Abstract
Purpose
Obesity is a major risk factor for several cancers, including female cancers. Endogenous hormones and inflammatory factors may mediate the association between anthropometric measures and cancer risk, although these associations have been studied mainly in Caucasians. The aim of the current study was to explore the association of circulating hormones, adipokines, and inflammatory factors with obesity and overweight in premenopausal Mexican women.
Methods
We conducted a cross-sectional analysis of 504 premenopausal women from the large Mexican Teachers’ Cohort (MTC, ESMaestras) study to determine the association of insulin-like growth factor I (IGF-I), its major circulating binding protein (IGFBP-3), leptin, adiponectin, C-peptide, and C-reactive protein with comprehensive measures of body size. Biomarkers were measured by immunoassays. Multivariate regression analyses were performed to compare geometric mean biomarker concentrations with measured markers of body size and adiposity.
Results
Mean IGF-I and IGFBP-3 concentrations significantly increased with increasing height and leg length. Concentrations of IGF-I, adiponectin, and the IGF-I/IGFBP-3 ratio strongly decreased with increasing BMI, weight, waist and hip circumferences, waist-to-hip ratio (WHpR), and waist-to-height ratio (WHtR), while CRP, leptin, C-peptide concentrations, and the leptin/adiponectin ratio strongly increased. Adiponectin and the leptin/adiponectin ratio remained significantly related to measures of central adiposity (waist circumference, WHpR, and WHtR) after adjustment by body mass index.
Conclusions
The results of our study suggest a strong relation between biomarkers and body size in this study population and suggest that different fat depots may have different metabolic properties.
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References
Romieu I, Lajous M (2009) The role of obesity, physical activity and dietary factors on the risk for breast cancer: Mexican experience. Salud Publica Mex 51(Suppl 2):s172–s180
Porter PL (2009) Global trends in breast cancer incidence and mortality. Salud Publica Mex 51(Suppl 2):s141–s146
Dunn BK, Gurs-Collins T, Browne D, Lubet R, Johnson KA (2010) Health disparities in breast cancer: biology meets socioeconomic status. Breast Cancer Res Treat 121(2):281–292
Mahoney MC, Bevers T, Linos E, Willett WC (2008) Opportunities and strategies for breast cancer prevention through risk reduction. CA Cancer J Clin 58(6):347–371
Ligibel JA, Strickler HD (2013) Obesity and its impact on breast cancer: tumor incidence, recurrence, survival, and possible interventions. Am Soc Clin Oncol Educ Book, 52–59
De Pergola G, Silvestris F (2013) Obesity as a major risk factor for cancer. J Obes 2013:291546
Kaaks R, Lukanova A (2001) Energy balance and cancer: the role of insulin and insulin-like growth factor-I. Proc Nutr Soc 60(1):91–106
Bianchini F, Kaaks R, Vainio H (2002) Overweight, obesity, and cancer risk. Lancet Oncol 3(9):565–574
Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348(17):1625–1638
Ames BN, Gold LS, Willett WC (1995) The causes and prevention of cancer. Proc Natl Acad Sci USA 92(12):5258–5265
Jurimae J, Jurimae T, Ring-Dimitriou S et al (2009) Plasma adiponectin and insulin sensitivity in overweight and normal-weight middle-aged premenopausal women. Metabolism 58(5):638–643
Zatko T, Matejovicova B, Boledovicova M et al (2013) Growth and obesity and its association with plasma level of steroid hormones and insulin-like growth factor-I (IGF-I) in Slovak female students. Bratisl Lek Listy 114(10):573–580
Klisic AN, Vasiljevic ND, Simic TP et al (2014) Association between C-reactive protein, anthropometric and lipid parameters among healthy normal weight and overweight postmenopausal women in Montenegro. Lab Med 45(1):12–16
Friedrich N, Nauck M, Schipf S et al (2013) Cross-sectional and longitudinal associations between insulin-like growth factor I and metabolic syndrome: a general population study in German adults. Diabetes Metab Res Rev 29(6):452–462
Bochud M, Marquant F, Marques-Vidal PM et al (2009) Association between C-reactive protein and adiposity in women. J Clin Endocrinol Metab 94(10):3969–3977
