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@ARTICLE{Christakoudi:144418,
author = {S. Christakoudi and A. Kakourou and G. Markozannes and I.
Tzoulaki and E. Weiderpass and P. Brennan and M. Gunter and
C. C. Dahm and K. Overvad and A. Olsen and A. Tjønneland
and M.-C. Boutron-Ruault and A.-L. Madika and G. Severi and
V. Katzke$^*$ and T. Kühn$^*$ and M. M. Bergmann and H.
Boeing and A. Karakatsani and G. Martimianaki and P.
Thriskos and G. Masala and S. Sieri and S. Panico and R.
Tumino and F. Ricceri and A. Agudo and D. Redondo-Sánchez
and S. M. Colorado-Yohar and O. Mokoroa and O. Melander and
T. Stocks and C. Häggström and S. Harlid and B.
Bueno-de-Mesquita and C. H. van Gils and R. C. H. Vermeulen
and K.-T. Khaw and N. J. Wareham and T. Y. N. Tong and H.
Freisling and M. Johansson and H. Lennon and D. Aune and E.
Riboli and D. Trichopoulos and A. Trichopoulou and K. K.
Tsilidis},
title = {{B}lood pressure and risk of cancer in the {E}uropean
{P}rospective {I}nvestigation into {C}ancer and
{N}utrition.},
journal = {International journal of cancer},
volume = {146},
number = {10},
issn = {1097-0215},
address = {Bognor Regis},
publisher = {Wiley-Liss},
reportid = {DKFZ-2019-01871},
pages = {2680-2693},
year = {2020},
note = {2020 May 15;146(10):2680-2693},
abstract = {Several studies have reported associations of hypertension
with cancer, but not all results were conclusive. We
examined the association of systolic (SBP) and diastolic
(DBP) blood pressure with the development of incident cancer
at all anatomical sites in the European Prospective
Investigation into Cancer and Nutrition (EPIC). Hazard
ratios (HR) $(95\%$ confidence intervals) were estimated
using multivariable Cox proportional hazards models,
stratified by EPIC-participating centre and age at
recruitment, and adjusted for sex, education, smoking, body
mass index, physical activity, diabetes and dietary (in
women also reproductive) factors. The study included 307,318
men and women, with an average follow-up of 13.7 (standard
deviation 4.4) years and 39,298 incident cancers. We
confirmed the expected positive association with renal cell
carcinoma: HR=1.12 (1.08-1.17) per 10mmHg higher SBP and
HR=1.23 (1.14-1.32) for DBP. We additionally found positive
associations for esophageal squamous cell carcinoma (SCC):
HR=1.16 (1.07-1.26) (SBP), HR=1.31 (1.13-1.51) (DBP), weaker
for head and neck cancers: HR=1.08 (1.04-1.12) (SBP),
HR=1.09 (1.01-1.17) (DBP) and, similarly, for skin SCC,
colon cancer, post-menopausal breast cancer and uterine
adenocarcinoma (AC), but not for esophageal AC, lung SCC,
lung AC, or uterine endometroid cancer. We observed weak
inverse associations of SBP with cervical SCC: HR=0.91
(0.82-1.00) and lymphomas: HR=0.97 (0.93-1.00). There were
no consistent associations with cancers in other locations.
Our results are largely compatible with published studies
and support weak associations of blood pressure with cancers
in specific locations and morphologies. This article is
protected by copyright. All rights reserved.},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31319002},
doi = {10.1002/ijc.32576},
url = {https://inrepo02.dkfz.de/record/144418},
}