Musallam M, Khader YS, Al-Hamaq A (2009) Prevalence of metabolic syndrome according to Adult Treatment Panel III and International Diabetes Federation criteria: a population-based study. Metab Syndr Relat Disord 7(3):221–229PubMedCrossRef
13.
go back to reference Third Report of The National Cholesterol Education Program (NCEP) (2002) Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 106(25):3143–3421 Third Report of The National Cholesterol Education Program (NCEP) (2002) Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 106(25):3143–3421
14.
go back to reference Russo A, Autelitano M, Bisanti L (2008) Metabolic syndrome and cancer risk. Eur J Cancer 44(2):293–297PubMedCrossRef Russo A, Autelitano M, Bisanti L (2008) Metabolic syndrome and cancer risk. Eur J Cancer 44(2):293–297PubMedCrossRef
15.
go back to reference Capasso I, Esposito E, Pentimalli F, Crispo A, Montella M, Grimaldi M et al. (2010) Metabolic syndrome affects breast-cancer risk in postmenopausal women: National Cancer Institute of Naples experience. Cancer Biol Ther 10(12). [Epub ahead of print] Capasso I, Esposito E, Pentimalli F, Crispo A, Montella M, Grimaldi M et al. (2010) Metabolic syndrome affects breast-cancer risk in postmenopausal women: National Cancer Institute of Naples experience. Cancer Biol Ther 10(12). [Epub ahead of print]
16.
go back to reference Agnoli C, Berrino F, Abagnato CA, Muti P, Panico S, Crosignani P, Krogh V (2010) Metabolic syndrome and postmenopausal breast cancer in the ORDET cohort: a nested case- control study. Nutr Metab Cardiovasc Dis 20(1):41–48PubMedCrossRef Agnoli C, Berrino F, Abagnato CA, Muti P, Panico S, Crosignani P, Krogh V (2010) Metabolic syndrome and postmenopausal breast cancer in the ORDET cohort: a nested case- control study. Nutr Metab Cardiovasc Dis 20(1):41–48PubMedCrossRef
17.
go back to reference Park KG, Park KS, Kim MJ, Kim HS, Suh YS, Ahn JD et al (2004) Relationship between serum adiponectin and leptin concentrations and body fat distribution. Diabetes Res Clin Pract 63(2):135–142PubMedCrossRef Park KG, Park KS, Kim MJ, Kim HS, Suh YS, Ahn JD et al (2004) Relationship between serum adiponectin and leptin concentrations and body fat distribution. Diabetes Res Clin Pract 63(2):135–142PubMedCrossRef
18.
go back to reference Bradley LM, Gierthy JF, Pentecost BT (2008) Role of the insulin-like growth factor system on an estrogen-dependent cancer phenotype in the MCF-7 human breast cancer cell line. J Steroid Biochem Mol Biol 109(1–2):185–196PubMedCrossRef Bradley LM, Gierthy JF, Pentecost BT (2008) Role of the insulin-like growth factor system on an estrogen-dependent cancer phenotype in the MCF-7 human breast cancer cell line. J Steroid Biochem Mol Biol 109(1–2):185–196PubMedCrossRef
19.
go back to reference Vadgama JV, Scuric Z, Chakrabarti R, Marzo E, Shen D, Wu Y (2006) Insulin-like growth factor I differentially regulates the expression of HIRF1/hCAF1 and BTG1 genes in human MCF-7 breast cancer cells. Int J Mol Med 18(1):129–139PubMed Vadgama JV, Scuric Z, Chakrabarti R, Marzo E, Shen D, Wu Y (2006) Insulin-like growth factor I differentially regulates the expression of HIRF1/hCAF1 and BTG1 genes in human MCF-7 breast cancer cells. Int J Mol Med 18(1):129–139PubMed
20.
go back to reference Dieudonne MN, Bussiere M, Dos Santos E, Leneveu MC, Giudicelli Y, Pecquery R (2006) Adiponectin mediates antiproliferative and apoptotic responses in human MCF7 breast cancer cells. Biochem Biophys Res Commun 345(1):271–279PubMedCrossRef Dieudonne MN, Bussiere M, Dos Santos E, Leneveu MC, Giudicelli Y, Pecquery R (2006) Adiponectin mediates antiproliferative and apoptotic responses in human MCF7 breast cancer cells. Biochem Biophys Res Commun 345(1):271–279PubMedCrossRef
21.
