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논문 기본 정보

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학술저널
저자정보
김예림 (전남대학교 의과대학) 최창균 (전남대학교) 이영훈 (원광대학교) 최성우 (조선대학교) 김혜연 (전남대학교) 신민호 (전남대학교) 권순석 (전남대학교)
저널정보
연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제62권 제9호
발행연도
2021.9
수록면
792 - 798 (7page)
DOI
10.3349/ymj.2021.62.9.792

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Purpose: In this prospective study, we evaluated the association between the serum levels of antioxidants uric acid (UA), albumin,and total bilirubin and the risk of cancer in a Korean population. Materials and Methods: A total of 15882 subjects were followed up for cancer development and cancer-related death. During thefollow-up period, 1619 cancer diagnoses and 617 cancer-related deaths were recorded. Cox proportional regression was performedto calculate the hazard ratio (HR) per standard deviation (SD) increment and 95% confidence interval (CI). The model was adjustedfor covariates such as the age, sex, smoking, alcohol consumption, physical activity, education level, body mass index, andfamily history. Sensitivity analyses using the study subjects with physiological serum levels of each indicator were also performed. Results: UA levels were positively correlated with cancer risk (HR per SD increment 1.04; 95% CI, 1.01?1.09), and albumin levelswere inversely associated with the overall cancer risk (HR, 0.92; 95% CI, 0.88?0.96) and cancer-related death (HR, 0.86; 95% CI,0.80?0.93). Total bilirubin levels were negatively correlated with the risk of cancer-related death (HR, 0.91; 95% CI, 0.83?0.99). Bycancer type, UA was positively associated with prostate cancer, total bilirubin was positively associated with liver cancer, and albuminwas inversely associated with lung cancer. Conclusion: The findings of this study support the role of antioxidants in carcinogenesis. Future large-cohort studies are needed toconfirm the predictive value of albumin, UA, and total bilirubin levels in each type of cancer.

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