Serum Calcium and Incident and Fatal Prostate Cancer in the National Health and Nutrition Examination Survey

We examined the association between serum calcium levels and the risk for prostate cancer using a prospective cohort, the National Health and Nutrition Examination Survey (NHANES) and the NHANES Epidemiologic Follow-up Study. Eighty-five incident cases of prostate cancer and 25 prostate cancer death...

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Veröffentlicht in:Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 2008-09, Vol.17 (9), p.2302-2305
Hauptverfasser: SKINNER, Halcyon G, SCHWARTZ, Gary G
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description We examined the association between serum calcium levels and the risk for prostate cancer using a prospective cohort, the National Health and Nutrition Examination Survey (NHANES) and the NHANES Epidemiologic Follow-up Study. Eighty-five incident cases of prostate cancer and 25 prostate cancer deaths occurred over 46,188 person-years of follow-up. Serum calcium was determined an average of 9.9 years before the diagnosis of prostate cancer. Comparing men in the top with men in the bottom tertile of serum calcium, the multivariable-adjusted relative hazard for fatal prostate cancer was 2.68 (95% confidence interval, 1.02-6.99; P trend = 0.04). For incident prostate cancer, the relative risk for the same comparison was 1.31 (95% confidence interval, 0.77-2.20; P trend = 0.34). These results support the hypothesis that high serum calcium or a factor strongly associated with it (e.g., high serum parathyroid hormone) increases the risk for fatal prostate cancer. Our finding of a >2.5-fold increased risk for men in the highest tertile of serum calcium is comparable in magnitude with the risk associated with family history and could add significantly to our ability to identify men at increased risk for fatal prostate cancer. (Cancer Epidemiol Biomarkers Prev 2008;17(9):2302–5)
doi_str_mv 10.1158/1055-9965.EPI-08-0365
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Eighty-five incident cases of prostate cancer and 25 prostate cancer deaths occurred over 46,188 person-years of follow-up. Serum calcium was determined an average of 9.9 years before the diagnosis of prostate cancer. Comparing men in the top with men in the bottom tertile of serum calcium, the multivariable-adjusted relative hazard for fatal prostate cancer was 2.68 (95% confidence interval, 1.02-6.99; P trend = 0.04). For incident prostate cancer, the relative risk for the same comparison was 1.31 (95% confidence interval, 0.77-2.20; P trend = 0.34). These results support the hypothesis that high serum calcium or a factor strongly associated with it (e.g., high serum parathyroid hormone) increases the risk for fatal prostate cancer. Our finding of a &gt;2.5-fold increased risk for men in the highest tertile of serum calcium is comparable in magnitude with the risk associated with family history and could add significantly to our ability to identify men at increased risk for fatal prostate cancer. (Cancer Epidemiol Biomarkers Prev 2008;17(9):2302–5)</description><identifier>ISSN: 1055-9965</identifier><identifier>EISSN: 1538-7755</identifier><identifier>DOI: 10.1158/1055-9965.EPI-08-0365</identifier><identifier>PMID: 18768497</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Biological and medical sciences ; calcium ; Calcium - analysis ; cohort study ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; mortality ; Nephrology. 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Eighty-five incident cases of prostate cancer and 25 prostate cancer deaths occurred over 46,188 person-years of follow-up. Serum calcium was determined an average of 9.9 years before the diagnosis of prostate cancer. Comparing men in the top with men in the bottom tertile of serum calcium, the multivariable-adjusted relative hazard for fatal prostate cancer was 2.68 (95% confidence interval, 1.02-6.99; P trend = 0.04). For incident prostate cancer, the relative risk for the same comparison was 1.31 (95% confidence interval, 0.77-2.20; P trend = 0.34). These results support the hypothesis that high serum calcium or a factor strongly associated with it (e.g., high serum parathyroid hormone) increases the risk for fatal prostate cancer. Our finding of a &gt;2.5-fold increased risk for men in the highest tertile of serum calcium is comparable in magnitude with the risk associated with family history and could add significantly to our ability to identify men at increased risk for fatal prostate cancer. (Cancer Epidemiol Biomarkers Prev 2008;17(9):2302–5)</description><subject>Biological and medical sciences</subject><subject>calcium</subject><subject>Calcium - analysis</subject><subject>cohort study</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>mortality</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nutrition Surveys</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>prostate cancer</subject><subject>Prostatic Neoplasms - blood</subject><subject>Prostatic Neoplasms - epidemiology</subject><subject>Prostatic Neoplasms - mortality</subject><subject>Risk</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>United States - epidemiology</subject><subject>Urinary tract. 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Urinary tract diseases</topic><topic>Nutrition Surveys</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>prostate cancer</topic><topic>Prostatic Neoplasms - blood</topic><topic>Prostatic Neoplasms - epidemiology</topic><topic>Prostatic Neoplasms - mortality</topic><topic>Risk</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>United States - epidemiology</topic><topic>Urinary tract. Prostate gland</topic><topic>vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SKINNER, Halcyon G</creatorcontrib><creatorcontrib>SCHWARTZ, Gary G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer epidemiology, biomarkers &amp; prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SKINNER, Halcyon G</au><au>SCHWARTZ, Gary G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum Calcium and Incident and Fatal Prostate Cancer in the National Health and Nutrition Examination Survey</atitle><jtitle>Cancer epidemiology, biomarkers &amp; prevention</jtitle><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>17</volume><issue>9</issue><spage>2302</spage><epage>2305</epage><pages>2302-2305</pages><issn>1055-9965</issn><eissn>1538-7755</eissn><abstract>We examined the association between serum calcium levels and the risk for prostate cancer using a prospective cohort, the National Health and Nutrition Examination Survey (NHANES) and the NHANES Epidemiologic Follow-up Study. 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source MEDLINE; American Association for Cancer Research; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Biological and medical sciences
calcium
Calcium - analysis
cohort study
Humans
Incidence
Male
Medical sciences
Middle Aged
mortality
Nephrology. Urinary tract diseases
Nutrition Surveys
Proportional Hazards Models
Prospective Studies
prostate cancer
Prostatic Neoplasms - blood
Prostatic Neoplasms - epidemiology
Prostatic Neoplasms - mortality
Risk
Tumors
Tumors of the urinary system
United States - epidemiology
Urinary tract. Prostate gland
vitamin D
title Serum Calcium and Incident and Fatal Prostate Cancer in the National Health and Nutrition Examination Survey
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