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FältnamnIndikatorerMetadata
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024a http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1787292 uri
024a urn:nbn:se:umu:diva-1787292 urn
024a 10.1186/s12916-020-01855-92 doi
040 a Se a
041 a eng
042 9 EPLK
100a Bull, Caroline J.4 aut
2451 0a Adiposity, metabolites, and colorectal cancer riskh [Elektronisk resurs]b Mendelian randomization study
264 1b BMC,c 2020
500 a Published
506a gratis
520 a Background Higher adiposity increases the risk of colorectal cancer (CRC), but whether this relationship varies by anatomical sub-site or by sex is unclear. Further, the metabolic alterations mediating the effects of adiposity on CRC are not fully understood. Methods We examined sex- and site-specific associations of adiposity with CRC risk and whether adiposity-associated metabolites explain the associations of adiposity with CRC. Genetic variants from genome-wide association studies of body mass index (BMI) and waist-to-hip ratio (WHR, unadjusted for BMI; N = 806,810), and 123 metabolites from targeted nuclear magnetic resonance metabolomics (N = 24,925), were used as instruments. Sex-combined and sex-specific Mendelian randomization (MR) was conducted for BMI and WHR with CRC risk (58,221 cases and 67,694 controls in the Genetics and Epidemiology of Colorectal Cancer Consortium, Colorectal Cancer Transdisciplinary Study, and Colon Cancer Family Registry). Sex-combined MR was conducted for BMI and WHR with metabolites, for metabolites with CRC, and for BMI and WHR with CRC adjusted for metabolite classes in multivariable models. Results In sex-specific MR analyses, higher BMI (per 4.2 kg/m(2)) was associated with 1.23 (95% confidence interval (CI) = 1.08, 1.38) times higher CRC odds among men (inverse-variance-weighted (IVW) model); among women, higher BMI (per 5.2 kg/m(2)) was associated with 1.09 (95% CI = 0.97, 1.22) times higher CRC odds. WHR (per 0.07 higher) was more strongly associated with CRC risk among women (IVW OR = 1.25, 95% CI = 1.08, 1.43) than men (IVW OR = 1.05, 95% CI = 0.81, 1.36). BMI or WHR was associated with 104/123 metabolites at false discovery rate-corrected P <= 0.05; several metabolites were associated with CRC, but not in directions that were consistent with the mediation of positive adiposity-CRC relations. In multivariable MR analyses, associations of BMI and WHR with CRC were not attenuated following adjustment for representative metabolite classes, e.g., the univariable IVW OR for BMI with CRC was 1.12 (95% CI = 1.00, 1.26), and this became 1.11 (95% CI = 0.99, 1.26) when adjusting for cholesterol in low-density lipoprotein particles. Conclusions Our results suggest that higher BMI more greatly raises CRC risk among men, whereas higher WHR more greatly raises CRC risk among women. Adiposity was associated with numerous metabolic alterations, but none of these explained associations between adiposity and CRC. More detailed metabolomic measures are likely needed to clarify the mechanistic pathways.
650 7a Medical and Health Sciences2 hsv
650 7a Health Sciences2 hsv
650 7a Nutrition and Dietetics2 hsv
650 7a Medicin och hälsovetenskap2 hsv
650 7a Hälsovetenskaper2 hsv
650 7a Näringslära2 hsv
653 a Body mass index
653 a Waist-to-hip ratio
653 a Colorectal cancer
653 a Mendelian randomization
653 a Metabolism
653 a NMR
653 a Epidemiology
653 a GECCO
653 a CORECT
653 a CCFR
655 7a government publication2 marcgt
700a Bell, Joshua A.4 aut
700a Murphy, Neil4 aut
700a Sanderson, Eleanor4 aut
700a Davey Smith, George4 aut
700a Timpson, Nicholas J.4 aut
700a Banbury, Barbara L.4 aut
700a Albanes, Demetrius4 aut
700a Berndt, Sonja I.4 aut
700a Bezieau, Stephane4 aut
700a Bishop, D. Timothy4 aut
700a Brenner, Hermann4 aut
700a Buchanan, Daniel D.4 aut
