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Cancer Epidemiology, Biomarkers & Prevention
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Body Mass Index in Relation to Ovarian Cancer Survival

Min Zhang, Xing Xie, Andy H. Lee, Colin W. Binns and C. D'Arcy J. Holman
Min Zhang
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Xing Xie
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Andy H. Lee
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Colin W. Binns
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C. D'Arcy J. Holman
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DOI: 10.1158/1055-9965.EPI-04-0519 Published May 2005
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    Figure 1.

    Survival curves by BMI at 5 years before diagnosis.

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  • Table 1.

    Selected characteristics of ovarian cancer patients by survival status (n = 207)

    Selected characteristicsAlive (n = 113), n (%)Dead (n = 94), n (%)
    Age at diagnosis (y), mean (SD)*46.7 (12.7)51.6 (8.8)
        <4034 (30.1)7 (7.4)
        40-4933 (29.2)39 (41.5)
        50-5927 (23.9)29 (30.9)
        ≥6019 (16.8)19 (20.2)
    Body height (cm), mean (SD)158.2 (4.9)158.1 (5.1)
    Body weight (kg), mean (SD)
        At diagnosis55.5 (7.9)56.9 (8.7)
        5 y ago*54.8 (7.8)58.2 (7.7)
        At age 21 y†51.7 (6.6)53.3 (6.4)
    Body mass index (kg/m2), mean (SD)
        At diagnosis22.2 (2.9)22.7 (3.1)
        5 y ago*21.9 (2.7)23.3 (2.7)
        At age 21 y†20.7 (2.4)21.3 (2.3)
    Tobacco smoking
        Never111 (98.2)92 (97.9)
        Ever2 (1.8)2 (2.1)
    Alcohol consumption
        Never79 (69.9)58 (61.7)
        Ever34 (30.1)36 (38.3)
    Menopausal status
        Premenopause74 (65.5)50 (53.2)
        Postmenopause39 (34.5)44 (46.8)
    Hormone replacement therapy
        Never110 (97.3)93 (98.9)
        Ever3 (2.7)1 (1.1)
    Oral contraceptive use
        Never88 (77.9)72 (76.6)
        Ever25 (22.1)22 (23.4)
    Ovarian cancer in first-degree relatives
        No110 (97.3)91 (96.8)
        Yes3 (2.7)3 (3.2)
    Fesddration Internationale des Gynaecologistes et Obstetristes stage*
        I62 (54.9)3 (3.2)
        II14 (12.4)1 (1.1)
        III35 (30.9)78 (82.9)
        IV2 (1.8)12 (12.8)
    Histopathologic grade*
        Well differentiated43 (38.1)4 (4.2)
        Moderately differentiated16 (14.2)20 (21.3)
        Poorly differentiated30 (26.5)61 (64.9)
        Not available24 (21.2)9 (9.6)
    Ascites*
        No53 (46.9)2 (2.1)
        Yes60 (53.1)92 (97.9)
    Residual lesions* (cm)
        <2100 (88.5)22 (23.4)
        ≥213 (11.5)72 (76.6)
    Chemotherapy
        No3 (2.7)4 (4.3)
        Yes110 (97.3)90 (95.7)
    • NOTE: Differences between alive and dead patients were assessed using a χ2 test for categorical variables and a t test for continuous variables.

    • ↵* P < 0.01.

    • ↵† P < 0.05.

  • Table 2.

    Crude and adjusted HRs of epithelial ovarian cancer death according to anthropometric variables (n = 207)

    Anthropometric variablesNo. cases% DeadCrude HR (95% CI)Adjusted HR (95% CI)
    BMI at diagnosis (kg/m2)
        <20.040451.01.0
        20.0-22.475360.79 (0.44-1.44)0.60 (0.32-1.14)
        22.5-24.953531.23 (0.68-2.23)0.65 (0.34-1.24)
        ≥25.039541.15 (0.61-2.17)0.76 (0.38-1.52)
        χ12 for trend*0.84 (P = 0.36)0.52 (P = 0.47)
    BMI at 5 y before diagnosis (kg/m2)
        <20.046281.01.0
        20.0-22.464451.99 (1.04-3.85)1.79 (0.90-3.55)
        22.5-24.954441.78 (0.91-3.50)1.71 (0.84-3.46)
        ≥25.043653.32 (1.72-6.42)2.33 (1.12-4.87)
        χ12for trend*11.39 (P < 0.01)6.13 (P = 0.01)
    BMI at age 21 years (kg/m2)
        <20.068381.01.0
        20.0-22.487441.28 (0.78-2.11)0.99 (0.59-1.69)
        22.5-24.942571.83 (1.05-3.19)1.03 (0.56-1.89)
        ≥25.010602.60 (1.07-6.33)3.31 (1.26-8.73)
        χ12for trend*5.37 (P = 0.02)1.54 (P = 0.22)
    • NOTE: Estimates from Cox regression models included terms for age at diagnosis (in y, continuous), total energy intake (kcal, continuous), menopausal status (premenopause and postmenopause), Fesddration Internationale des Gynaecologistes et Obstetristes stage (I, II, III, and IV), histopathologic grade of differentiation (well, moderately, poorly differentiated, and not available), ascites (no/yes), residual lesions (<2 and ≥2 cm), and chemotherapy (no/yes).

    • ↵* Quantity of anthropometric variables was tested for linear trend.

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Cancer Epidemiology Biomarkers & Prevention: 14 (5)
May 2005
Volume 14, Issue 5
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Body Mass Index in Relation to Ovarian Cancer Survival
Min Zhang, Xing Xie, Andy H. Lee, Colin W. Binns and C. D'Arcy J. Holman
Cancer Epidemiol Biomarkers Prev May 1 2005 (14) (5) 1307-1310; DOI: 10.1158/1055-9965.EPI-04-0519

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Body Mass Index in Relation to Ovarian Cancer Survival
Min Zhang, Xing Xie, Andy H. Lee, Colin W. Binns and C. D'Arcy J. Holman
Cancer Epidemiol Biomarkers Prev May 1 2005 (14) (5) 1307-1310; DOI: 10.1158/1055-9965.EPI-04-0519
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