Diabetes and endometrial cancer: an evaluation of the modifying effects of other known risk factors
Abstract
To determine whether risk of endometrial cancer among women with type 2 diabetes differs with respect to other endometrial cancer risk factors, the authors used data from a population-based case-control study (1,303 cases and 1,779 controls) conducted in western Washington State during 1985-1999. History of type 2 diabetes was associated with endometrial cancer (odds ratio (OR) = 1.7, 95% confidence interval (CI): 1.2, 2.3), more strongly among women with a recent diabetes diagnosis (<5 years) (OR = 2.6, CI: 1.5, 4.7) than among those with a more distant diagnosis (> or =5 years) (OR = 1.3, CI: 0.8, 1.9). Type 2 diabetes was associated with endometrial cancer among women with a body mass index (BMI) (weight (kg)/height (m)(2)) less than 35 but not among women with a BMI of 35 or more. The observed associations persisted after finer adjustment for BMI to control for residual confounding. History of diabetes was associated with a twofold increased risk of endometrial cancer among hypertensive women, but no association was observed among nonhypertensive women. The risk associated with type 2 diabetes appeared not to vary greatly with respect to other endometrial cancer risk factors. These results support the hypothesis that type 2 diabetes is associated with endometrial cancer irrespective of the presence of other risk factors for this disease, except possibly hypertension and extreme obesity.
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For endometrial cancer, the new-onset diabetics (<5 years) have a two-fold risk compared with those with long-standing diabetes (≥5 years).
“For endometrial cancer, the new-onset diabetics (<5 years) have a two-fold risk compared with those with long-standing diabetes (≥5 years) (121).”
From Diabetes and Sarcopenic Obesity: Pathogenesis, Diagnosis, and Treatments (2020) · cites this paper as [121]
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Diabetes and Sarcopenic Obesity: Pathogenesis, Diagnosis, and Treatments
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- Authors
- Saltzman, B. S., Doherty, J. A., Hill, D. A., Beresford, S. A., Voigt, L. F., Chen, C., & Weiss, N. S.
- Affiliations
- University of Washington (US)
- University of New Mexico (US)
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-12-12
- Volume
- 167
- Issue
- 5
- Pages
- 607-614
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2164625300
- Cited by
- 102
- References
- 23
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 5 · 2019: 4 · 2018: 1 · 2017: 9 · 2016: 6 · 2015: 8 · 2014: 7 · 2013: 9 · 2012: 13
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R01CA047749, K05CA092002, R35 CA 39779, R01 CA47749, K05 CA92002, R01-CA75977, R01CA075977, R35CA039779)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (N01 HD 23166)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Keywords
- type 2 diabetes, endometrial cancer, cancer risk factors, hypertension, body mass index, obesity, diabetes duration, residual confounding
- MeSH terms
- Aged, Diabetes Mellitus, Type 2, Female, Humans, Insulin, Interviews as Topic, Middle Aged, Obesity, Population Surveillance, Risk Factors, Washington, Body Mass Index, Incidence, Case-Control Studies, Endometrial Neoplasms, Risk Assessment, Adiposity
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