Height, body mass index, and prostate cancer: a follow-up of 950 000 Norwegian men
2003

Height, Body Mass Index, and Prostate Cancer in Norwegian Men

Sample size: 951459 publication 10 minutes Evidence: high

Author Information

Author(s): Engeland A, Tretli S, Bjørge T

Primary Institution: Norwegian Institute of Public Health

Hypothesis

What is the relationship between height, body mass index (BMI), and the risk of prostate cancer?

Conclusion

The study found that both height and BMI are positively associated with the risk of prostate cancer, particularly in men aged 50-59.

Supporting Evidence

  • 33,314 prostate cancer diagnoses were observed in the study.
  • The mean age at diagnosis was 73 years.
  • Men with a BMI below 35.0 kg/m2 had an increasing risk of prostate cancer with increasing BMI.
  • The tallest men had a relative risk of 1.72 compared to the shortest men.
  • Only histologically verified prostate cancer diagnoses were included in the study.
  • Men measured at age 20-29 had a higher risk of prostate cancer as they aged.
  • 7 men were lost to follow-up out of 951,466 eligible men.
  • The study had a follow-up period averaging 21 years.

Takeaway

Tall men and those who are overweight or obese are more likely to get prostate cancer. This is especially true for men in their 50s.

Methodology

The study used a cohort of men whose height and weight were measured between 1963 and 1975, linking this data to cancer registry records for follow-up.

Potential Biases

The study may have biases related to the accuracy of self-reported height and weight and the completeness of cancer registration.

Limitations

The study's results may be influenced by the lack of specific hypotheses for stratified analyses and potential biases in cancer registration.

Participant Demographics

The cohort consisted of Norwegian men aged 20-74 years at the time of measurement.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.04–1.14

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601206

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