Anthropometric Characteristics and Risk of Uterine Leiomyoma

被引:48
作者
Terry, Kathryn L. [1 ,2 ,3 ]
De Vivo, Immaculata [1 ,2 ]
Hankinson, Susan E. [1 ,2 ]
Spiegelman, Donna [2 ,4 ]
Wise, Lauren A. [5 ]
Missmer, Stacey A. [1 ,2 ,3 ]
机构
[1] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med,Channing Lab, Boston, MA 02115 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[3] Harvard Univ, Brigham & Womens Hosp, Dept Obstet & Gynecol, Boston, MA 02115 USA
[4] Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA
[5] Boston Univ, Sch Publ Hlth, Slone Epidemiol Ctr, Boston, MA USA
基金
美国国家卫生研究院;
关键词
D O I
10.1097/EDE.0b013e3181567eed
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The etiology of uterine leiomyoma ( or fibroids) is poorly understood. Sex steroid hormones and growth factors have been hypothesized to play a role in their development, and anthropometric characteristics may influence uterine leiomyoma risk. Methods: We analyzed prospectively-collected data from the Nurses' Health Study II, a cohort of 116,609 female registered nurses age 25 to 42 years at baseline. Incidence of uterine leiomyoma and anthropometric characteristics were assessed every 2 years. We calculated hazard ratios and 95% confidence intervals adjusted for known and suspected risk factors for uterine leiomyoma. Results: Uterine leiomyomas were associated with current body mass index, change in weight since age 18, and waist-to-hip ratio. However, there was little evidence of their association with body mass index at age 18, childhood or adolescent body size, or adult height. Conclusion: Body mass and weight gain in adulthood may increase the risk of uterine leiomyoma, but body mass in early life does not.
引用
收藏
页码:758 / 763
页数:6
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