Anthropometric factors and risk of melanoma in women: A pooled analysis

Anthropometric factors such as height, weight and body mass index are related to the occurrence of certain malignancies in women including cancers of the breast, ovary and endometrium. Several studies have investigated the relation between height and weight or body mass and the risk of cutaneous melanoma in women, but results have been inconsistent. We conducted a collaborative analysis of these factors using the original data from 8 case–control studies of melanoma in women (2,083 cases and 2,782 controls), with assessment of the potential confounding effects of socioeconomic, pigmentary and sun exposure‐related factors. Women in the highest quartile of height had an increased risk of melanoma [pooled odds ratio (pOR) 1.3, 95% confidence interval (CI) 1.1–1.6]. We also found an elevated risk associated with weight gain in adult life of 2 kg or more (pOR 1.5, 95% CI 1.1–2.0). Stratifying by age at melanoma diagnosis (<50, ≥50 yr), we found this risk greater among women <50 yr of age. Associations were unaffected by adjustment for other known risk factors for melanoma. There was no evidence that the effects varied for different histologic subtypes of cutaneous melanoma. There was no association with body weight per se, body mass index, or body surface area, either recent or in young adulthood. In aggregate, data from these studies suggest that greater height and weight gain may be risk factors for cutaneous melanoma in women. © 2007 Wiley‐Liss, Inc.

[1]  C. Friedenreich Review of anthropometric factors and breast cancer risk , 2001, European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation.

[2]  Michael J Thun,et al.  Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. , 2003, The New England journal of medicine.

[3]  E. Holly,et al.  Cutaneous melanoma in women. II. Phenotypic characteristics and other host-related factors. , 1995, American journal of epidemiology.

[4]  M. Berwick,et al.  Hormonal and reproductive influences and risk of melanoma in women. , 1998, International journal of epidemiology.

[5]  J. Olsen,et al.  Obesity and cancer risk: a Danish record-linkage study. , 1994, European journal of cancer.

[6]  A. Halpern,et al.  Reproductive risk factors for cutaneous melanoma in women: a case-control study. , 2006, American journal of epidemiology.

[7]  S. Rössner,et al.  The predictive validity of body mass index based on self-reported weight and height. , 1989, International journal of obesity.

[8]  J. A. Bishop,et al.  Risk of cutaneous melanoma in relation to the numbers, types and sites of naevi: a case-control study. , 1996, British Journal of Cancer.

[9]  G. Giles,et al.  A case-control study of melanomas of the soles and palms (Australia and Scotland) , 1999, Cancer Causes & Control.

[10]  S. Rosso,et al.  Cutaneous malignant melanoma in females: the role of hormonal and reproductive factors. , 1990, International journal of epidemiology.

[11]  V. Beral,et al.  Malignant melanoma and oral contraceptive use among women in California. , 1977, British Journal of Cancer.

[12]  Bruce K. Armstrong,et al.  A Prospective Study of Pigmentation, Sun Exposure, and Risk of Cutaneous Malignant Melanoma in Women , 2003 .

[13]  R. Mosteller Simplified calculation of body-surface area. , 1987, The New England journal of medicine.

[14]  L. Sjöström,et al.  Impact of obesity on metabolism in men and women. Importance of regional adipose tissue distribution. , 1983, The Journal of clinical investigation.

[15]  E Demidenko,et al.  Two‐stage methods for the analysis of pooled data , 2001, Statistics in medicine.

[16]  D. Easton,et al.  Risk of cutaneous melanoma associated with pigmentation characteristics and freckling: Systematic overview of 10 case‐control studies , 1995 .

[17]  W. Foulkes,et al.  Cutaneous malignant melanoma in women is uncommonly associated with a family history of melanoma in first-degree relatives: a case-control study , 1996, Melanoma research.

[18]  H. Adami,et al.  A prospective study of pigmentation, sun exposure, and risk of cutaneous malignant melanoma in women. , 2004, Journal of the National Cancer Institute.

