A meta-analysis of obesity and the risk of pancreatic cancer

Smoking and diabetes are the only established risk factors for pancreatic cancer. Findings from recent studies suggest that obesity may also be associated with an increased risk of pancreatic cancer, but several earlier studies were less conclusive. We examined this relationship in a meta-analysis of published data. Six case-control and eight cohort studies involving 6391 cases of pancreatic cancer were identified from a computer-based literature search from 1966 to 2003. The relative risk per unit increase in body mass index was estimated for each of the studies from the published data. In a random effects model, the summary relative risk per unit increase in body mass index was 1.02 (95% CI: 1.01-1.03). There was some evidence of heterogeneity between the studies' results (P=0.1). The summary relative risk estimates were slightly higher for studies that had adjusted for smoking and for case-control studies that had not used proxy respondents. The estimated per unit increase in body mass index would translate into a relative risk of 1.19 (95% CI: 1.10-1.29) for obese people (30 kg m(-2)) compared to people with a normal body weight (22 kg m(-2)). These results provide evidence that the risk of pancreatic cancer may be weakly associated with obesity. However, the small magnitude of the summary risk means the possibility of confounding cannot be excluded

The peculiar B-type supergiant HD327083

Coude spectroscopic data of a poorly-studied peculiar supergiant, HD327083, are presented. Halpha and Hbeta line profiles have been fitted employing a non-LTE code adequate for spherically expanding atmospheres. Line fits lead to estimates of physical parameters. These parameters suggest that HD327083 may be close to the Luminous Blue Variable phase but it is also possible that it could be a B[e] Supergiant.Comment: 4 pages, 4 figures, Accepted for publication in A&A Lette

Kinematics and H_2 morphology of the multipolar Post-AGB star IRAS 16594-4656

context: The spectrum of IRAS 16594-4656 shows shock excited H_2 emission and collisionally excited emission lines such as[O I],[C I],and [Fe II]. aim: The goal is to determine the location of the H_2 and [Fe II] shock emission, to determine the shock velocities,and constrain the physical properties in the shock. methods: High resolution spectra of the H_2 1-0 S(1),H_2 2-1 S(1), [Fe II], and Pa$\beta$ emission lines were obtained with the near infrared spectrograph Phoenix on Gemini South. results: The position-velocity diagrams of H_2 1-0 S(1), H_2 2-1 S(1), and [Fe II] are presented. The H_2 and [Fe II] emission is spatially extended. The collisionally excited [O I] and [C I] optical emission lines have a similar double peaked profile compared to the extracted H_2 profile and appear to be produced in the same shock. They all indicate an expansion velocity of ~8 km/s and the presence of a neutral, very high density region with $n_{\rm e}$ about 3 x 10^6 to 5 x10^7 cm$^{-3}$. The [Fe II] emission however is single peaked. It has a gaussian FWHM of 30 km/s and a total width of 62 km/s at 1% of the peak. The Pa$\beta$ profile is even wider with a gaussian FWHM of 48 km/s and a total width of 75 km/s at 1% of the peak. conclusions: The H$_2$ emission is excited in a slow 5 to 20 km/s shock into dense material at the edge of the lobes, caused by the interaction of the AGB ejecta and the post-AGB wind. The 3D representation of the H_2 data shows a hollow structure with less H_2 emission in the equatorial region. The [Fe II] emission is not present in the lobes, but originates close to the central star in fast shocks in the post-AGB wind or in a disk. The Pa$\beta$ emission also appears to originate close to the star.Comment: 11 pages and 8 figures; A&A in press; the paper includig high resolution figures can be downloaded from http://homepage.oma.be/gsteene/publications.htm

Association between class III obesity (BMI of 40-59 kg/m2) and mortality: A pooled analysis of 20 prospective studies

