Menstrual and reproductive factors and lung cancer risk

• Verfasst von: Ben Khedher, Soumaya [VerfasserIn]
• Verfasst von: Brenner, Hermann [VerfasserIn]
• Verfasst von: Saum, Kai-Uwe [VerfasserIn]
• Titel: Menstrual and reproductive factors and lung cancer risk
• Titelzusatz: a pooled analysis from the international lung cancer consortium
• Verf.angabe: Soumaya Ben Khedher, Monica Neri, Alexandra Papadopoulos, David C. Christiani, Nancy Diao, Curtis C Harris, Susan Olivo-Marston, Ann G. Schwartz, Michele Cote, Anita Koushik, Jack Siemiatycki, Maria Teresa Landi, Rayjean J. Hung, John McLaughlin, Eric J Duell, Angeline S. Andrew, Irene Orlow, Bernard J. Park, Hermann Brenner, Kai-Uwe Saum, Angela C. Pesatori and Isabelle Stücker
• E-Jahr: 2017
• Jahr: 25 Apr 2017
• Umfang: 15 S.
• Teil: volume:141
• Teil: year:2017
• Teil: number:2
• Teil: pages:309-323
• Teil: extent:15
• Fussnoten: Gesehen am 31.05.2017
• Titel Quelle: Enthalten in: International journal of cancer
• Ort Quelle: Bognor Regis : Wiley-Liss, 1966
• Jahr Quelle: 2017
• Band/Heft Quelle: 141(2017), 2, Seite 309-323
• ISSN Quelle: 1097-0215
• DOI: doi:10.1002/ijc.30750
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: case-control studies
• Sach-SW: lung neoplasms
• Sach-SW: menopause
• Sach-SW: reproductive history
• Sach-SW: women
• K10plus-PPN: 1559172150

Abstract

Many clinical features of lung cancer are different in women and men. Sex steroid hormones exert effects in nonreproductive organs, such as the lungs. The association between menstrual and childbearing factors and the risk of lung cancer among women is still debated. We performed a pooled analysis of eight studies contributing to the International Lung Cancer Consortium (4,386 cases and 4,177 controls). Pooled associations between menstrual or reproductive factors and lung cancer were estimated using multivariable unconditional logistic regression. Subgroup analyses were done for menopause status, smoking habits and histology. We found no strong support for an association of age at menarche and at menopause with lung cancer, but peri/postmenopausal women were at higher risk compared to premenopausal (OR 1.47, 95% CI 1.11-1.93). Premenopausal women showed increased risks associated with parity (OR 1.74, 95% CI 1.03-2.93) and number of children (OR 2.88, 95% CI 1.21-6.93 for more than 3 children; p for trend 0.01) and decreased with breastfeeding (OR 0.54, 95% CI 0.30-0.98). In contrast, peri/postmenopausal subjects had ORs around unity for the same exposures. No major effect modification was exerted by smoking status or cancer histology. Menstrual and reproductive factors may play a role in the genesis of lung cancer, yet the mechanisms are unclear, and smoking remains the most important modifiable risk factor. More investigations in large well-designed studies are needed to confirm these findings and to clarify the underlying mechanisms of gender differences in lung cancer risk.