[19]  S. Tretli,et al.  Cutaneous malignant melanoma: Association with height, weight and body‐surface area. A prospective study in Norway , 1993, International journal of cancer.

[20]  E. Calle,et al.  Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms , 2004, Nature Reviews Cancer.

[21]  D. Albanes,et al.  Adult stature and risk of cancer. , 1988, Cancer research.

[22]  L. Naldi,et al.  Cutaneous malignant melanoma in women. Phenotypic characteristics, sun exposure, and hormonal factors: a case-control study from Italy. , 2005, Annals of epidemiology.

[23]  A. Green,et al.  Hormonal factors and melanoma in women , 1985, The Medical journal of Australia.

[24]  J. Liff,et al.  Cutaneous melanoma in relation to exogenous hormones and reproductive factors. , 1983, Journal of the National Cancer Institute.

[25]  K. Michaelsen,et al.  Serum levels of insulin-like growth factor (IGF)-binding protein-3 (IGFBP-3) in healthy infants, children, and adolescents: the relation to IGF-I, IGF-II, IGFBP-1, IGFBP-2, age, sex, body mass index, and pubertal maturation. , 1995, The Journal of clinical endocrinology and metabolism.

[26]  M. Tucker,et al.  The Danish case‐control study of cutaneous malignant melanoma. III. Hormonal and reproductive factors in women , 1988, International journal of cancer.

[27]  T. Peters,et al.  Childhood energy intake and adult mortality from cancer: the boyd orr cohort study , 1998, BMJ.

[28]  M. Pike,et al.  Endogenous hormones as a major factor in human cancer. , 1982, Cancer research.

[29]  T. Bjørge,et al.  Height and Body Mass Index in Relation to Colorectal and Gallbladder Cancer in Two Million Norwegian Men and Women , 2005, Cancer Causes & Control.

[30]  M. Nicolson,et al.  Incidence of and survival from malignant melanoma in Scotland: an epidemiological study , 2002, The Lancet.

[31]  M. McCullough,et al.  Diet and cancer prevention , 2004, Oncogene.

[32]  E. White,et al.  Case-control study of malignant melanoma in Washington State. II. Diet, alcohol, and obesity. , 1994, American journal of epidemiology.

[33]  S. Rosso,et al.  Pregnancy History and Incidence of Melanoma in Women: A Pooled Analysis , 2006, Cancer Causes & Control.

[34]  T Olds,et al.  Morphological Evolution of Athletes Over the 20th Century , 2001, Sports medicine.

[35]  P. Sparén,et al.  Malignant melanoma: reduced risk associated with early childbearing and multiparity , 1996, Melanoma research.

[36]  P. Boffetta,et al.  The risk for cutaneous malignant melanoma, melanoma in situ and intraocular malignant melanoma in relation to tobacco use and body mass index , 2007, The British journal of dermatology.

[37]  P. Laake,et al.  Diet and risk of cutaneous malignant melanoma: A prospective study of 50,757 Norwegian men and women , 1997, International journal of cancer.

[38]  A. McTiernan,et al.  Melanoma risk in relation to height, weight, and exercise (United States) , 2001, Cancer Causes & Control.

[39]  S. Feig IARC Handbooks of Cancer Prevention , 2003 .

[40]  Who Consultation on Obesity Obesity: preventing and managing the global epidemic. Report of a WHO consultation. , 2000, World Health Organization technical report series.

[41]  J. Spinelli,et al.  Rethinking recycling. , 1995, Environmental health perspectives.

[42]  D. Sellen,et al.  Genetics of Criminal and Antisocial Behaviour. Ciba Foundation Symposium 194. Pp. 283. Edited by G. R. Bock & J. A. Goode. (Wiley, Chichester, 1996.) £50.00. , 1998, Journal of Biosocial Science.

[43]  M. H. Ross,et al.  Lasting influence of early caloric restriction on prevalence of neoplasms in the rat. , 1971, Journal of the National Cancer Institute.

[44]  V. Siskind,et al.  Diet and melanoma. An exploratory case-control study. , 1993, Annals of epidemiology.

