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. 2024 May 6:16:783-795.
doi: 10.2147/IJWH.S428696. eCollection 2024.

Association of Overweight and Inflammatory Indicators with Breast Cancer: A Cross-Sectional Study in Chinese Women

Juan-Min Zha #  1 , Mei Zhang #  1 , Tao Wang #  2 , Hua-Shan Li #  1   2 , Quan-Yao Ban #  1 , Mei Liu  1 , Xue-Xue Jiang  1 , Shi-Ying Guo  2 , Jing Wang  2 , Ya-Ru Zhou  2 , Yu-Hong Liu  2 , Wei-Qi He  1   2 , Hong Xu  1
Affiliations

Association of Overweight and Inflammatory Indicators with Breast Cancer: A Cross-Sectional Study in Chinese Women

Juan-Min Zha et al. Int J Womens Health. .

Abstract

Objective: This cross-sectional study aimed to explore the association of overweight and inflammatory indicators with breast cancer risk in Chinese patients.

Methods: Weight, height, and peripheral blood inflammatory indicators, including white blood cell count (WBC), neutrophil count (NE), lymphocyte count (LY), platelet count (PLT) and the concentration of hypersensitivity C-reactive protein (hsCRP), were collected in 383 patients with benign breast lumps (non-cancer) and 358 patients with malignant breast tumors (cancer) at the First Affiliated Hospital of Soochow University, China, from March 2018 to July 2020. Body mass index (BMI), neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) and systemic immune-inflammation index (SII) were determined according to the ratio equation. The correlations among overweight, inflammatory indicators, and the proportion of non-cancer or cancer cases were analyzed.

Results: BMI is associated with an increased breast cancer risk. Compared with non-cancer patients, the average WBC count, NE count, NLR, and level of hsCRP were significantly higher in cancer patients. The level of hsCRP was closely associated with the size of malignant breast tumors.

Conclusion: We conclude that overweight and high levels of hsCRP may serve as putative risk factors for malignant breast tumors in Chinese women.

Keywords: body mass index; breast cancer; chronic inflammation; inflammatory indicator; overweight.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
A patient flow diagram in accordance with the international Standards for Reporting of Diagnostic Accuracy Studies (STARD) guidelines.
Figure 2
Figure 2
ROC curve of BMI (a) and WBC (b), NE (c), hsCRP (d), and NLR (e) in peripheral blood.
See this image and copyright information in PMC

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