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Published in: Cancer Causes & Control 2/2011

01-02-2011 | Brief report

Modifiable risk factors for prostate cancer mortality in London: forty years of follow-up in the Whitehall study

Authors: G. David Batty, Mika Kivimäki, Robert Clarke, George Davey Smith, Martin J. Shipley

Published in: Cancer Causes & Control | Issue 2/2011

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Abstract

Background

The determinants of prostate cancer––aside from established but non-modifiable risk factors of increased age, black ethnicity, and a positive family history––are poorly understood.

Methods

We examined the association of a series of baseline socioeconomic, behavioral, and metabolic characteristics with the risk of prostate cancer mortality in a 40-year follow-up of study members from the original Whitehall cohort study. During this period there were 578 prostate cancer deaths in 17,934 men.

Results

After adjustment for a series of baseline covariates, results from proportional hazards regression analyses indicated that marital status (hazard ratio; 95% confidence interval: widowed/divorced vs. married: 1.44; 0.95, 2.18), raised blood cholesterol (tertile 3 vs. 1: 1.35; 1.11, 1.65), and increased physical stature (tertile 3 vs. 1: 1.37; 1.09, 1.74) were associated with death from prostate cancer, although statistical significance at conventional levels was not apparent in all analyses. There was no evidence that physical activity, smoking habit, socio-economic status, component of either blood pressure or diabetes predicted the risk of death from this malignancy herein.

