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Diabetes Status and Post-Load Plasma Glucose Concentration in Relation to Site-Specific Cancer Mortality: Findings from the Original Whitehall Study

Objective: While several studies have reported on the relation of diabetes status with pancreatic cancer risk, the predictive value of this disorder for other malignancies is unclear. Methods: The Whitehall study, a 25 year follow-up for mortality experience of 18,006 men with data on post-challenge... Full description

Journal Title: Cancer causes & control 2004-11-01, Vol.15 (9), p.873-881
Main Author: Batty, G David
Other Authors: Shipley, Martin J , Marmot, Michael , Smith, George Davey
Format: Electronic Article Electronic Article
Language: English
Subjects:
Men
Publisher: Netherlands: Kluwer Academic Publishers
ID: ISSN: 0957-5243
Link: https://www.ncbi.nlm.nih.gov/pubmed/15577289
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title: Diabetes Status and Post-Load Plasma Glucose Concentration in Relation to Site-Specific Cancer Mortality: Findings from the Original Whitehall Study
format: Article
creator:
  • Batty, G David
  • Shipley, Martin J
  • Marmot, Michael
  • Smith, George Davey
subjects:
  • Blood glucose
  • Blood Glucose - analysis
  • Cancer
  • Causes of
  • Cigarette smoking
  • Cohort Studies
  • Death
  • Diabetes
  • Diabetes Complications
  • Diabetes mellitus
  • Diseases
  • England - epidemiology
  • Follow-Up Studies
  • Glucose Tolerance Test
  • Humans
  • International Statistical Classification of Diseases
  • Male
  • Men
  • Middle Aged
  • Mortality
  • Neoplasms - complications
  • Neoplasms - mortality
  • Pancreatic cancer
  • Pancreatic neoplasms
  • Risk factors
  • Type 2 diabetes mellitus
ispartof: Cancer causes & control, 2004-11-01, Vol.15 (9), p.873-881
description: Objective: While several studies have reported on the relation of diabetes status with pancreatic cancer risk, the predictive value of this disorder for other malignancies is unclear. Methods: The Whitehall study, a 25 year follow-up for mortality experience of 18,006 men with data on post-challenge blood glucose and self-reported diabetes, allowed us to address these issues. Results: There were 2158 cancer deaths at follow-up. Of the 15 cancer outcomes, diabetes status was positively associated with mortality from carcinoma of the pancreas and liver, while the relationship with lung cancer was inverse, after controlling for a range of potential covariates and mediators which included obesity and socioeconomic position. After excluding deaths occurring in the first 10 years of follow-up to examine the effect of reverse causality, the magnitude of the relationships for carcinoma of the pancreas and lung was little altered, while for liver cancer it was markedly attenuated. Conclusions: In the present study, diabetes status was related to pancreatic, liver, and lung cancer risk. Cohorts with serially collected data on blood glucose and covariates are required to further examine this area.
language: eng
source:
identifier: ISSN: 0957-5243
fulltext: no_fulltext
issn:
  • 0957-5243
  • 1573-7225
url: Link


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titleDiabetes Status and Post-Load Plasma Glucose Concentration in Relation to Site-Specific Cancer Mortality: Findings from the Original Whitehall Study
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creatorcontribBatty, G David ; Shipley, Martin J ; Marmot, Michael ; Smith, George Davey
descriptionObjective: While several studies have reported on the relation of diabetes status with pancreatic cancer risk, the predictive value of this disorder for other malignancies is unclear. Methods: The Whitehall study, a 25 year follow-up for mortality experience of 18,006 men with data on post-challenge blood glucose and self-reported diabetes, allowed us to address these issues. Results: There were 2158 cancer deaths at follow-up. Of the 15 cancer outcomes, diabetes status was positively associated with mortality from carcinoma of the pancreas and liver, while the relationship with lung cancer was inverse, after controlling for a range of potential covariates and mediators which included obesity and socioeconomic position. After excluding deaths occurring in the first 10 years of follow-up to examine the effect of reverse causality, the magnitude of the relationships for carcinoma of the pancreas and lung was little altered, while for liver cancer it was markedly attenuated. Conclusions: In the present study, diabetes status was related to pancreatic, liver, and lung cancer risk. Cohorts with serially collected data on blood glucose and covariates are required to further examine this area.
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subjectBlood glucose ; Blood Glucose - analysis ; Cancer ; Causes of ; Cigarette smoking ; Cohort Studies ; Death ; Diabetes ; Diabetes Complications ; Diabetes mellitus ; Diseases ; England - epidemiology ; Follow-Up Studies ; Glucose Tolerance Test ; Humans ; International Statistical Classification of Diseases ; Male ; Men ; Middle Aged ; Mortality ; Neoplasms - complications ; Neoplasms - mortality ; Pancreatic cancer ; Pancreatic neoplasms ; Risk factors ; Type 2 diabetes mellitus
ispartofCancer causes & control, 2004-11-01, Vol.15 (9), p.873-881
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descriptionObjective: While several studies have reported on the relation of diabetes status with pancreatic cancer risk, the predictive value of this disorder for other malignancies is unclear. Methods: The Whitehall study, a 25 year follow-up for mortality experience of 18,006 men with data on post-challenge blood glucose and self-reported diabetes, allowed us to address these issues. Results: There were 2158 cancer deaths at follow-up. Of the 15 cancer outcomes, diabetes status was positively associated with mortality from carcinoma of the pancreas and liver, while the relationship with lung cancer was inverse, after controlling for a range of potential covariates and mediators which included obesity and socioeconomic position. After excluding deaths occurring in the first 10 years of follow-up to examine the effect of reverse causality, the magnitude of the relationships for carcinoma of the pancreas and lung was little altered, while for liver cancer it was markedly attenuated. Conclusions: In the present study, diabetes status was related to pancreatic, liver, and lung cancer risk. Cohorts with serially collected data on blood glucose and covariates are required to further examine this area.
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6Death
7Diabetes
8Diabetes Complications
9Diabetes mellitus
10Diseases
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abstractObjective: While several studies have reported on the relation of diabetes status with pancreatic cancer risk, the predictive value of this disorder for other malignancies is unclear. Methods: The Whitehall study, a 25 year follow-up for mortality experience of 18,006 men with data on post-challenge blood glucose and self-reported diabetes, allowed us to address these issues. Results: There were 2158 cancer deaths at follow-up. Of the 15 cancer outcomes, diabetes status was positively associated with mortality from carcinoma of the pancreas and liver, while the relationship with lung cancer was inverse, after controlling for a range of potential covariates and mediators which included obesity and socioeconomic position. After excluding deaths occurring in the first 10 years of follow-up to examine the effect of reverse causality, the magnitude of the relationships for carcinoma of the pancreas and lung was little altered, while for liver cancer it was markedly attenuated. Conclusions: In the present study, diabetes status was related to pancreatic, liver, and lung cancer risk. Cohorts with serially collected data on blood glucose and covariates are required to further examine this area.
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