Blood Glucose and Risk of Incident and Fatal Cancer in the Metabolic Syndrome and Cancer Project (Me-Can): Analysis of Six Prospective Cohorts
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{"title"=>"Blood glucose and risk of incident and fatal cancer in the metabolic syndrome and cancer project (Me-Can): Analysis of six prospective cohorts", "type"=>"journal", "authors"=>[{"first_name"=>"Tanja", "last_name"=>"Stocks", "scopus_author_id"=>"16242738900"}, {"first_name"=>"Kilian", "last_name"=>"Rapp", "scopus_author_id"=>"23480441400"}, {"first_name"=>"Tone", "last_name"=>"Bjørge", "scopus_author_id"=>"7004208100"}, {"first_name"=>"Jonas", "last_name"=>"Manjer", "scopus_author_id"=>"6604096017"}, {"first_name"=>"Hanno", "last_name"=>"Ulmer", "scopus_author_id"=>"55059852800"}, {"first_name"=>"Randi", "last_name"=>"Selmer", "scopus_author_id"=>"6701669802"}, {"first_name"=>"Annekatrin", "last_name"=>"Lukanova", "scopus_author_id"=>"7003393845"}, {"first_name"=>"Dorthe", "last_name"=>"Johansen", "scopus_author_id"=>"25947457000"}, {"first_name"=>"Hans", "last_name"=>"Concin", "scopus_author_id"=>"6603752637"}, {"first_name"=>"Steinar", "last_name"=>"Tretli", "scopus_author_id"=>"7004872939"}, {"first_name"=>"Göran", "last_name"=>"Hallmans", "scopus_author_id"=>"7006749585"}, {"first_name"=>"Håkan", "last_name"=>"Jonsson", "scopus_author_id"=>"35302326900"}, {"first_name"=>"Pär", "last_name"=>"Stattin", "scopus_author_id"=>"7006989097"}], "year"=>2009, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "scopus"=>"2-s2.0-74049150758", "pmid"=>"20027213", "doi"=>"10.1371/journal.pmed.1000201", "pui"=>"358104144", "isbn"=>"1549-1676 (Electronic)\\r1549-1277 (Linking)", "sgr"=>"74049150758"}, "id"=>"b731d2ab-b9b6-30ef-99f2-708e84a07d03", "abstract"=>"BACKGROUND: Prospective studies have indicated that elevated blood glucose levels may be linked with increased cancer risk, but the strength of the association is unclear. We examined the association between blood glucose and cancer risk in a prospective study of six European cohorts. METHODS AND FINDINGS: The Metabolic syndrome and Cancer project (Me-Can) includes cohorts from Norway, Austria, and Sweden; the current study included 274,126 men and 275,818 women. Mean age at baseline was 44.8 years and mean follow-up time was 10.4 years. Excluding the first year of follow-up, 18,621 men and 11,664 women were diagnosed with cancer, and 6,973 men and 3,088 women died of cancer. We used Cox regression models to calculate relative risk (RR) for glucose levels, and included adjustment for body mass index (BMI) and smoking status in the analyses. RRs were corrected for regression dilution ratio of glucose. RR (95% confidence interval) per 1 mmol/l increment of glucose for overall incident cancer was 1.05 (1.01-1.10) in men and 1.11 (1.05-1.16) in women, and corresponding RRs for fatal cancer were 1.15 (1.07-1.22) and 1.21 (1.11-1.33), respectively. Significant increases in risk among men were found for incident and fatal cancer of the liver, gallbladder, and respiratory tract, for incident thyroid cancer and multiple myeloma, and for fatal rectal cancer. In women, significant associations were found for incident and fatal cancer of the pancreas, for incident urinary bladder cancer, and for fatal cancer of the uterine corpus, cervix uteri, and stomach. CONCLUSIONS: Data from our study indicate that abnormal glucose metabolism, independent of BMI, is associated with an increased risk of cancer overall and at several cancer sites. Our data showed stronger associations among women than among men, and for fatal cancer compared to incident cancer. Please see later in the article for the Editors' Summary.", "link"=>"http://www.mendeley.com/research/blood-glucose-risk-incident-fatal-cancer-metabolic-syndrome-cancer-project-mecan-analysis-six-prospe", "reader_count"=>75, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>2, "Librarian"=>1, "Researcher"=>11, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>18, "Student > Postgraduate"=>5, "Other"=>10, "Student > Master"=>6, "Student > Bachelor"=>7, "Lecturer"=>4, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>2, "Librarian"=>1, "Researcher"=>11, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>18, "Student > Postgraduate"=>5, "Other"=>10, "Student > Master"=>6, "Student > Bachelor"=>7, "Lecturer"=>4, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Biochemistry, Genetics and Molecular Biology"=>3, "Nursing and Health Professions"=>3, "Agricultural and Biological Sciences"=>19, "Medicine and Dentistry"=>36, "Pharmacology, Toxicology and Pharmaceutical Science"=>4, "Psychology"=>1, "Chemistry"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>36}, "Chemistry"=>{"Chemistry"=>1}, "Psychology"=>{"Psychology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>19}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}, "Unspecified"=>{"Unspecified"=>7}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>4}}, "reader_count_by_country"=>{"Lebanon"=>1, "Netherlands"=>1, "Austria"=>1, "United States"=>2, "United Kingdom"=>1, "Australia"=>1, "France"=>1}, "group_count"=>4}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/870868"], "description"=>"<p>The risk estimates for decile categories are plotted on the <i>x</i>-axis at the mean glucose level for each decile category. IFG indicates the range of impaired fasting glucose in the cohorts among individuals that had fasted more than 8 h before the blood draw, and DM indicates the range of diabetic glucose levels.