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. 2015 Jul 23;9:555. doi: 10.3332/ecancer.2015.555

Table 1. Epidemiological studies on lipid metabolism and cancer.

Publication Study population Study design No. Of subjects, follow-up Exposure Outcome Main results Adjustments
Haggstrom, H. 2012 [39] Me-Can cohort Prospective cohort 289,866 men included. Smoking status, BMI, blood pressure, glucose, cholesterol, and TG. PCa risk High levels of triglycerides were associated with a decreased risk of pca top quintile RR 1.24 (1.06–1.45) bottom quintile 0.88 (0.74–1.04). Smoking, BMI.
Jacobs, E.J.2012 [40] Cancer prevention study II nutrition cohort Cohort. 236 cases and 236 matched controls. TC, LDL cholesterol, HDL cholesterol, non-HDL cholesterol. (non-fasting). PCa risk Neither total, LDL, nor HDL cholesterol concentrations were associated with risk of pca. OR 0.93 (95% CI 0.76–1.14) for total cholesterol and 0.97 (95% CI 0.82–1.16) Age, race, blood draw date, physical activity, use of cholesterol-lowering drugs, and history of heart attack.
His, M 2014. [49] Supplementation en vitamines et mineraux antioxydants study Cohort 7557 subjects TC, LDL cholesterol, HDL cholesterol, TG, ApoA1, apob Breast cancer and PCa risk TC was inversely associated with overall (HR = 0.91 95% CI 0.82–1.00) and breast (HR = 0.83 95% CI 0.69–0.99) cancer risk. HDL-c was also inversely associated with overall (HR = 0.61 95% CI 0.46–0.82) and breast (HR = 0.48 95% CI 0.28–0.83) cancer risk. Consistently apoa1 was inversely associated with overall (HR = 0.56 95% CI 0.39–0.82) and breast (HR = 0.36 95% CI 0.18–0.73) cancer risk. Age, intervention group, number of dietary records, alcohol intake per day, physical activity. Smoking status, educational level, height, BMI, family history of bca, menopausal status at baseline, TG-lowering drugs antihypertensive drugs, energy intake per day and glycaemia. Ratio models adjusted for TG and TC.
Wu, Q. 2012 [48] Hospital PUMCH patient information database Case-control 210 pancreatic adenocarcinoma, 630 healthy controls TC, LDL cholesterol, HDL cholesterol, TG, ApoA1, apob, fasting blood glucose. Pancreatic adenocarcinoma risk TC (OR–1.793 95% 1.067–3.013) and ApoA (OR = 36.065 95% 15.547–83.663) were significantly related to pancreatic adenocarcinoma. Age and sex.
Agnoli, C. 2014 [41] Colorectal cancer cases Cohort 1134 participants 850 in randomly selected cohort and 286 colorectar cancer cases TC, LDL cholesterol, HDL cholesterol, TG. (Fasting) Colorectal cancer risk Highest tertiles of total (HR = 1.66 95% 1.12–2.45) and LDL cholesterol (HR1.87 95% CI 1.27–2.76) were associated with increased colorectal cancer risk. Age, gender, BMI, smoking, total physical activity, alcohol consumption, dietary red meat, dietary fiber, and dietary calcium.
Jiang, R. 2014 [51] Cancer registry Cohort 807 patients. TC, LDL cholesterol, HDL cholesterol, TG, ApoA1, ApoB, Nasopharyngeal carcinoma survival ApoA-I levels (HR = 0.64 95% CI 0.52–0.80) were associated with a favourable OS. Adjustment for clinical characteristics and other serum lipids and lipoproteins
Kim, H.S.2013 [42] Cohort 14932 BMI, H.pylori, TC, LDL-c, HDL-c, TG Prevalence and risk factors of colorectal cancer Predictor of colorectal cancer was hypertriglyceridemia (OR = 1.267 95% CI 1.065–1.508)
Shafique, K. 2012 [38] Midspan studies Prospective cohort study 12,926 men (650 cases) Baseline cholesterol Incidence of pca and prognosis Baseline plasma cholesterol was associated with hazard of high grade PCa incidence (n = 119). Association remained significant after adjustment for body mass index, smoking and socioeconomic status
Kitahara et al 2011 [35] Korean adults enrolled in the National Health Insurance Corporation Cohort 53,944 men and 24,475 women TC (fasting) Cervix, breast, colon, lung, pancreas, bladder, kidney, oesophagus, gall bladder, liver, rectal, prostate cancer risk TC (≥ 240 mg/dL) was associated with PCa (HR 1.24; 95% CI, 1.07 –1.44; P = 001) and colon cancer (HR, 1.12; 95% CI, 1.00–1.25; P = 05) in men. Breast cancer (HR, 1.17; 95% CI, 1.03 –1.33; P trend = 03). Total cholesterol was inversely associated with all-cancer incidence in both men (HR, 0.84; 95% CI, 0.81–0.86; P < 001) and women (HR, 0.91; 95% CI, 0.87–0.95; P < .001). Adjustments for cigarette smoking, alcohol consumption, BMI, physical activity, hypertension and fasting serum glucose .
