Height at diagnosis and birth-weight as risk factors for osteosarcoma
Open accessAbstract
Objectives Osteosarcoma typically occurs during puberty. Studies of the association between height and/or birth-weight and osteosarcoma are conflicting. Therefore, we conducted a large pooled analysis of height and birth-weight in osteosarcoma.Methods Patient data from seven studies of height and three of birth-weight were obtained, resulting in 1,067 cases with height and 434 cases with birth-weight data. We compared cases to the 2000 US National Center for Health Statistics Growth Charts by simulating 1,000 age- and gender-matched controls per case. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for associations between height or birth-weight and risk of osteosarcoma for each study were estimated using logistic regression. All of the case data were combined for an aggregate analysis.Results Compared to average birth-weight subjects (2,665-4,045 g), individuals with high birth-weight (≥ 4,046 g) had an increased osteosarcoma risk (OR 1.35, 95% CI 1.01-1.79). Taller than average (51st - 89th percentile) and very tall individuals (≥ 90th percentile) had an increased risk of osteosarcoma (OR 1.35, 95% CI 1.18-1.54 and OR 2.60, 95% CI 2.19-3.07, respectively; P (trend) < 0.0001).Conclusions This is the largest analysis of height at diagnosis and birth-weight in relation to osteosarcoma. It suggests that rapid bone growth during puberty and in utero contributes to OS etiology.
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Polygenic interactions may explain the association between tall stature and risk of osteosarcoma.
“In addition, polygenic interactions may explain the association between tall stature and risk of osteosarcoma 24 .”
From Osteosarcoma (2022) · cites this paper as [24]
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- Authors
- Mirabello, L., Pfeiffer, R., Murphy, G., Daw, N. C., Patiño-Garcia, A., Troisi, R. J., Hoover, R. N., Douglass, C., Schüz, J., Craft, A. W., & Savage, S. A.
- Affiliations
- National Institutes of Health (US)
- St. Jude Children's Research Hospital (US)
- Harvard University (US)
- Johannes Gutenberg University Mainz (DE)
- Newcastle University (GB)
- Corresponding author
- Mirabello, Lisa
- ORCID
- Venue
- Cancer Causes & Control
- Published
- 2011-04-05
- Volume
- 22
- Issue
- 6
- Pages
- 899-908
- ISSN
- 0957-5243 (ISSN-L)
- 1573-7225
- PMC
- PMC3494416
- OpenAlex
- W2107929386
- Cited by
- 116
- References
- 74
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 9 · 2023: 4 · 2022: 9 · 2021: 10 · 2020: 11 · 2019: 8 · 2018: 9 · 2017: 7 · 2016: 10 · 2015: 11 · 2014: 5 · 2013: 7 · 2012: 6
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cancer Causes & Control (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Deposito Adademico Digital Universidad De Navarra (University of Navarra) (submittedVersion, other-oa)
- Funders
- National Institutes of Health (Z99 CA999999)
- National Cancer Institute (Y99 CA999999)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- osteosarcoma, birth weight, tall stature, puberty, cancer risk factors, pooled analysis
- MeSH terms
- Adolescent, Adult, Birth Weight, Body Height, Bone Neoplasms, Child, Child, Preschool, Female, Humans, Male, Middle Aged, Risk Factors, Osteosarcoma, Case-Control Studies, Young Adult
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