Conclusions

In the present study, there was a suggestion that marital status, blood cholesterol, and height were risk indices for death from prostate cancer.
Literature
1.
go back to reference Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108CrossRefPubMed Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108CrossRefPubMed
2.
3.
go back to reference Shimizu H, Ross RK, Bernstein L, Yatani R, Henderson BE, Mack TM (1991) Cancers of the prostate and breast among Japanese and white immigrants in Los Angeles County. Br J Cancer 63:963–966CrossRefPubMed Shimizu H, Ross RK, Bernstein L, Yatani R, Henderson BE, Mack TM (1991) Cancers of the prostate and breast among Japanese and white immigrants in Los Angeles County. Br J Cancer 63:963–966CrossRefPubMed
4.
go back to reference Zeegers MP, Dirx MJ, van den Brandt PA (2005) Physical activity and the risk of prostate cancer in the Netherlands cohort study, results after 9.3 years of follow-up. Cancer Epidemiol Biomarkers Prev 14:1490–1495CrossRefPubMed Zeegers MP, Dirx MJ, van den Brandt PA (2005) Physical activity and the risk of prostate cancer in the Netherlands cohort study, results after 9.3 years of follow-up. Cancer Epidemiol Biomarkers Prev 14:1490–1495CrossRefPubMed
5.
go back to reference Wannamethee SG, Shaper AG, Walker M (2001) Physical activity and risk of cancer in middle-aged men. Br J Cancer 85:1311–1316CrossRefPubMed Wannamethee SG, Shaper AG, Walker M (2001) Physical activity and risk of cancer in middle-aged men. Br J Cancer 85:1311–1316CrossRefPubMed
6.
go back to reference Hickey K, Do KA, Green A (2001) Smoking and prostate cancer. Epidemiol Rev 23:115–125PubMed Hickey K, Do KA, Green A (2001) Smoking and prostate cancer. Epidemiol Rev 23:115–125PubMed
7.
go back to reference Friedman GD (1997) Blood pressure and heart rate: no evidence for a positive association with prostate cancer. Ann Epidemiol 7:486–489CrossRefPubMed Friedman GD (1997) Blood pressure and heart rate: no evidence for a positive association with prostate cancer. Ann Epidemiol 7:486–489CrossRefPubMed
8.
go back to reference Huxley R (2007) The impact of modifiable risk factors on mortality from prostate cancer in populations of the Asia-Pacific region. Asian Pac J Cancer Prev 8:199–205PubMed Huxley R (2007) The impact of modifiable risk factors on mortality from prostate cancer in populations of the Asia-Pacific region. Asian Pac J Cancer Prev 8:199–205PubMed
9.
go back to reference Eichholzer M, Stahelin HB, Gutzwiller F, Ludin E, Bernasconi F (2000) Association of low plasma cholesterol with mortality for cancer at various sites in men: 17-y follow-up of the prospective Basel study. Am J Clin Nutr 71:569–574PubMed Eichholzer M, Stahelin HB, Gutzwiller F, Ludin E, Bernasconi F (2000) Association of low plasma cholesterol with mortality for cancer at various sites in men: 17-y follow-up of the prospective Basel study. Am J Clin Nutr 71:569–574PubMed
10.
go back to reference Mondul AM, Clipp SL, Helzlsouer KJ, Platz EA (2010) Association between plasma total cholesterol concentration and incident prostate cancer in the CLUE II cohort. Cancer Causes Control 21:61–68 Mondul AM, Clipp SL, Helzlsouer KJ, Platz EA (2010) Association between plasma total cholesterol concentration and incident prostate cancer in the CLUE II cohort. Cancer Causes Control 21:61–68
11.
go back to reference Kasper JS, Giovannucci E (2006) A meta-analysis of diabetes mellitus and the risk of prostate cancer. Cancer Epidemiol Biomarkers Prev 15:2056–2062CrossRefPubMed Kasper JS, Giovannucci E (2006) A meta-analysis of diabetes mellitus and the risk of prostate cancer. Cancer Epidemiol Biomarkers Prev 15:2056–2062CrossRefPubMed
12.
go back to reference Reid DD, Hamilton PJS, McCartney P, Rose G, Jarrett RJ, Keen H et al (1974) Cardiorespiratory disease and diabetes among middle-aged male civil servants. Lancet 303(7856):469–473CrossRef Reid DD, Hamilton PJS, McCartney P, Rose G, Jarrett RJ, Keen H et al (1974) Cardiorespiratory disease and diabetes among middle-aged male civil servants. Lancet 303(7856):469–473CrossRef
13.
go back to reference Davey Smith G, Leon D, Shipley MJ, Rose G (1991) Socioeconomic differentials in cancer among men. Int J Epidemiol 20:339–345CrossRef Davey Smith G, Leon D, Shipley MJ, Rose G (1991) Socioeconomic differentials in cancer among men. Int J Epidemiol 20:339–345CrossRef
14.
go back to reference Batty GD, Kivimaki M, Gray L, Smith GD, Marmot MG, Shipley MJ (2008) Cigarette smoking and site-specific cancer mortality: testing uncertain associations using extended follow-up of the original Whitehall study. Ann Oncol 19:1002CrossRef Batty GD, Kivimaki M, Gray L, Smith GD, Marmot MG, Shipley MJ (2008) Cigarette smoking and site-specific cancer mortality: testing uncertain associations using extended follow-up of the original Whitehall study. Ann Oncol 19:1002CrossRef
