>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
糖尿病与前列腺癌相关性研究
作者:李璐1  黄琼1  刘梦兰1  张日华1  刘云1  朱伟东2 
单位:1. 南京医科大学第一附属医院 老年内分泌科, 江苏 南京 210029;
2. 东南大学附属中大医院 泌尿外科, 江苏 南京 210009
关键词:前列腺癌 糖尿病 危险因素 病例对照研究 
分类号:R587.1;R737.25
出版年·卷·期(页码):2015·34·第一期(37-40)
摘要:

目的: 通过探究我国人群中前列腺癌患者与前列腺增生患者之间糖尿病发生率的差异来分析糖尿病与前列腺癌的相关性。方法:回顾性分析2006年至2013年间在我院住院治疗的1 271例年龄17~95岁汉族前列腺癌患者(前列腺癌组)的临床资料。对照组是随机选取的1 535例同期同一年龄段住院的前列腺增生患者。结果:前列腺癌组的糖尿病发病率为5.5%(70/1 271),显著低于前列腺增生组的7.8%(119/1 535,P=0.022)。前列腺癌组与前列腺增生组平均年龄差异无统计学意义(P>0.05)。单因素非条件性Logistic 回归分析显示,糖尿病与前列腺癌的发病率之间呈负相关性(OR=0.699; 95%CI:0.515,0.949)。结论:糖尿病可能是前列腺癌的保护性因素。

Objective: To study the incidence of diabetes mellitus between people with prostate cancer and prostatic hyperplasia, and analyze the relationship between diabetes mellitus and prostate cancer.Methods: A retrospective study was conducted in 1 271 prostate cancer patients from 2006 to 2013 in the First Affiliated Hospital of Nanjing Medical University.We randomly selected 1 535 diagnosis of prostatic hyperplasia patients as the control group. Results: The diabetes mellitus incidence in prostate cancer group was significantly lower than that in prostatic hyperplasia group (5.5% vs 7.8%, P=0.022). There was no statistical differences of age between the prostate cancer group and the prostatic hyperplasia group(P>0.05). The univariate and non-conditional Logistic regression model analysis showed that there had a negative correlation between diabetes mellitus and the incidence of prostate cancer(OR=0.699;95%CI:0.515, 0.949). Conclusion: Diabetes mellitus may be a protective factor of prostate cancer.

参考文献:

[1] 杨文英.重视预防,规范管理——2007年版《中国2型糖尿病防治指南》[J].中华内分泌代谢杂志, 2008, 24(2):121-122.
[2] SIEGEL R,NAISHADHAM D,JEMAL A.Cancer statistics,2012[J].CA Cancer J Clin,2012,62(1):10-29.
[3] DUEREGGER A,HEIDEGGER I,OFER P,et al.The use of dietary supplements to alleviate androgen deprivation therapy side effects during prostate cancer treatment[J].Nutrients,2014,6(10):4491-4519.
[4] KASPER J S,GIOVANNUCCI E.A meta-analysis of diabetes mellitus and the risk of prostate cancer[J].Cancer Epidemiol Biomarkers Prev,2006,15(11):2056-2062.
[5] 纪立农.丰富中国2型糖尿病防治措施的临床证据链,建立基于中国人群证据的糖尿病防治指南——纪念第1版《中国2型糖尿病防治指南》发布10周年[J].中国糖尿病杂志,2014,22(1):1-4.
[6] 吕骥,任善成,孙颖浩.前列腺癌的转化医学[J].上海医学,2012,35(5):356-358.
[7] SHAW J E,SICREE R A,ZIMMET P Z.Global estimates of the prevalence of diabetes for 2010 and 2030[J].Diabetes Res Clin Pract,2010,87(1):4-14.
[8] ZIMMET P,ALBERTI K G,SHAW J.Global and societal implications of the diabetes epidemic[J].Nature,2001,414(6865):782-787.
[9] JEE S H,OHRR H,SULL J W,et al.Fasting serum glucose level and cancer risk in Korean men and women[J].JAMA,2005,293(2):194-202.
[10] RAPP K,SCHROEDER J,KLENK J,et al.Fasting blood glucose and cancer risk in a cohort of more than 140,000 adults in Austria [J].Diabetologia,2006,49(5):945-952.
[11] JOOST H G.Diabetes and cancer:epidemiology and potential mechanisms[J].Diab Vasc Dis Res,2014,11(6):390-394.
[12] GIOVANNUCCI E,HARLAN D M,ARCHER M C,et al.Diabetes and cancer:a consensus report[J].Diabetes Care,2010,33(7):1674-1685.
[13] 孟宪琴,刘伟,屈晓冰,等.糖尿病与良性前列腺增生的相关性研究[J].中国全科医学,2013,16(30):3547-3550.
[14] 蒋其辉.2型糖尿病与前列腺癌的相关性分析[D].南宁:广西医科大学,2013.
[15] GROSSMANN M,PANAGIOTOPOLOUS S,SHARPE K,et al.Low testosterone and anaemia in men with type 2 diabetes[J].Clin Endocrinol (Oxf),2009,70(4):547-553.
[16] RODDAM A W,ALLEN N E,APPLEBY P,et al.Endogenous sex hormones and prostate cancer:a collaborative analysis of 18 prospective studies[J].J Natl Cancer Inst,2008,100(3):170-183.
[17] HSING A W,CHU L W,STANCZYK F Z.Androgen and prostate cancer:is the hypothesis dead?[J].Cancer Epidemiol Biomarkers Prev,2008,17(10):2525-2530.
[18] ARGILES J M,LOPEZ-SORIANO F J.Insulin and cancer (Review)[J].Int J Oncol,2001,18(4):683-687.
[19] LEHRER S,DIAMOND E J,STAGGER S,et al.Increased serum insulin associated with increased risk of prostate cancer recurrence[J].Prostate,2002,50(1):1-3.
[20] STOCKS T,LUKANOVA A,RINALDI S,et al.Insulin resistance is inversely related to prostate cancer:a prospective study in Northern Sweden[J].Int J Cancer,2007,120(12):2678-2686.
[21] WATERS K M,WILKENS L R,MONROE K R,et al.No association of type 2 diabetes risk variants and prostate cancer risk:the multiethnic cohort and PAGE [J].Cancer Epidemiol Biomarkers Prev,2011,20(9):1979-1981.
[22] PIERCE B L,AHSAN H.Genetic susceptibility to type 2 diabetes is associated with reduced prostate cancer risk[J].Hum Hered,2010,69(3):193-201.
[23] LI H,STAMPFER M J,MUCCI L,et al.A 25-year prospective study of plasma adiponectin and leptin concentrations and prostate cancer risk and survival [J].Clin Chem,2010,56(1):34-43.
[24] RODRIGUEZ C,PATEL A V,MONDUL A M,et al.Diabetes and risk of prostate cancer in a prospective cohort of US men[J].Am J Epidemiol,2005,161(2):147-152.
[25] TAVANI A,GALLUS S,BOSETTI C,et al.Diabetes and the risk of prostate cancer[J].Eur J Cancer Prev,2002,11(2):125-128.
[26] CALTON B A,CHANG S C,WRIGHT M E,et al.History of diabetes mellitus and subsequent prostate cancer risk in the NIH-AARP Diet and Health Study[J].Cancer Causes Control,2007,18(5):493-503.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 412492 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-83272481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364