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Multicenter Study
. 2019 Mar 15;13(2):154-160.
doi: 10.5009/gnl17556.

Insulin Resistance Is Associated with Early Gastric Cancer: A Prospective Multicenter Case Control Study

Hye Jung Kwon  1 , Moo In Park  1 , Seun Ja Park  1 , Won Moon  1 , Sung Eun Kim  1 , Jae Hyun Kim  1 , Youn Jung Choi  1 , Sang Kil Lee  2
Affiliations
Multicenter Study

Insulin Resistance Is Associated with Early Gastric Cancer: A Prospective Multicenter Case Control Study

Hye Jung Kwon et al. Gut Liver. .

Abstract

Background/aims: Recently, increased body weight has been found to be associated with an increasing risk of several cancers, including gastric cancer. The true pathogenic role of hyperglycemia in the development of gastric cancer remains unclear as hyperglycemia and its associated conditions may work as carcinogenic factors. The goal of this study was to clarify the factors associated with early gastric cancer and evaluate a homeostasis model assessment of the insulin resistance (HOMA-IR) index, fasting glucose, and lipid profile as predictors of early gastric cancer.

Methods: A total of 63 patients with early gastric cancer between November 2012 and March 2013 were included. Preoperative serum lipid profile levels and serum fasting glucose were examined prospectively in patients with early gastric cancer. The same number of controls were evaluated and matched to the early gastric cancer group for age and gender. We performed multivariate logistic regression analysis to identify independent risk factors for early gastric cancer.

Results: Univariate analysis showed that risk for early gastric cancer was associated with diastolic blood pressure (BP), total cholesterol, fasting glucose, and HOMA-IR. In the multivariate-adjusted model, higher total cholesterol, fasting glucose, body mass index, and diastolic BP were strongly associated with an increased risk of early gastric cancer.

Conclusions: Hyperglycemia, a lower high-density lipoprotein cholesterol level, and a low HOMA-IR level appear to be associated with early gastric cancer risk.

Keywords: Adiponectin; Cholesterol; Early gastric cancer; HOMA-IR; Hyperglycemia.

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Conflict of interest statement

CONFLICTS OF INTEREST

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Study flowchart. EGC, early gastric cancer; HOMA-IR, homeostasis model assessment of the insulin resistance; H. pylori; Helicobacter pylori.
See this image and copyright information in PMC

Comment in

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