Résumé :
|
[BDSP. Notice produite par INIST-CNRS Etk88R0x. Diffusion soumise à autorisation]. Nutritional status and physical activity are known to alter immune function, which may be relevant to lymphoma-genesis. The authors examined body size measurements and recreational physical activity in relation to risk of B-cell non-Hodgkin lymphoma (NHL) in the prospective California Teachers Study. Between 1995 and 2007,574 women were diagnosed with incident B-cell NHL among 121,216 eligible women aged 22-84 years at cohort entry. Multivariable-adjusted relative risks and 95% confidence intervals were estimated by fitting Cox proportional hazards models for all B-cell NHL combined and for the 3 most common subtypes : diffuse large B-cell lymphoma, follicular lymphoma, and B-cell chronic lymphocytic leukemia/small lymphocytic lymphoma. Height was positively associated with risk of all B-cell NHLs (for>1.70 vs. 1.61-1.65 m, relative risk=1.50,95% confidence interval : 1.16,1.96) and chronic lymphocytic leukemia/small lymphocytic lymphoma (relative risk=1.93,95% confidence interval : 1.09,3.41). Weight and body mass index at age 18 years were positive predictors of B-cell NHL risk overall. These findings indicate that greater height, which may reflect genetics, early life immune function, infectious exposures, nutrition, or growth hormone levels, may play a role in NHL etiology. Adiposity at age 18 years may be more relevant to NHL etiology than that in later life.
|