Gram IT, Norat T, Rinaldi S et al (2006) Body mass index, waist circumference and waist-hip ratio and serum levels of IGF-I and IGFBP-3 in European women. Int J Obes 30(11):1623–1631
Lukanova A, Lundin E, Zeleniuch-Jacquotte A et al (2004) Body mass index, circulating levels of sex-steroid hormones, IGF-I and IGF-binding protein-3: a cross-sectional study in healthy women. Eur J Endocrinol 150(2):161–171
Morimoto Y, Conroy SM, Ollberding NJ et al (2014) Ethnic differences in serum adipokine and C-reactive protein levels: the multiethnic cohort. Int J Obes 38(11):1416–1422
Choi J, Joseph L, Pilote L (2013) Obesity and C-reactive protein in various populations: a systematic review and meta-analysis. Obes Rev 14(3):232–244
Faupel-Badger JM, Berrigan D, Ballard-Barbash R, Potischman N (2009) Anthropometric correlates of insulin-like growth factor 1 (IGF-1) and IGF binding protein-3 (IGFBP-3) levels by race/ethnicity and gender. Ann Epidemiol 19(12):841–849
Parekh N, Roberts CB, Vadiveloo M et al (2010) Lifestyle, anthropometric, and obesity-related physiologic determinants of insulin-like growth factor-1 in the Third National Health and Nutrition Examination Survey (1988–1994). Ann Epidemiol 20(3):182–193
Cohen SS, Fowke JH, Cai Q et al (2012) Differences in the association between serum leptin levels and body mass index in black and white women: a report from the Southern Community Cohort Study. Ann Nutr Metab 60(2):90–97
Hyatt TC, Phadke RP, Hunter GR et al (2009) Insulin sensitivity in African–American and white women: association with inflammation. Obesity (Silver Spring) 17(2):276–282
DeLellis K, Rinaldi S, Kaaks RJ et al (2004) Dietary and lifestyle correlates of plasma insulin-like growth factor-I (IGF-I) and IGF binding protein-3 (IGFBP-3): the multiethnic cohort. Cancer Epidemiol Biomarkers Prev 13(9):1444–1451
Conroy SM, Chai W, Lim U et al (2011) Leptin, adiponectin, and obesity among Caucasian and Asian women. Mediators Inflamm 2011:253580
Garcia OP, Ronquillo D, Caamano MC et al (2012) Zinc, vitamin A, and vitamin C status are associated with leptin concentrations and obesity in Mexican women: results from a cross-sectional study. Nutr Metab 9(1):59
Garcia-Jimenez S, Bernal FG, Martinez Salazar MF et al (2015) Serum leptin is associated with metabolic syndrome in obese Mexican subjects. J Clin Lab Anal 29(1):5–9
Romieu I, Escamilla-Nunez MC, Sanchez-Zamorano LM et al (2012) The association between body shape silhouette and dietary pattern among Mexican women. Public Health Nutr 15(1):116–125
Rice MS, Bertrand KA, Lajous M et al (2013) Body size throughout the life course and mammographic density in Mexican women. Breast Cancer Res Treat 138(2):601–610
Angeles-Llerenas A, Ortega-Olvera C, Perez-Rodriguez E et al (2010) Moderate physical activity and breast cancer risk: the effect of menopausal status. Cancer Causes Control 21(4):577–586
Brindle E, Fujita MF, Shofer JF, O’Connor KA (2010) Serum, plasma, and dried blood spot high-sensitivity C-reactive protein enzyme immunoassay for population research. J Immunol Methods 362(1–2):112–120
Da Rin GF, Lippi G (2014) The quality of diagnostic testing may be impaired during shipment of lithium-heparin gel tubes. Clin Chem Lab Med 52(11):1633–1637
Doumatey AP, Zhou J, Adeyemo A, Rotimi C (2014) High sensitivity C-reactive protein (Hs-CRP) remains highly stable in long-term archived human serum. Clin Biochem 47(4–5):315–318
Hartweg J, Gunter MF, Perera RF et al (2007) Stability of soluble adhesion molecules, selectins, and C-reactive protein at various temperatures: implications for epidemiological and large-scale clinical studies. Clin Chem 53(10):1858–1860
Kaplan RC, Ho GYF, Xue X, Xue XF et al (2007) Within-individual stability of obesity-related biomarkers among women. Cancer Epidemiol Biomarkers Prev 16(6):1291–1293
Shand B, Elder PF, Scott RF, Frampton CF, Willis J (2006) Biovariability of plasma adiponectin. Clin Chem Lab Med 44(10):1264–1268
Gunnell D, Okasha M, Smith GD et al (2001) Height, leg length, and cancer risk: a systematic review. Epidemiol Rev 23(2):313–342
Crowe FL, Key TJ, Allen NE et al (2011) A cross-sectional analysis of the associations between adult height, BMI and serum concentrations of IGF-I and IGFBP-1-2 and-3 in the European Prospective Investigation into Cancer and Nutrition (EPIC). Ann Hum Biol 38(2):194–202
