NEW YORK (Reuters Health) - The risk of developing a type of kidney cancer,
renal cell carcinoma, is directly related to body mass index (BMI) and to the
increase in BMI since age 20, according to the findings from two new European
studies.
In the first study, Dr. Boukje A. C. van Dijk, from Maastricht University in
the Netherlands, and colleagues analyzed data from the Netherlands Cohort Study
on Diet and Cancer, covering more than 120,000 older men and women.
During 9 years of follow-up, a total of 275 confirmed cases of renal cell
carcinoma (RCC) were identified, the researchers report in the American Journal
of Epidemiology.
For each 1 point in BMI above normal at the start of the study, the risk of
RCC rose by 7 percent in men and women. Also, if BMI increased since age 20, the
risk of RCC was elevated.
Unexpectedly, in women, for each 5-cm increase in height above 160 cm there
was a 23 percent increase in RCC risk, the team notes. This was not seen in men,
and it runs counter to what has been seen in most other studies, the researchers
add.
In the second study, published in the same journal, Dr. Anders Engeland from
the Norwegian Institute of Public Health in Oslo and colleagues conducted a
similar analysis involving two million men and women living in Norway. During
follow-up between 1963 and 2001, a total of 6453 cases of RCC were recorded.
In a separate analysis of 227,000 adolescents, 154 cases of RCC were seen.
In both age groups, the risk of RCC increased as BMI rose. The risk of the
malignancy also increased with height, but further analysis showed this finding
was confined to smokers and former smokers. In contrast, the link between BMI
and RCC risk was strongest in those who never smoked.
"An effort should be undertaken to elucidate possible underlying mechanisms
between factors such as BMI, BMI gain in adulthood, physical activity, and
energy intake and cancer risk, specifically RCC risk," van Dijk's team notes.