Higher Prevalence of Obesity in Gastric Cardia Adenocarcinoma Compared to Gastric Non-Cardia Adenocarcinoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-10

AUTHORS

Yuri Cho, Dong Ho Lee, Hong Sang Oh, Ji Yeon Seo, Dong Hyeon Lee, Nayoung Kim, Sook Hyang Jeong, Jin Wook Kim, Jin Hyuk Hwang, Young Soo Park, Sang Hyub Lee, Cheol Min Shin, Hyun Jin Jo, Hyun Chae Jung, Yong Bum Yoon, In Sung Song

ABSTRACT

BACKGROUND AND AIMS: Obesity is one of the main risk factors for gastric cardia adenocarcinoma (GCA) in the West. Also, recent studies have suggested that GCA is distinct from distal stomach tumor, with differing risk factors, tumor characteristics, and biological behavior. The objective of our research was to evaluate the relationship between obesity and GCA compared to non-cardia adenocarcinoma. MATERIALS AND METHODS: A total of 298 patients who were diagnosed with gastric adenocarcinoma and underwent surgery at Seoul National University Bundang Hospital were evaluated. Ninety-one cases were GCA, and 207 cases were non-cardiac adenocarcinoma. Obesity was estimated by body mass index (BMI, kg/m(2)). The degree of obesity was determined by using BMI <18.5, 18.5-23.9, 24-27.9, and ≥ 28 (kg/m(2)) as the cut-off points for underweight, normal weight, overweight, and obese, respectively. Association with obesity was estimated by odds ratio (OR) and 95% confidence interval (CI). RESULTS: Obesity was more prevalent in patients with GCA at the time of diagnosis for gastric cancer. Among obese persons with a BMI of 28 kg/m(2) or higher, the OR was 3.937 (95% CI, 1.492-10.389; p = 0.006) for GCA compared to non-cardia adenocarcinoma. For overweight individuals, the OR was 2.194 (95% CI, 1.118-4.305; p = 0.022). Multivariate analysis of age, Helicobacter pylori infection, smoking, stage, and BMI with logistic regression was performed. BMI was an independent risk factor for GCA (OR, 1.123; 95% CI, 1.037-1.217; p = 0.004). CONCLUSION: Obesity was more prevalent in patients with GCA compared to that in patients with gastric non-cardia adenocarcinoma. Also, BMI was an independent risk factor for GCA. More... »

PAGES

2687-2692

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10620-012-2095-6

DOI

http://dx.doi.org/10.1007/s10620-012-2095-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011573007

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22484493


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