Background The prevalence of class III obesity (body mass index [BMI]≥40 kg/m2) has increased dramatically in several countries and currently affects 6% of adults in the US, with uncertain impact on the risks of illness and death. Using data from a large pooled study, we evaluated the risk of death, overall and due to a wide range of causes, and years of life expectancy lost associated with class III obesity. Methods and Findings In a pooled analysis of 20 prospective studies from the United States, Sweden, and Australia, we estimated sex- and age-adjusted total and cause-specific mortality rates (deaths per 100,000 persons per year) and multivariable-adjusted hazard ratios for adults, aged 19–83 y at baseline, classified as obese class III (BMI 40.0–59.9 kg/m2) compared with those classified as normal weight (BMI 18.5–24.9 kg/m2). Participants reporting ever smoking cigarettes or a history of chronic disease (heart disease, cancer, stroke, or emphysema) on baseline questionnaires were excluded. Among 9,564 class III obesity participants, mortality rates were 856.0 in men and 663.0 in women during the study period (1976–2009). Among 304,011 normal-weight participants, rates were 346.7 and 280.5 in men and women, respectively. Deaths from heart disease contributed largely to the excess rates in the class III obesity group (rate differences = 238.9 and 132.8 in men and women, respectively), followed by deaths from cancer (rate differences = 36.7 and 62.3 in men and women, respectively) and diabetes (rate differences = 51.2 and 29.2 in men and women, respectively). Within the class III obesity range, multivariable-adjusted hazard ratios for total deaths and deaths due to heart disease, cancer, diabetes, nephritis/nephrotic syndrome/nephrosis, chronic lower respiratory disease, and influenza/pneumonia increased with increasing BMI. Compared with normal-weight BMI, a BMI of 40–44.9, 45–49.9, 50–54.9, and 55–59.9 kg/m2 was associated with an estimated 6.5 (95% CI: 5.7–7.3), 8.9 (95% CI: 7.4–10.4), 9.8 (95% CI: 7.4–12.2), and 13.7 (95% CI: 10.5–16.9) y of life lost. A limitation was that BMI was mainly ascertained by self-report. Conclusions Class III obesity is associated with substantially elevated rates of total mortality, with most of the excess deaths due to heart disease, cancer, and diabetes, and major reductions in life expectancy compared with normal weight

Antibodies against six human herpesviruses in relation to seven cancers in black South Africans: A case control study

BACKGROUND: Infections with certain human herpesviruses have been established as risk factors for some cancer types. For example, Epstein-Barr Virus is considered a cause of Burkitt's lymphoma and other immunosuppression related lymphomas, Hodgkin lymphoma, and nasopharyngeal cancer. Several other human herpesviruses have been linked to cancers but the totality of evidence is inconclusive. METHODS: We conducted a systematic sub-study from within an ongoing case control study of adult black South Africans to investigate the relationship between antibodies to six human herpesviruses and seven cancer groups that may be caused by infectious agents. Subjects had incident cancers of the oral cavity(n = 88), the cervix(n = 53), the prostate(n = 66), Hodgkin lymphoma(n = 83), non-Hodgkin lymphoma(n = 80), multiple myeloma(n = 94) or leukaemia(n = 203). For comparison, patients with other cancers(n = 95) or cardiovascular disease(n = 101) were randomly selected from within the study. Patients were interviewed and their blood was tested for IgG antibodies against HSV-1, HSV-2, VZV, EBV-EBNA, CMV and HHV-6 using enzyme linked immunosorbent assays. Because these viruses are highly prevalent in this population, optical density results from the assays were used as an indirect, quantitative measure of antibody level. RESULTS: There was significant variation in the mean log antibody measures for HSV-2, VZV, CMV and HHV-6 between the disease groups. However, none of the specific cancer groups had significantly higher mean log antibody measures for any of the viruses compared to either control group. In a more detailed examination of seven associations between cancers and herpesviruses for which there had been prior reports, two statistically significant associations were found: a decreasing risk of myeloid leukaemia and an increasing risk of oral cancer with increasing tertiles of antibodies against HHV-6 compared to all other patients (p-trend = 0.03 and 0.02, respectively). Odds ratios for the top tertile compared to the bottom tertile were 0.58 (95%CI 0.3 – 1.0) for myeloid leukaemia and 2.21 (95% CI 1.1 – 4.3) for oral cancer. CONCLUSION: In this population, using these tests for IgG, neither mean antibody measure nor high antibody measure against human herpesviruses 1–6 was strongly associated with any of the seven cancer groups. However, we may not have had sufficient power to detect weak associations or associations with a sub-type of cancer if they were present