15.
go back to reference Ben Shlomo Y, Davey Smith G, Shipley M, Marmot MG (1993) Magnitude and causes of mortality differences between married and unmarried men. J Epidemiol Community Health 47:200–205CrossRefPubMed Ben Shlomo Y, Davey Smith G, Shipley M, Marmot MG (1993) Magnitude and causes of mortality differences between married and unmarried men. J Epidemiol Community Health 47:200–205CrossRefPubMed
16.
go back to reference Batty GD, Shipley M, Marmot M, Davey Smith G (2002) Physical activity and cause-specific mortality in men: further evidence from the Whitehall study. Eur J Epidemiol 17:863–869CrossRef Batty GD, Shipley M, Marmot M, Davey Smith G (2002) Physical activity and cause-specific mortality in men: further evidence from the Whitehall study. Eur J Epidemiol 17:863–869CrossRef
17.
go back to reference Davey Smith G, Shipley MJ, Batty GD, Morris JN, Marmot M (2000) Physical activity and cause-specific mortality in the Whitehall study. Public Health 114:308–315CrossRefPubMed Davey Smith G, Shipley MJ, Batty GD, Morris JN, Marmot M (2000) Physical activity and cause-specific mortality in the Whitehall study. Public Health 114:308–315CrossRefPubMed
18.
go back to reference Batty GD, Shipley MJ, Marmot MG, Davey Smith G (2003) Blood pressure and site-specific cancer mortality: evidence from the original Whitehall study. Br J Cancer 89:1243–1247CrossRefPubMed Batty GD, Shipley MJ, Marmot MG, Davey Smith G (2003) Blood pressure and site-specific cancer mortality: evidence from the original Whitehall study. Br J Cancer 89:1243–1247CrossRefPubMed
19.
go back to reference Batty GD, Shipley MJ, Langenberg C, Marmot MG, Davey Smith G (2006) Adult height in relation to mortality from 14 cancer sites in men in London (UK): evidence from the original Whitehall study. Ann Oncol 17:157–166CrossRefPubMed Batty GD, Shipley MJ, Langenberg C, Marmot MG, Davey Smith G (2006) Adult height in relation to mortality from 14 cancer sites in men in London (UK): evidence from the original Whitehall study. Ann Oncol 17:157–166CrossRefPubMed
20.
go back to reference Batty GD, Shipley MJ, Jarrett RJ, Breeze E, Marmot MG, Smith GD (2005) Obesity and overweight in relation to organ-specific cancer mortality in London (UK): findings from the original Whitehall study. Int J Obes (Lond) 29:1267–1274CrossRef Batty GD, Shipley MJ, Jarrett RJ, Breeze E, Marmot MG, Smith GD (2005) Obesity and overweight in relation to organ-specific cancer mortality in London (UK): findings from the original Whitehall study. Int J Obes (Lond) 29:1267–1274CrossRef
21.
go back to reference Batty GD, Gunnell D, Langenberg C, Smith GD, Marmot MG, Shipley MJ (2006) Adult height and lung function as markers of life course exposures: associations with risk factors and cause-specific mortality. Eur J Epidemiol 21:795–801CrossRefPubMed Batty GD, Gunnell D, Langenberg C, Smith GD, Marmot MG, Shipley MJ (2006) Adult height and lung function as markers of life course exposures: associations with risk factors and cause-specific mortality. Eur J Epidemiol 21:795–801CrossRefPubMed
22.
go back to reference Davey Smith G, Shipley MJ, Marmot MG, Rose G (1992) Plasma cholesterol concentration and mortality. Whitehall Study JAMA 267:70–76 Davey Smith G, Shipley MJ, Marmot MG, Rose G (1992) Plasma cholesterol concentration and mortality. Whitehall Study JAMA 267:70–76
23.
go back to reference Batty GD, Shipley MJ, Marmot M, Davey Smith G (2004) Diabetes status and post-load plasma glucose concentration in relation to site-specific cancer mortality: findings from the original Whitehall study. Cancer Causes Control 15:873–881CrossRefPubMed Batty GD, Shipley MJ, Marmot M, Davey Smith G (2004) Diabetes status and post-load plasma glucose concentration in relation to site-specific cancer mortality: findings from the original Whitehall study. Cancer Causes Control 15:873–881CrossRefPubMed
24.
go back to reference Keen H, Thomas BJ, Jarrett RJ, Fuller JH (1979) Nutrient intake, adiposity, and diabetes. Br Med J 1:655–658CrossRefPubMed Keen H, Thomas BJ, Jarrett RJ, Fuller JH (1979) Nutrient intake, adiposity, and diabetes. Br Med J 1:655–658CrossRefPubMed
25.
go back to reference Platz EA, Till C, Goodman PJ, Parnes HL, Figg WD, Albanes D et al (2009) Men with low serum cholesterol have a lower risk of high-grade prostate cancer in the placebo arm of the prostate cancer prevention trial. Cancer Epidemiol Biomarkers Prev 18:2807–2813CrossRefPubMed Platz EA, Till C, Goodman PJ, Parnes HL, Figg WD, Albanes D et al (2009) Men with low serum cholesterol have a lower risk of high-grade prostate cancer in the placebo arm of the prostate cancer prevention trial. Cancer Epidemiol Biomarkers Prev 18:2807–2813CrossRefPubMed
