Metabolic syndrome in relation to risk of meningioma

Seliger, Corinna and Meier, Christoph R. and Becker, Claudia and Jick, Susan S. and Proescholdt, Martin and Bogdahn, Ulrich and Hau, Peter and Leitzmann, Michael F. (2017) Metabolic syndrome in relation to risk of meningioma. ONCOTARGET, 8 (2). pp. 2284-2292. ISSN 1949-2553,

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Abstract

Background: Meningioma is a frequent primary intracranial tumor, the etiology of which is potentially related to adiposity. Metabolic syndrome (MetS) is an increasingly common disease characterized by having at least three of the following conditions: central adiposity, arterial hypertension, dyslipidemia, and insulin resistance. Only one prior study investigated MetS in relation to meningioma risk and found a positive association between the two. Results: Among 2,027 cases and 20,269 controls, body mass index was positively associated with meningioma (p-value for trend < 0.0001). Arterial hypertension was also associated with an increased risk of meningioma (OR = 1.34; 95% CI = 1.20-1.49). By comparison, high-density lipoprotein, triglycerides, fasting serum glucose, and use of ACE-inhibitors, AT-II inhibitors, beta-blockers, diuretics, calcium antagonists, nitrates, or statins were not associated with risk of meningioma. Materials and Methods: We conducted a matched case-control analysis using data from the U.K.-based Clinical Practice Research Datalink (CPRD) to analyse medical conditions and treatments related to MetS in cases with meningioma and meningioma-free controls. We identified all cases with an incident diagnosis of meningioma between 1995 and 2015 and matched each to ten controls on age, sex, calendar time, general practice, and number of years of active history in the CPRD prior to the index date. Exposures were assessed using computerised records. We conducted conditional logistic regression analysis to determine relative risks, estimated as odds ratios (ORs) with 95% confidence intervals (CIs), adjusted for confounding factors. Conclusions: Obesity and arterial hypertension are positively associated with risk of meningioma. Further studies are needed to better understand potential underlying biologic mechanisms.

Item Type: Article
Uncontrolled Keywords: GROWTH-FACTOR-I; PRACTICE RESEARCH DATABASE; LARGE PROSPECTIVE COHORT; PRIMARY BRAIN-TUMORS; BODY-MASS INDEX; INTRACRANIAL MENINGIOMA; SERUM-CHOLESTEROL; PHYSICAL-ACTIVITY; GLIOMA; INSULIN; meningioma; epidemiology; case-control study; metabolic syndrome
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 13:01
Last Modified: 27 Feb 2019 07:48
URI: https://pred.uni-regensburg.de/id/eprint/564

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