</p>", "links"=>[], "tags"=>["women", "cancer", "deciles"], "article_id"=>541314, "categories"=>["Virology", "Cancer", "Neuroscience"], "users"=>["Tanja Stocks", "Kilian Rapp", "Tone Bjørge", "Jonas Manjer", "Hanno Ulmer", "Randi Selmer", "Annekatrin Lukanova", "Dorthe Johansen", "Hans Concin", "Steinar Tretli", "Göran Hallmans", "Håkan Jonsson", "Pär Stattin"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000201.g003", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_RR_95_CI_in_women_of_incident_n_11_664_and_fatal_n_3_088_cancer_by_deciles_of_glucose_/541314", "title"=>"RR (95% CI) in women of incident (<i>n</i> = 11,664) and fatal (<i>n</i> = 3,088) cancer by deciles of glucose.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:23:24"}
  • {"files"=>["https://ndownloader.figshare.com/files/870704"], "description"=>"<p>OGTT, oral glucose tolerance test. NCS, Norwegian Counties Study.</p>", "links"=>[], "tags"=>["cleaning"], "article_id"=>541155, "categories"=>["Virology", "Cancer", "Neuroscience"], "users"=>["Tanja Stocks", "Kilian Rapp", "Tone Bjørge", "Jonas Manjer", "Hanno Ulmer", "Randi Selmer", "Annekatrin Lukanova", "Dorthe Johansen", "Hans Concin", "Steinar Tretli", "Göran Hallmans", "Håkan Jonsson", "Pär Stattin"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000201.g001", "stats"=>{"downloads"=>1, "page_views"=>24, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flowchart_of_data_cleaning_and_selection_of_individuals_observations_/541155", "title"=>"Flowchart of data cleaning and selection of individuals/observations.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:22:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/871062"], "description"=>"a<p>RRs reported with three significant figures, estimated from Cox models with attained age as time scale, stratified by cohort, sex, and birth year, and adjusted for baseline age, BMI, and smoking status, and RRs per 1 mmol/l were additionally adjusted for fasting time. RRs are corrected for RDR; conversion into uncorrected RR = exp(log(RR)×RDR). RDR quintiles: men, 0.30; women, 0.30; all, 0.31. RDR per 1 mmol/l: men, 0.40; women, 0.43; all, 0.41.</p>b<p>RRs are presented separately for men and women if the number of cases in each group was >50, and combined if the number of cases in each group was ≤50 and if the total number of cases was >80.</p>c<p>RRs per 1 mmol/l increment included individuals with glucose levels <10 mmol/l (99% of individuals). Number of cases corresponds to quintile analyses, which included all individuals.</p>d<p>Person-years for cancer death corresponds to those for overall death.</p>e<p>Per 100,000 person-years, age-standardized to the European standard population.</p>f<p>RRs were significant in analyses that also included individuals with glucose levels ≥10 mmol/l.</p>g<p>Other cancer than the separately presented sites.</p><p>ICD-7, International Classification of Diseases, seventh revision; ref, referent group.</p>", "links"=>[], "tags"=>["cancer", "glucose", "quintiles"], "article_id"=>541508, "categories"=>["Virology", "Cancer", "Neuroscience"], "users"=>["Tanja Stocks", "Kilian Rapp", "Tone Bjørge", "Jonas Manjer", "Hanno Ulmer", "Randi Selmer", "Annekatrin Lukanova", "Dorthe Johansen", "Hans Concin", "Steinar Tretli", "Göran Hallmans", "Håkan Jonsson", "Pär Stattin"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000201.t004", "stats"=>{"downloads"=>10, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_RR_of_overall_death_and_of_fatal_cancer_by_glucose_in_quintiles_and_per_1_mmol_l_increment_/541508", "title"=>"RR of overall death and of fatal cancer by glucose in quintiles and per 1 mmol/l increment.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:24:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/870930"], "description"=>"<p>Baseline characteristics of study individuals in Me-Can.</p>", "links"=>[], "tags"=>["characteristics", "individuals"], "article_id"=>541379, "categories"=>["Virology", "Cancer", "Neuroscience"], "users"=>["Tanja Stocks", "Kilian Rapp", "Tone Bjørge", "Jonas Manjer", "Hanno Ulmer", "Randi Selmer", "Annekatrin Lukanova", "Dorthe Johansen", "Hans Concin", "Steinar Tretli", "Göran Hallmans", "Håkan Jonsson", "Pär Stattin"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000201.t001", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_characteristics_of_study_individuals_in_Me_Can_/541379", "title"=>"Baseline characteristics of study individuals in Me-Can.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:23:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/871014"], "description"=>"a<p>RRs reported with three significant figures, estimated from Cox models with attained age as time scale, stratified by cohort, sex, and birth year, and adjusted for baseline age, BMI, and smoking status, and RRs per 1 mmol/l were additionally adjusted for fasting time. RRs are corrected for RDR; conversion into uncorrected RR = exp(log(RR)×RDR). RDR quintiles: men, 0.30; women, 0.30; all, 0.31. RDR per 1 mmol/l: men, 0.40; women, 0.43; all, 0.41.</p>b<p>RRs are presented separately for men and women if the number of cases in each group was >50, and combined if the number of cases in each group was ≤50 and if the total number of cases >80.