26.
go back to reference Platz EA, Clinton SK, Giovannucci E (2008) Association between plasma cholesterol and prostate cancer in the PSA era. Int J Cancer 123:1693–1698CrossRefPubMed Platz EA, Clinton SK, Giovannucci E (2008) Association between plasma cholesterol and prostate cancer in the PSA era. Int J Cancer 123:1693–1698CrossRefPubMed
27.
go back to reference MacInnis RJ, English DR (2006) Body size and composition and prostate cancer risk: systematic review and meta-regression analysis. Cancer Causes Control 17:989–1003CrossRefPubMed MacInnis RJ, English DR (2006) Body size and composition and prostate cancer risk: systematic review and meta-regression analysis. Cancer Causes Control 17:989–1003CrossRefPubMed
28.
go back to reference Engeland A, Tretli S, Bjorge T (2003) Height, body mass index, and prostate cancer: a follow-up of 950000 Norwegian men. Br J Cancer 89:1237–1242CrossRefPubMed Engeland A, Tretli S, Bjorge T (2003) Height, body mass index, and prostate cancer: a follow-up of 950000 Norwegian men. Br J Cancer 89:1237–1242CrossRefPubMed
29.
go back to reference Davey Smith G, Hart C, Upton M, Hole D, Gillis C, Watt G et al (2000) Height and risk of death among men and women: aetiological implications of associations with cardiorespiratory disease and cancer mortality. J Epidemiol Community Health 54:97–103CrossRefPubMed Davey Smith G, Hart C, Upton M, Hole D, Gillis C, Watt G et al (2000) Height and risk of death among men and women: aetiological implications of associations with cardiorespiratory disease and cancer mortality. J Epidemiol Community Health 54:97–103CrossRefPubMed
30.
go back to reference Batty GD, Shipley M, Gunnell D, Kivimaki M, Woodward M, Man Ying Lee C et al (2009) Height, wealth, and health: an overview with new data from three longitudinal studies. Econ Hum Biol (in press) Batty GD, Shipley M, Gunnell D, Kivimaki M, Woodward M, Man Ying Lee C et al (2009) Height, wealth, and health: an overview with new data from three longitudinal studies. Econ Hum Biol (in press)
31.
go back to reference Frankel S, Gunnell DJ, Peters TJ, Maynard M, Davey Smith G (1998) Childhood energy intake and adult mortality from cancer: the Boyd Orr Cohort Study. BMJ 316:499–504PubMed Frankel S, Gunnell DJ, Peters TJ, Maynard M, Davey Smith G (1998) Childhood energy intake and adult mortality from cancer: the Boyd Orr Cohort Study. BMJ 316:499–504PubMed
32.
go back to reference Ruggeri BA, Klurfeld DM, Kritchevsky D, Furlanetto RW (1989) Caloric restriction and 7,12-dimethylbenz(a)anthracene-induced mammary tumor growth in rats: alterations in circulating insulin, insulin-like growth factors I and II, and epidermal growth factor. Cancer Res 49:4130–4134PubMed Ruggeri BA, Klurfeld DM, Kritchevsky D, Furlanetto RW (1989) Caloric restriction and 7,12-dimethylbenz(a)anthracene-induced mammary tumor growth in rats: alterations in circulating insulin, insulin-like growth factors I and II, and epidermal growth factor. Cancer Res 49:4130–4134PubMed
33.
go back to reference Juul A, Bang P, Hertel NT, Main K, Dalgaard P, Jorgensen K et al (1994) Serum insulin-like growth factor-I in 1030 healthy children, adolescents, and adults: relation to age, sex, stage of puberty, testicular size, and body mass index. J Clin Endocrinol Metab 78:744–752CrossRefPubMed Juul A, Bang P, Hertel NT, Main K, Dalgaard P, Jorgensen K et al (1994) Serum insulin-like growth factor-I in 1030 healthy children, adolescents, and adults: relation to age, sex, stage of puberty, testicular size, and body mass index. J Clin Endocrinol Metab 78:744–752CrossRefPubMed
34.
go back to reference Renehan AG, Zwahlen M, Minder C, O’Dwyer ST, Shalet SM, Egger M (2004) Insulin-like growth factor (IGF)-I, IGF binding protein-3, and cancer risk: systematic review and meta-regression analysis. Lancet 363:1346–1353CrossRefPubMed Renehan AG, Zwahlen M, Minder C, O’Dwyer ST, Shalet SM, Egger M (2004) Insulin-like growth factor (IGF)-I, IGF binding protein-3, and cancer risk: systematic review and meta-regression analysis. Lancet 363:1346–1353CrossRefPubMed
35.
go back to reference Albanes D, Jones Y, Schatzkin A, Micozzi MS, Taylor PR (1988) Adult stature and risk of cancer. Cancer Res 48:1658–1662PubMed Albanes D, Jones Y, Schatzkin A, Micozzi MS, Taylor PR (1988) Adult stature and risk of cancer. Cancer Res 48:1658–1662PubMed
Metadata
Title
Modifiable risk factors for prostate cancer mortality in London: forty years of follow-up in the Whitehall study
Authors
G. David Batty
Mika Kivimäki
Robert Clarke
George Davey Smith
Martin J. Shipley
Publication date
01-02-2011
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 2/2011
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-010-9691-6

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