go back to reference Furberg AS, Jasienska G, Bjurstam N, Torjesen PA, Emaus A, Lipson SF et al (2005) Metabolic and hormonal profiles: HDL cholesterol as a plausible biomarker of breast cancer risk. The Norwegian EBBA Study. Cancer Epidemiol Biomarkers Prev 14(1):33–40PubMed Furberg AS, Jasienska G, Bjurstam N, Torjesen PA, Emaus A, Lipson SF et al (2005) Metabolic and hormonal profiles: HDL cholesterol as a plausible biomarker of breast cancer risk. The Norwegian EBBA Study. Cancer Epidemiol Biomarkers Prev 14(1):33–40PubMed
22.
go back to reference Krebs EE, Taylor BC, Cauley JA, Stone KL, Bowman PJ, Ensrud KE (2006) Measures of adiposity and risk of breast cancer in older postmenopausal women. J Am Geriatr Soc 54(1):63–69PubMedCrossRef Krebs EE, Taylor BC, Cauley JA, Stone KL, Bowman PJ, Ensrud KE (2006) Measures of adiposity and risk of breast cancer in older postmenopausal women. J Am Geriatr Soc 54(1):63–69PubMedCrossRef
23.
go back to reference Ursin G, Longnecker MP, Haile RW, Greenland S (1995) A meta-analysis of body mass index and risk of premenopausal breast cancer. Epidemiology 6(2):137–141PubMedCrossRef Ursin G, Longnecker MP, Haile RW, Greenland S (1995) A meta-analysis of body mass index and risk of premenopausal breast cancer. Epidemiology 6(2):137–141PubMedCrossRef
24.
go back to reference Neilson HK, Friedenreich CM, Brockton NT, Millikan RC (2009) Physical activity and postmenopausal breast cancer: proposed biologic mechanisms and areas for future research. Cancer Epidemiol Biomarkers Prev 18(1):11–27PubMedCrossRef Neilson HK, Friedenreich CM, Brockton NT, Millikan RC (2009) Physical activity and postmenopausal breast cancer: proposed biologic mechanisms and areas for future research. Cancer Epidemiol Biomarkers Prev 18(1):11–27PubMedCrossRef
25.
go back to reference Braithwaite D, Tammemagi CM, Moore DH, Ozanne EM, Hiatt RA, Belkora J et al (2009) Hypertension is an independent predictor of survival disparity between African-American and white breast cancer patients. Int J Cancer 124(5):1213–1219PubMedCrossRef Braithwaite D, Tammemagi CM, Moore DH, Ozanne EM, Hiatt RA, Belkora J et al (2009) Hypertension is an independent predictor of survival disparity between African-American and white breast cancer patients. Int J Cancer 124(5):1213–1219PubMedCrossRef
26.
go back to reference Lindgren AM, Nissinen AM, Tuomilehto JO, Pukkala E (2005) Cancer pattern among hypertensive patients in North Karelia, Finland. J Hum Hypertens 19(5):373–379PubMedCrossRef Lindgren AM, Nissinen AM, Tuomilehto JO, Pukkala E (2005) Cancer pattern among hypertensive patients in North Karelia, Finland. J Hum Hypertens 19(5):373–379PubMedCrossRef
27.
go back to reference Cheng Z, Vapaatalo H, Mervaala E (2005) Angiotensin II and vascular inflammation. Med Sci Monit 11(6):RA194–RA205PubMed Cheng Z, Vapaatalo H, Mervaala E (2005) Angiotensin II and vascular inflammation. Med Sci Monit 11(6):RA194–RA205PubMed
Metadata
Title
Metabolic syndrome is an independent risk factor for breast cancer
Authors
Lakymê Ângelo Mangueira Porto
Karla Jamille Bezerra Lora
Juliana Coutinho Miranda Soares
Laura Olinda Bregieiro Fernandes Costa
Publication date
01-11-2011
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 5/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-011-1837-6

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