4.5 Article

Reproductive Factors and Exogenous Hormone Use in Relation to Risk of Glioma and Meningioma in a Large European Cohort Study

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CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
卷 19, 期 10, 页码 2562-2569

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AMER ASSOC CANCER RESEARCH
DOI: 10.1158/1055-9965.EPI-10-0447

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资金

  1. European Commission (DG-SANCO)
  2. International Agency for Research on Cancer
  3. Danish Cancer Society in Denmark
  4. Ligue contre le Cancer
  5. Societe 3M
  6. Mutuelle Generale de l'Education Nationale
  7. Institut National de la Sante et de la Recherche Medicale in France
  8. Deutsche Krebshilfe
  9. Deutsches Krebsforschungszentrum
  10. Federal Ministry of Education and Research in Germany
  11. Ministry of Health and Social Solidarity
  12. Stavros Niarchos Foundation
  13. Hellenic Health Foundation in Greece
  14. Italian Association for Research on Cancer (AIRC)
  15. National Research Council in Italy
  16. Dutch Ministry of Public Health, Welfare and Sports (VWS)
  17. Netherlands Cancer Registry (NKR)
  18. LK Research Funds
  19. Dutch Prevention Funds
  20. Dutch ZON (Zorg Onderzoek Nederland)
  21. World Cancer Research Fund (WCRF) in the Netherlands
  22. Statistics Netherlands
  23. Norwegian Cancer Society in Norway
  24. Health Research Fund (FIS)
  25. Regional Governments of Andalucia
  26. Regional Governments of Asturias
  27. Regional Governments of Basque Country
  28. Regional Governments of Murcia
  29. Regional Governments of Navarra
  30. ISCIII RETIC in Spain [RD06/0020]
  31. Swedish Cancer Society
  32. Swedish Scientific Council
  33. Regional Government of Skane
  34. Vasterbotten in Sweden
  35. Cancer Research UK
  36. Medical Research Council
  37. Stroke Association
  38. British Heart Foundation
  39. Department of Health
  40. Food Standards Agency
  41. Wellcome Trust in the United Kingdom
  42. Medical Research Council [G0401527, MC_U106179471] Funding Source: researchfish

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Background: The etiologies of glioma and meningioma tumors are largely unknown. Although reproductive hormones are thought to influence the risk of these tumors, epidemiologic data are not supportive of this hypothesis; however, few cohort studies have published on this topic. We examined the relation between reproductive factors and the risk of glioma and meningioma among women in the European Prospective Investigation into Cancer and Nutrition (EPIC). Methods: After a mean of 8.4 years of follow-up, 193 glioma and 194 meningioma cases were identified among 276,212 women. Information on reproductive factors and hormone use was collected at baseline. Cox proportional hazard regression was used to determine hazard ratios (HR) and 95% confidence intervals (95% CI). Results: No associations were observed between glioma or meningioma risk and reproductive factors, including age at menarche, parity, age at first birth, menopausal status, and age at menopause. A higher risk of meningioma was observed among postmenopausal women who were current users of hormone replacement therapy (HR, 1.79; 95% CI, 1.18-2.71) compared with never users. Similarly, current users of oral contraceptives were at higher risk of meningioma than never users (HR, 3.61; 95% CI, 1.75-7.46). Conclusion: Our results do not support a role for estrogens and glioma risk. Use of exogenous hormones, especially current use, seems to increase meningioma risk. However, these findings could be due to diagnostic bias and require confirmation. Impact: Elucidating the role of hormones in brain tumor development has important implications and needs to be further examined using biological measurements. Cancer Epidemiol Biomarkers Prev; 19(10); 2562-9. (C) 2010 AACR.

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