Mondul et al, 2011 [37] ATBC Study Cohort 2041 TC, HDL (fasting) PCa risk Men with higher serum TC were at increased risk of overall (≥ 240 versus <200 mg/dl: HR = 1.22, 95% CI 1.03–1.44, ptrend = 0.01) and advanced (≥240 versus<200 mg/dL: HR = 1.85, 95% CI 1.13–3.03, p-trend = 0.05) prostate cancer Adjusted for serum α-tocopherol, family history of prostate cancer, education level, and urban residence, other cholesterol type, smoking habits, BMI, marital status; total energy, total fat, fruit, vegetable, red meat, alcohol, dietary retinol, vitamin D, calcium intake. Subgroup analyses were conducted stratifying by follow-up time (<ten years, >ten years).
Kok et al, 2011 [36] Nijmegen Biomedical Study Cohort 2842 TG, TC, HDL, LDL PCa risk Higher total and higher LDL cholesterol were significantly associated with an increased risk of prostate cancer HR 1.39 (95% CI 1.03–1.88) and 1.42 (95% CI 1.00–2.02), respectively. Similar results were observed for aggressive prostate cancer, whereas for non-aggressive prostate cancer a significant association with HDL cholesterol was found HR 4.28, 95% CI 1.17–5.67. Adjusted for age, body mass index and history of diabetes mellitus
Agnoli et al, 2010 [47] Cancer registry Cohort 163 TG, HDL Breast cancer risk Metabolic syndrome associated with breast cancer risk (rate ratio 1.58 [95% confidence interval 1.07–2.33]), Low serum HDL-cholesterol and high triglycerides were significantly associated with increased risk Adjusted for matching variables and for: age, age at menarche, years from menopause, number of full-term pregnancies, age at first birth, oral contraceptives, hormone therapy, years of education, history of breast cancer in first degree relatives, breastfeeding, smoking, and alcohol consumption.
Bjorge et al, 2011 [50] Me-Can study Cohort 644 TG, TC (fasting and non-fasting) Ovarian cancer Year of birth, age at measurement, smoking and quintile levels of BMI
Van Duijnhoven et al, 2011 [43] EPIC study Nested case-control (EPIC) 1238 TG, TC, HDL, LDL, Apo A-1, Apo B (NS) Colorectal cancer risk HDL and apoA were inversely associated with the risk of colon cancer (RR for 1 SD increase of 16.6 mg/dl in HDL and 32.0 mg/dl in apoA of 0.78 (95% CI 0.68–0.89) and 0.82 (95% CI 0.72-0.94), respectively. Height, weight, smoking habits, physical activity, education, consumption of fruit, vegetables, meat, fish and alcohol, intake of fibre, energy from fat and energy from non-fat
Hu et al, 2011 [43] Cancer registry Case-control 397 TG, HDL (fasting) Colorectal cancer risk TGs associated with cancer risk ·HR for ≥150mg/dl vs <150mg/dL:1.18; 95% CI: 0.9–1.51. HDL (-):· HR for < 40mg/dL versus ≥40mg/dL (men) or <50 mg/dL versus ≥ 50mg/dL (women): 0.94; 95% CI: 0.71–1.24. Age, sex, smoking, drinking, past history of adenoma, other components of metabolic syndrome.
Aleksandrova et al 2011 [45] EPIC study Nested case-control(EPIC) 689 TG, HDL, (fasting and non-fasting) Colon, rectal, cancer risk Reduced HDL associated with colon cancer risk RR for ≤ 40 mg/dL versus > 40mg/dL in men and ≤ 50mg/dL versus > 50mg/dL in women: 1.36; 95% CI: 1.04–1.77. Smoking status, education, alcohol consumption, physical activity, fiber intake, consumption of fruits and vegetables, red and processed meat, fish, and shellfish.
Stocks et al, 2011 [46] Me-Can study Cohort 2834 men, 1861 women TG, TC (fasting and non-fasting Colorectal cancer risk TGs were found to be positively associated with cancer risk RR for fifth versus first quintile: 1.65; 95% CI: 1.27–2.13 (men), RR for fifth versus first quintile: 1.42; 95% CI: 1.09–1.85 (women).). Smoking, five categories of birth year, age at measurement and quintiles of BMI