肥胖和种族在乳腺癌预后中的相互关系:一项前性队列研究
Emma Armstrong Schindler1, Cristiane Takita1, Fernando Collado-Mesa1
1University of Miami Miller School of Medicine: University of Miami School of Medicine.
Research square
|October 16, 2023
概括
患有早期乳腺癌的黑人女性的无进展生存率更差,无论肥胖程度如何. 这凸显了早期干预和对黑人乳腺癌幸存者的身体组成和生物标志物的进一步研究的需要.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 肥胖与乳腺癌风险增加和绝经后妇女的结果较差有关.
- 与其他种族群体相比,黑人女性面临更高的肥胖率和乳腺癌死亡率.
研究的目的:
- 研究种族,肥胖和临床瘤阶段与乳腺癌预后之间的关联.
- 评估这些因素对无进展生存 (PFS) 和整体生存 (OS) 的影响.
主要方法:
- 一项针对1110名乳腺癌患者的前性队列研究.
- 使用了单变量和多变量考克斯回归分析.
- 关键变量包括种族/种族,肥胖 (BMI ≥30 kg/m2) 和临床瘤阶段 (0-II vs. III-IV).
主要成果:
- 与0-II阶段相比,瘤III-IV阶段与更糟糕的PFS和OS显著相关.
- 黑人种族与患有早期瘤 (0-II) 的肥胖和非肥胖女性的PFS恶化有关.
- 根据BMI测量,肥胖并没有独立地与更糟糕的PFS或OS有关.
结论:
- 在乳腺癌预后中,种族和肥胖之间存在复杂的相互作用.
- 这些发现强调了对被诊断患有早期乳腺癌的黑人妇女的早期干预策略的迫切需要.
- 进一步的研究应该探索身体组成措施和生物标志物超越BMI,以评估黑人乳腺癌幸存者的预后.
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