The impact of modifiable risk factors on mortality from prostate cancer in populations of the Asia-Pacific region

Okayama, A., Ueshima, H., Maegawa, H., Aoki, N., Nakamura, M., Kubo, N., Yamada, T., Wu, Z. S., Yao, C. H., Wu, Z. S., Andrews, G., Welborn, T. A., Tang, Z., Liu, L. S., Xie, J. X., Norton, R., Ameratunga, S., MacMahon, S., Whitlock, G., Knuiman, M. W., Christensen, H., Zhou, J., Yu, X. H., Wu, X. G., Tarnakoshi, A., Pan, W. H., Sritara, P., Wu, Z. L., Chen, L. Q., Shan, G. L., Gu, Df, Duan, X. F., Norton, R., Whitlock, G., Jackson, R., Li, Y. H., Fujishima, M., Kiyohara, Y., Iwamoto, H., Woo, J., Ho, S. C., Hong, Z., Huang, M. S., Zhou, B., Fuh, J. L., Ueshima, H., Kita, Y., Choudhury, S. R., Suh, I., Jee, S. H., Kim, I. S., Giles, G., Hashimoto, T., Sakata, K., Dobson, A., Imai, Y., Ohkubo, T., Hozawa, A., Jamrozik, K., Hobbs, M., Broadhurst, R., Nakachi, K., Fang, X. H., Li, S. C., Yang, Q. D., Chen, Z. M., Tanaka, H., Kita, Y., Nozaki, A., Ueshima, H., Horibe, H., Matsutani, Y., Kagaya, M., Hughes, K., Lee, J., Heng, D., Chew, S. K., Zhou, B. F., Zhang, H. Y., Shimamoto, K., Saitoh, S., Li, Z. Z., Zhang, H. Y., Norman, P., Jamrozik, K., He, Y., Lam, T. H., Yao, S. X. and Huxley, Rachel (2007) The impact of modifiable risk factors on mortality from prostate cancer in populations of the Asia-Pacific region. Asian Pacific Journal of Cancer Prevention, 8 2: 199-205.

Author Okayama, A.
Ueshima, H.
Maegawa, H.
Aoki, N.
Nakamura, M.
Kubo, N.
Yamada, T.
Wu, Z. S.
Yao, C. H.
Wu, Z. S.
Andrews, G.
Welborn, T. A.
Tang, Z.
Liu, L. S.
Xie, J. X.
Norton, R.
Ameratunga, S.
MacMahon, S.
Whitlock, G.
Knuiman, M. W.
Christensen, H.
Zhou, J.
Yu, X. H.
Wu, X. G.
Tarnakoshi, A.
Pan, W. H.
Sritara, P.
Wu, Z. L.
Chen, L. Q.
Shan, G. L.
Gu, Df
Duan, X. F.
Norton, R.
Whitlock, G.
Jackson, R.
Li, Y. H.
Fujishima, M.
Kiyohara, Y.
Iwamoto, H.
Woo, J.
Ho, S. C.
Hong, Z.
Huang, M. S.
Zhou, B.
Fuh, J. L.
Ueshima, H.
Kita, Y.
Choudhury, S. R.
Suh, I.
Jee, S. H.
Kim, I. S.
Giles, G.
Hashimoto, T.
Sakata, K.
Dobson, A.
Imai, Y.
Ohkubo, T.
Hozawa, A.
Jamrozik, K.
Hobbs, M.
Broadhurst, R.
Nakachi, K.
Fang, X. H.
Li, S. C.
Yang, Q. D.
Chen, Z. M.
Tanaka, H.
Kita, Y.
Nozaki, A.
Ueshima, H.
Horibe, H.
Matsutani, Y.
Kagaya, M.
Hughes, K.
Lee, J.
Heng, D.
Chew, S. K.
Zhou, B. F.
Zhang, H. Y.
Shimamoto, K.
Saitoh, S.
Li, Z. Z.
Zhang, H. Y.
Norman, P.
Jamrozik, K.
He, Y.
Lam, T. H.
Yao, S. X.
Huxley, Rachel
Title The impact of modifiable risk factors on mortality from prostate cancer in populations of the Asia-Pacific region
Journal name Asian Pacific Journal of Cancer Prevention   Check publisher's open access policy
ISSN 1513-7368
Publication date 2007-04
Year available 2007
Sub-type Article (original research)
Volume 8
Issue 2
Start page 199
End page 205
Total pages 7
Place of publication Rajchathewee, Bangkok, Thailand
Publisher Asian Pacific Organization for Cancer Prevention
Collection year 2008
Language eng
Formatted abstract
Mortality from cancer of the prostate is increasing in the Asia-Pacific, when much of this region is undergoing a transition to a Western lifestyle. The role that lifestyle factors play in prostate cancer appears limited, but existing data mainly are from the West. We conducted an individual participant data analysis of 24 cohort studies involving 320,852 men (83% in Asia). Cox proportional hazard models were used to quantify associations between risk factors and mortality from prostate cancer. There were 308 deaths from prostate cancer (14% in Asia) during 2.1 million person-years of follow-up. The age-adjusted hazard ratio (95% confidence interval; CI) for men with body mass index (BMI) 28 kg/m2 or more, compared with below 25, was 1.55 (1.12 - 2.16); no such significant relationship was found for height or waist circumference. The BMI result was unchanged after adjustment for other variables, was consistent between Asia and Australia/New Zealand (ANZ) and did not differ with age. There was no significant relationship with diabetes, glucose or total cholesterol (p ≥ 0.18). Smoking, alone, showed different effects in the two regions, possibly due to the relative immaturity of the smoking epidemic in Asia. In ANZ, the multiple-adjusted hazard ratio for an extra 5 cigarettes per day was 1.12 (95%CI: 1.03 -1.22), whereas in Asia it was 0.77 (0.56 - 1.05). Body size is an apparently important determinant of prostate cancer in the Asia-Pacific. Evidence of an adverse effect of smoking is conclusive only in the predominantly Caucasian parts of the region.
Keyword Prostate cancer
Asia Pacific
Body Mass Index
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
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