[45]  A. Sigurdson,et al.  Risk of melanoma in relation to smoking, alcohol intake, and other factors in a large occupational cohort , 2003, Cancer Causes & Control.

[46]  B. Armstrong,et al.  Cutaneous malignant melanoma in women: exogenous sex hormones and reproductive factors. , 1984, British Journal of Cancer.

[47]  Harri Vainio,et al.  Overweight, obesity, and cancer risk. , 2002, The Lancet. Oncology.

[48]  E. Holly,et al.  Cutaneous melanoma in women. I. Exposure to sunlight, ability to tan, and other risk factors related to ultraviolet light. , 1995, American journal of epidemiology.

[49]  H. Adami,et al.  A prospective study of obesity and cancer risk (Sweden) , 2004, Cancer Causes & Control.

[50]  J R Marshall,et al.  Pooled analysis of prospective cohort studies on height, weight, and breast cancer risk. , 2000, American journal of epidemiology.

[51]  S. Franceschi,et al.  Risk of cutaneous melanoma associated with a family history of the disease , 1995, International journal of cancer.

[52]  T. Holford,et al.  Malignant melanoma incidence in Connecticut (United States): time trends and age-period-cohort modeling by anatomic site , 1994, Cancer Causes & Control.

[53]  C. Friedenreich,et al.  Body size and risk of colon and rectal cancer in the European Prospective Investigation Into Cancer and Nutrition (EPIC). , 2006, Journal of the National Cancer Institute.

[54]  Mosteller Rd Simplified Calculation of Body-Surface Area , 1987 .

[55]  A. Astrup,et al.  Obesity : Preventing and managing the global epidemic , 2000 .

[56]  H. Olsson,et al.  Risk of malignant melanoma in relation to drug intake, alcohol, smoking and hormonal factors. , 1996, British Journal of Cancer.

[57]  L. Naldi,et al.  Anthropometric measures and risk of cutaneous malignant melanoma: a case–control study from Italy , 2006, Melanoma research.

[58]  A. R. Frisancho Physical Status: The Use and Interpretation of Anthropometry , 1996, The American Journal of Clinical Nutrition.

[59]  G. Engholm,et al.  Trends in cutaneous malignant melanoma in Denmark 1943–1982 by anatomic site , 1988, APMIS : acta pathologica, microbiologica, et immunologica Scandinavica.

[60]  L. Kolonel,et al.  Sun exposure, diet, and melanoma in Hawaii Caucasians. , 2006, American journal of epidemiology.

[61]  S. Rosso,et al.  A pooled analysis of 10 case–control studies of melanoma and oral contraceptive use , 2002, British Journal of Cancer.

[62]  D. Lawlor,et al.  Agreement between measured and self-reported weight in older women. Results from the British Women's Heart and Health Study. , 2002, Age and ageing.

[63]  C. Quesenberry,et al.  Obesity, health services use, and health care costs among members of a health maintenance organization. , 1998, Archives of internal medicine.

[64]  D. Albanes,et al.  Are cell number and cell proliferation risk factors for cancer? , 1988, Journal of the National Cancer Institute.

[65]  E. Holly,et al.  Cutaneous melanoma in women. III. Reproductive factors and oral contraceptive use. , 1995, American journal of epidemiology.

[66]  Robert J Adams,et al.  How valid are self‐reported height and weight? A comparison between CATI self‐report and clinic measurements using a large cohort study , 2006, Australian and New Zealand journal of public health.

[67]  J. Manson,et al.  The validity of recalled weight among younger women. , 1995, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[68]  P. Stattin,et al.  Body mass index and cancer: Results from the Northern Sweden Health and Disease Cohort , 2006, International journal of cancer.

[69]  W. Chow,et al.  Relation of body mass index to cancer risk in 362,552 Swedish men , 2006, Cancer Causes & Control.

[70]  M. H. Ross,et al.  Tumor incidence patterns and nutrition in the rat. , 1965, The Journal of nutrition.