Literature DB >> 27147231

Multiple Myeloma Mortality in Relation to Obesity Among African Americans.

Jennifer S Sonderman1, Traci N Bethea1, Cari M Kitahara1, Alpa V Patel1, Chinonye Harvey1, Synnøve F Knutsen1, Yikyung Park1, Song-Yi Park1, Gary E Fraser1, Lauren R Teras1, Mark P Purdue1, Rachael Z Stolzenberg-Solomon1, Elizabeth M Gillanders1, Julie R Palmer1, Laurence N Kolonel1, William J Blot2.   

Abstract

Multiple myeloma (MM) incidence and mortality are higher among African Americans (AAs) than among other population groups. The prevalence of obesity is also elevated among AAs, but few studies have examined risk of this cancer in relation to body size among AAs. We combined data from seven prospective cohorts tracking mortality among 239 597 AA adults and used Cox proportional hazards regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for death because of MM according to body mass index (BMI) at cohort entry, adjusted for age (as time-scale) and sex. Relative to those with normal BMIs (18.5-25 kg/m(2)), mortality increased monotonically as BMI increased, with hazard ratios reaching 1.43 (95% CI = 1.03 to 1.97) for BMIs of 35 kg/m(2) or greater. The findings suggest that obesity is a risk factor for MM and a contributor to the elevated rates and rising incidence trends of MM among AAs in the United States.
© The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

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Year:  2016        PMID: 27147231      PMCID: PMC5858251          DOI: 10.1093/jnci/djw120

Source DB:  PubMed          Journal:  J Natl Cancer Inst        ISSN: 0027-8874            Impact factor:   13.506


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