</p>c<p>RRs per 1 mmol/l increment included individuals with glucose levels <10 mmol/l (99% of individuals). Number of cases corresponds to quintile analyses, which included all individuals.</p>d<p>Per 100,000 person-years, age-standardized to the European standard population.</p>e<p>RRs were significant in analyses that also included individuals with glucose levels ≥10 mmol/l.</p>f<p>Other cancer than the separately presented sites.</p><p>ICD-7, International Classification of Diseases, seventh revision; ref, referent group.</p>", "links"=>[], "tags"=>["cancer", "glucose", "quintiles"], "article_id"=>541464, "categories"=>["Virology", "Cancer", "Neuroscience"], "users"=>["Tanja Stocks", "Kilian Rapp", "Tone Bjørge", "Jonas Manjer", "Hanno Ulmer", "Randi Selmer", "Annekatrin Lukanova", "Dorthe Johansen", "Hans Concin", "Steinar Tretli", "Göran Hallmans", "Håkan Jonsson", "Pär Stattin"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000201.t003", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_RR_of_incident_cancer_by_glucose_in_quintiles_and_per_1_mmol_l_increment_/541464", "title"=>"RR of incident cancer by glucose in quintiles and per 1 mmol/l increment.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:24:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/870795"], "description"=>"<p>The risk estimates for decile categories are plotted on the <i>x</i>-axis at the mean glucose level for each decile category. IFG indicates the range of impaired fasting glucose in the cohorts among individuals that had fasted more than 8 h before the blood draw, and DM indicates the range of diabetic glucose levels. Glucose levels in the Oslo study I were recalculated (level −0.95) to correspond with enzymatic levels.</p>", "links"=>[], "tags"=>["men", "cancer", "deciles"], "article_id"=>541241, "categories"=>["Virology", "Cancer", "Neuroscience"], "users"=>["Tanja Stocks", "Kilian Rapp", "Tone Bjørge", "Jonas Manjer", "Hanno Ulmer", "Randi Selmer", "Annekatrin Lukanova", "Dorthe Johansen", "Hans Concin", "Steinar Tretli", "Göran Hallmans", "Håkan Jonsson", "Pär Stattin"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000201.g002", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_RR_95_CI_in_men_of_incident_n_18_621_and_fatal_n_6_973_cancer_by_deciles_of_glucose_/541241", "title"=>"RR (95% CI) in men of incident (<i>n</i> = 18,621) and fatal (<i>n</i> = 6,973) cancer by deciles of glucose.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:23:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/870973"], "description"=>"<p>Characteristics of individuals within quintile levels of glucose.</p>", "links"=>[], "tags"=>["individuals", "quintile", "levels"], "article_id"=>541419, "categories"=>["Virology", "Cancer", "Neuroscience"], "users"=>["Tanja Stocks", "Kilian Rapp", "Tone Bjørge", "Jonas Manjer", "Hanno Ulmer", "Randi Selmer", "Annekatrin Lukanova", "Dorthe Johansen", "Hans Concin", "Steinar Tretli", "Göran Hallmans", "Håkan Jonsson", "Pär Stattin"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1000201.t002", "stats"=>{"downloads"=>5, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_individuals_within_quintile_levels_of_glucose_/541419", "title"=>"Characteristics of individuals within quintile levels of glucose.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:24:01"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"20", "full-text"=>"21", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"11", "full-text"=>"10", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
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  • {"unique-ip"=>"14", "full-text"=>"14", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"10", "full-text"=>"13", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"14", "full-text"=>"16", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
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  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
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  • {"unique-ip"=>"12", "full-text"=>"13", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"11", "full-text"=>"10", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
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  • {"unique-ip"=>"14", "full-text"=>"19", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
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  • {"unique-ip"=>"17", "full-text"=>"16", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"17", "full-text"=>"16", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"17", "full-text"=>"15", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}
  • {"unique-ip"=>"16", "full-text"=>"18", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"2"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"3"}
  • {"unique-ip"=>"14", "full-text"=>"17", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"16", "full-text"=>"22", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"16", "full-text"=>"19", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"10", "full-text"=>"11", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"11", "full-text"=>"12", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}
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Relative Metric

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