Association of circulating leptin and adiponectin levels with colorectal cancer risk: A systematic review and meta-analysis of case-control studies

•The overall analysis found that circulating levels of leptin and adiponectin were not significantly associated with CRC risk.•Subgroup analysis revealed that a higher level of adiponectin was associated with an increased CRC risk among overweight individuals.•Subgroup analysis revealed that a highe...

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Veröffentlicht in:Cancer epidemiology 2021-08, Vol.73, p.101958, Article 101958
Hauptverfasser: Wang, Yan, Li, Junyong, Fu, Xiaolin, Li, Jialing, Liu, Lihua, Alkohlani, Albatoul, Tan, Shing Cheng, Low, Teck Yew, Hou, Yue
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container_end_page
container_issue
container_start_page 101958
container_title Cancer epidemiology
container_volume 73
creator Wang, Yan
Li, Junyong
Fu, Xiaolin
Li, Jialing
Liu, Lihua
Alkohlani, Albatoul
Tan, Shing Cheng
Low, Teck Yew
Hou, Yue
description •The overall analysis found that circulating levels of leptin and adiponectin were not significantly associated with CRC risk.•Subgroup analysis revealed that a higher level of adiponectin was associated with an increased CRC risk among overweight individuals.•Subgroup analysis revealed that a higher level of adiponectin was associated with a decreased CRC risk among normal weight individuals. Leptin and adiponectin are adipokines which have been commonly implicated in carcinogenesis. As such, many studies have investigated the association of circulating leptin and adiponectin levels with colorectal cancer (CRC) risk. However, the results remained inconsistent. In this work, we performed a systematic review and meta-analysis to precisely examine the association between circulating levels of leptin and adiponectin and CRC risk. A systematic literature search was performed in PubMed/MEDLINE, Scopus, Web of Science, and EMBASE databases from inception until October 2020. The pooled effect size was then estimated by calculating the odds ratio (OR). A total of 23 records (comprising 26 studies) were included in the meta-analysis. The overall analysis found that circulating levels of leptin and adiponectin were not significantly associated with CRC risk (P > 0.05). Interestingly, subgroup analysis revealed that a higher level of adiponectin was significantly associated with an increased CRC risk among overweight individuals (OR = 1.16; 95 % CI: 1.02, 1.32), and a decreased CRC risk among normal weight individuals (OR = 0.76; 95 % CI: 0.62, 0.92). Besides, a higher level of adiponectin was also significantly associated with a decreased risk of CRC in men (OR = 0.76; 95 % CI: 0.59, 0.98). In conclusion, circulating leptin level was not associated with CRC risk, but that of adiponectin was associated with CRC risk only in specific subgroups.
doi_str_mv 10.1016/j.canep.2021.101958
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Leptin and adiponectin are adipokines which have been commonly implicated in carcinogenesis. As such, many studies have investigated the association of circulating leptin and adiponectin levels with colorectal cancer (CRC) risk. However, the results remained inconsistent. In this work, we performed a systematic review and meta-analysis to precisely examine the association between circulating levels of leptin and adiponectin and CRC risk. A systematic literature search was performed in PubMed/MEDLINE, Scopus, Web of Science, and EMBASE databases from inception until October 2020. The pooled effect size was then estimated by calculating the odds ratio (OR). A total of 23 records (comprising 26 studies) were included in the meta-analysis. The overall analysis found that circulating levels of leptin and adiponectin were not significantly associated with CRC risk (P &gt; 0.05). Interestingly, subgroup analysis revealed that a higher level of adiponectin was significantly associated with an increased CRC risk among overweight individuals (OR = 1.16; 95 % CI: 1.02, 1.32), and a decreased CRC risk among normal weight individuals (OR = 0.76; 95 % CI: 0.62, 0.92). Besides, a higher level of adiponectin was also significantly associated with a decreased risk of CRC in men (OR = 0.76; 95 % CI: 0.59, 0.98). In conclusion, circulating leptin level was not associated with CRC risk, but that of adiponectin was associated with CRC risk only in specific subgroups.</description><identifier>ISSN: 1877-7821</identifier><identifier>EISSN: 1877-783X</identifier><identifier>DOI: 10.1016/j.canep.2021.101958</identifier><language>eng</language><publisher>New York: Elsevier Ltd</publisher><subject>Adiponectin ; Bias ; Biomarkers ; Body mass index ; Body weight ; Cancer ; Carcinogenesis ; Carcinogens ; Cell growth ; Colorectal ; Colorectal cancer ; Colorectal carcinoma ; Epidemiology ; Health risks ; Hormones ; Insulin resistance ; Leptin ; Meta-analysis ; Obesity ; Overweight ; Peptides ; Risk ; Subgroups ; Systematic review ; Tumor necrosis factor-TNF ; Tumors</subject><ispartof>Cancer epidemiology, 2021-08, Vol.73, p.101958, Article 101958</ispartof><rights>2021 Elsevier Ltd</rights><rights>2021. 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Leptin and adiponectin are adipokines which have been commonly implicated in carcinogenesis. As such, many studies have investigated the association of circulating leptin and adiponectin levels with colorectal cancer (CRC) risk. However, the results remained inconsistent. In this work, we performed a systematic review and meta-analysis to precisely examine the association between circulating levels of leptin and adiponectin and CRC risk. A systematic literature search was performed in PubMed/MEDLINE, Scopus, Web of Science, and EMBASE databases from inception until October 2020. The pooled effect size was then estimated by calculating the odds ratio (OR). A total of 23 records (comprising 26 studies) were included in the meta-analysis. The overall analysis found that circulating levels of leptin and adiponectin were not significantly associated with CRC risk (P &gt; 0.05). 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Leptin and adiponectin are adipokines which have been commonly implicated in carcinogenesis. As such, many studies have investigated the association of circulating leptin and adiponectin levels with colorectal cancer (CRC) risk. However, the results remained inconsistent. In this work, we performed a systematic review and meta-analysis to precisely examine the association between circulating levels of leptin and adiponectin and CRC risk. A systematic literature search was performed in PubMed/MEDLINE, Scopus, Web of Science, and EMBASE databases from inception until October 2020. The pooled effect size was then estimated by calculating the odds ratio (OR). A total of 23 records (comprising 26 studies) were included in the meta-analysis. The overall analysis found that circulating levels of leptin and adiponectin were not significantly associated with CRC risk (P &gt; 0.05). 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source Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland
subjects Adiponectin
Bias
Biomarkers
Body mass index
Body weight
Cancer
Carcinogenesis
Carcinogens
Cell growth
Colorectal
Colorectal cancer
Colorectal carcinoma
Epidemiology
Health risks
Hormones
Insulin resistance
Leptin
Meta-analysis
Obesity
Overweight
Peptides
Risk
Subgroups
Systematic review
Tumor necrosis factor-TNF
Tumors
title Association of circulating leptin and adiponectin levels with colorectal cancer risk: A systematic review and meta-analysis of case-control studies
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