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Glycaemic index, glycaemic load and risk of endometrial cancer

A prospective cohort study

Bibliographic Data

ID15097548
AuthorsStephanie AN Silvera, Stephanie A Navarro Silvera (0000-0002-9574-2503, Albert Einstein College of Medicine, corresponding author), Thomas E Rohan (0000-0001-6897-4045, Albert Einstein College of Medicine), Meera Jain (University of Toronto), Paul Terry (0000-0002-0353-9197, National Institute of Environmental Health Sciences), Paul D Terry, Geoffrey R Howe (0009-0004-3814-7697, Columbia University), Anthony B Miller (0000-0001-5174-3515, University of Toronto)
Year2005
Volume8
Issue7
Pages912-919
Publication date2005-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1079/phn2005741
PMID16277808
OpenAlexW1973483091
LanguageEN
Citations received4
References cited30

Objective High-glycaemic-load diets may increase endometrial cancer risk by increasing circulating insulin levels and, as a consequence, circulating oestrogen levels. Given the paucity of epidemiological data regarding the relationship between dietary glycaemic index and glycaemic load and endometrial cancer risk, we sought to examine these associations using data from a prospective cohort study. Design, setting and subjects We examined the association between dietary glycaemic load and endometrial cancer risk in a cohort of 49 613 Canadian women aged between 40 and 59 years at baseline who completed self-administered food-frequency questionnaires between 1982 and 1985. Linkages to national mortality and cancer databases yielded data on deaths and cancer incidence, with follow-up ending between 1998 and 2000. Results During a mean of 16.4 years of follow-up, we observed 426 incident cases of endometrial cancer. Hazard ratios for the highest versus the lowest quartile level of overall glycaemic index and glycaemic load were 1.47 (95% confidence interval (CI) = 0.90–2.41; P for trend = 0.14) and 1.36 (95% CI = 1.01–1.84; P for trend = 0.21), respectively. No association was observed between total carbohydrate or total sugar consumption and endometrial cancer risk. Among obese women (body mass index > 30 kg m −2 ) the hazard ratio for the highest versus the lowest quartile level of glycaemic load was 1.88 (95% CI = 1.08–3.29; P for trend = 0.54) and there was a 55% increased risk for the highest versus the lowest quartile level of glycaemic load among premenopausal women. There was also evidence to support a positive association between glycaemic load and endometrial cancer risk among postmenopausal women who had used hormone replacement therapy. Conclusions Our data suggest that diets with high glycaemic index or high glycaemic load may be associated with endometrial cancer risk overall, and particularly among obese women, premenopausal women and postmenopausal women who use hormone replacement therapy

Cancer · Cohort · Cohort study · Endometrial cancer · Glycaemic index · Glycemic index · Gynecology · Index (typography · Insulin · Obstetrics · Prospective cohort study · Food composition and properties · Medicine · Metabolism, Diabetes, and Cancer · Phytoestrogen effects and research · Internal Medicine · Oncology

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Unique citing works4
Citations per year0,22
Citation span2008 - 2009 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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