Association between Adult Height and Risk of Lung Cancer Incidence among Japanese Men: The Miyagi Cohort Study

Association between Adult Height and Risk of Lung Cancer Incidence among Japanese Men: The Miyagi Cohort Study

MASATOSHI MUGIKURA,¹ YUMI SUGAWARA,¹ YASUTAKE TOMATA,¹ SEIKI KANEMURA,² AKIRA FUKAO³ and ICHIRO TSUJI¹

¹Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, Sendai, Miyagi, Japan
²Division of Epidemiology, Miyagi Prefectural Cancer Research Center, Natori, Miyagi, Japan
³Miyagi Cancer Society, Sendai, Miyagi, Japan

It is already known that adult height is a factor associated with an increased risk of colon cancer and postmenopausal breast cancer, pancreatic cancer, premenopausal breast cancer, and ovarian cancer. However, the association between adult height and lung cancer incidence remains unclear. The purpose of the present study was to examine the association between adult height and the risk of lung cancer incidence in the Japanese population. We analyzed data for 43,743 men and women who were 40-64 years old at the baseline in 1990. We divided the participants into quintiles based on height at the baseline. Cox proportional hazards analysis was used to estimate the multivariate hazard ratios (HRs) and 95% confidence intervals (CIs) for the incidence of lung cancer according to adult height, after adjustment for potential confounders. We identified 1,101 incident case of lung cancer during 24.5 years of follow-up. The multivariate HRs and 95% CIs for the highest category relative to the lowest were 1.48 (1.15-1.91) in men and 1.35 (0.91-1.99) in women. Furthermore, the association between adult height and the incidence of lung cancer was found the significant increased risk among ever smokers in men, but not never smokers. We also observed that adult height tend to be associated with an increased risk of small cell lung cancer and squamous cell carcinoma. This prospective cohort study has demonstrated a positive association between adult height and the risk of lung cancer incidence among men, especially those who have ever smoked.

Keywords —— adult height; incidence; Japanese; lung cancer; prospective cohort study

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Tohoku J. Exp. Med., 2020, 251, 51-59

Correspondence: Yumi Sugawara, Ph.D., Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health, Graduate School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan.

e-mail: yumi1717@tohoku.ac.jp