700a Burnett-Hartman, Andrea4 aut
700a Casey, Graham4 aut
700a Castellvi-Bel, Sergi4 aut
700a Chan, Andrew T.4 aut
700a Chang-Claude, Jenny4 aut
700a Cross, Amanda J.4 aut
700a de la Chapelle, Albert4 aut
700a Figueiredo, Jane C.4 aut
700a Gallinger, Steven J.4 aut
700a Gapstur, Susan M.4 aut
700a Giles, Graham G.4 aut
700a Gruber, Stephen B.4 aut
700a Gsur, Andrea4 aut
700a Hampe, Jochen4 aut
700a Hampel, Heather4 aut
700a Harrison, Tabitha A.4 aut
700a Hoffmeister, Michael4 aut
700a Hsu, Li4 aut
700a Huang, Wen-Yi4 aut
700a Huyghe, Jeroen R.4 aut
700a Jenkins, Mark A.4 aut
700a Joshu, Corinne E.4 aut
700a Keku, Temitope O.4 aut
700a Kuhn, Tilman4 aut
700a Kweon, Sun-Seog4 aut
700a Le Marchand, Loic4 aut
700a Li, Christopher I.4 aut
700a Li, Li4 aut
700a Lindblom, Annika4 aut
700a Martin, Vicente4 aut
700a May, Anne M.4 aut
700a Milne, Roger L.4 aut
700a Moreno, Victor4 aut
700a Newcomb, Polly A.4 aut
700a Offit, Kenneth4 aut
700a Ogino, Shuji4 aut
700a Phipps, Amanda I.4 aut
700a Platz, Elizabeth A.4 aut
700a Potter, John D.4 aut
700a Qu, Conghui4 aut
700a Quiros, J. Ramon4 aut
700a Rennert, Gad4 aut
700a Riboli, Elio4 aut
700a Sakoda, Lori C.4 aut
700a Schafmayer, Clemens4 aut
700a Schoen, Robert E.4 aut
700a Slattery, Martha L.4 aut
700a Tangen, Catherine M.4 aut
700a Tsilidis, Kostas K.4 aut
700a Ulrich, Cornelia M.4 aut
700a van Duijnhoven, Franzel J. B.4 aut
700a van Guelpen, Bethany4 aut
700a Visvanathan, Kala4 aut
700a Vodicka, Pavel4 aut
700a Vodickova, Ludmila4 aut
700a Wang, Hansong4 aut
700a White, Emily4 aut
700a Wolk, Alicja4 aut
700a Woods, Michael O.4 aut
700a Wu, Anna H.4 aut
700a Campbell, Peter T.4 aut
700a Zheng, Wei4 aut
700a Peters, Ulrike4 aut
700a Vincent, Emma E.4 aut
700a Gunter, Marc J.4 aut
710a Umeå universitetb Medicinska fakulteten4 pbl
710a Umeå universitetb Medicinska fakulteten4 pbl
7720 8i channel recordw tc5g1zj51493sl0
773t BMC Medicineg 18:1x 1741-7015
8564 0u http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178729
8564 0u http://dx.doi.org/10.1186/s12916-020-01855-9
8564 0u http://umu.diva-portal.org/smash/get/diva2:1517677/FULLTEXT01
8564 2u http://www.umu.se/z Värdpublikation
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0245 APISa urn:nbn:se:umu:diva-1787292 urn
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8564 05 APISu http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178729
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Bull, Caroline J.
Bell, Joshua A.
Murphy, Neil
Sanderson, Eleanor
Davey Smith, George
Timpson, Nicholas J.
visa fler...
Banbury, Barbara L.
Albanes, Demetrius
Berndt, Sonja I.
Bezieau, Stephane
Bishop, D. Timothy
Brenner, Hermann
Buchanan, Daniel D.
Burnett-Hartman, And ...
Casey, Graham
Castellvi-Bel, Sergi
Chan, Andrew T.
Chang-Claude, Jenny
Cross, Amanda J.
de la Chapelle, Albe ...
Figueiredo, Jane C.
Gallinger, Steven J.
Gapstur, Susan M.
Giles, Graham G.
Gruber, Stephen B.
Gsur, Andrea
Hampe, Jochen
Hampel, Heather
Harrison, Tabitha A.
Hoffmeister, Michael
Hsu, Li
Huang, Wen-Yi
Huyghe, Jeroen R.
Jenkins, Mark A.
Joshu, Corinne E.
Keku, Temitope O.
Kuhn, Tilman
Kweon, Sun-Seog
Le Marchand, Loic
Li, Christopher I.
Li, Li
Lindblom, Annika
Martin, Vicente
May, Anne M.
Milne, Roger L.
Moreno, Victor
Newcomb, Polly A.
Offit, Kenneth
Ogino, Shuji
Phipps, Amanda I.
Platz, Elizabeth A.
Potter, John D.
Qu, Conghui
Quiros, J. Ramon
Rennert, Gad
Riboli, Elio
Sakoda, Lori C.
Schafmayer, Clemens
Schoen, Robert E.
Slattery, Martha L.
Tangen, Catherine M.
Tsilidis, Kostas K.
Ulrich, Cornelia M.
van Duijnhoven, Fran ...
van Guelpen, Bethany
Visvanathan, Kala
Vodicka, Pavel
Vodickova, Ludmila
Wang, Hansong
White, Emily
Wolk, Alicja
Woods, Michael O.
Wu, Anna H.
Campbell, Peter T.
Zheng, Wei
Peters, Ulrike
Vincent, Emma E.
Gunter, Marc J.
Umeå universitet Med ...
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