Schernhammer ES, Tworoger SS, Eliassen AH et al (2007) Body shape throughout life and correlations with IGFs and GH. Endocr Relat Cancer 14(3):721–732
Gasser T, Sheehy A, Molinari L, Largo RH (2001) Growth of early and late maturers. Ann Hum Biol 28(3):328–336
Holmes MD, Pollak MN, Hankinson SE (2002) Lifestyle correlates of plasma insulin-like growth factor I and insulin-like growth factor binding protein 3 concentrations. Cancer Epidemiol Biomarkers Prev 11(9):862–867
Henderson KD, Goran MI, Kolonel LN, Henderson BE, Le ML (2006) Ethnic disparity in the relationship between obesity and plasma insulin-like growth factors: the multiethnic cohort. Cancer Epidemiol Biomarkers Prev 15(11):2298–2302
Peltz G, Sanderson M, Perez A et al (2007) Serum leptin concentration, adiposity, and body fat distribution in Mexican–Americans. Arch Med Res 38(5):563–570
Gomez JM, Maravall FJ, Gomez N et al (2003) Interactions between serum leptin, the insulin-like growth factor-I system, and sex, age, anthropometric and body composition variables in a healthy population randomly selected. Clin Endocrinol 58(2):213–219
Jurimae J, Jurimae T (2007) Plasma adiponectin concentration in healthy pre- and postmenopausal women: relationship with body composition, bone mineral, and metabolic variables. Am J Physiol Endocrinol Metab 293(1):E42–E47
Geisthovel F, Meysing A, Brabant G (1998) C-peptide and insulin, but not C19-steroids, support the predictive value of body mass index on leptin in serum of premenopausal women. Hum Reprod 13(3):547–553
Parker ED, Pereira MA, Stevens J, Folsom AR (2009) Association of hip circumference with incident diabetes and coronary heart disease: the atherosclerosis risk in communities study. Am J Epidemiol 169(7):837–847
Yadav A, Kataria MA, Saini V, Yadav A (2013) Role of leptin and adiponectin in insulin resistance. Clin Chim Acta 417:80–84
Hocking S, Samocha-Bonet D, Milner KL, Greenfield JR, Chisholm DJ (2013) Adiposity and insulin resistance in humans: the role of the different tissue and cellular lipid depots. Endocr Rev 34(4):463–500
Shen W, Wang Z, Punyanita M et al (2003) Adipose tissue quantification by imaging methods: a proposed classification. Obes Res 11(1):5–16
Li SP, Goldman ND (1996) Regulation of human C-reactive protein gene expression by two synergistic IL-6 responsive elements. Biochemistry 35(28):9060–9068
Pischon T, Boeing H, Hoffmann K et al (2008) General and abdominal adiposity and risk of death in Europe. N Engl J Med 359(20):2105–2120
Dossus L, Rinaldi S, Becker S et al (2010) Obesity, inflammatory markers, and endometrial cancer risk: a prospective case–control study. Endocr Relat Cancer 17(4):1007–1019
Lavigne JA, Wimbrow HH, Clevidence BA et al (2004) Effects of alcohol and menstrual cycle on insulin-like growth factor-I and insulin-like growth factor binding protein-3. Cancer Epidemiol Biomarkers Prev 13(12):2264–2267
Asimakopoulos B, Milousis A, Gioka T et al (2009) Serum pattern of circulating adipokines throughout the physiological menstrual cycle. Endocr J 56(3):425–433
Gianisslis G, Simopoulou M, Vakalopoulos I et al (2011) Serum pattern of circulating soluble receptor of leptin throughout the menstrual cycle. Minerva Ginecol 63(4):339–342
Acknowledgments
The authors would like to thank Ms Beatrice Vozar for her help with the handling of the biological samples, the ESMaestras-MTCs women for their participating in the study, and the American Institute for Cancer Research, CONACYT (Consejo Nacional de Ciencia y Tecnología, México), and the Ministry of Health of Mexico, AVON, Banorte, for support. Research relating to this manuscript was funded by the American Institute for Cancer Research (AICR) (Grant # 10A035), Consejo Nacional de Ciencia y Tecnologia (CONACYT) (Grant # 115312). Ministry of Health Mexico, Avon Cosmetics, Fundación Banorte and Fundación Gruma.
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Rinaldi, S., Biessy, C., de la Luz Hernandez, M. et al. Endogenous hormones, inflammation, and body size in premenopausal Mexican women: results from the Mexican Teachers’ Cohort (MTC, ESMaestras). Cancer Causes Control 26, 475–486 (2015). https://doi.org/10.1007/s10552-015-0527-2
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DOI: https://doi.org/10.1007/s10552-015-0527-2