Open AccessIncreased body mass index is a risk factor for acute promyelocytic leukemia
Author(s) -
Kashanian Sarah M.,
Li Andrew Y.,
Mustafa Ali Moaath,
Sutherland Mark E.,
Duong Vu H.,
Hambley Bryan C.,
Zacholski Kyle,
El Chaer Firas,
Holtzman Noa G.,
Imran Mohammad,
Patzke Ciera L.,
Cornu Jonathan,
Duffy Alison,
Dezern Amy E.,
Gojo Ivana,
Norsworthy Kelly J.,
Levis Mark J.,
Smith B. Douglas,
Baer Maria R.,
Ghiaur Gabriel,
Emadi Ashkan
Publication year - 2021
Publication title -
ejhaem
Language(s) - English
Resource type - Journals
ISSN - 2688-6146
DOI - 10.1002/jha2.163
Subject(s) - medicine , acute promyelocytic leukemia , body mass index , myeloid leukemia , acute leukemia , leukemia , incidence (geometry) , risk factor , retrospective cohort study , cancer , obesity , gastroenterology , biochemistry , retinoic acid , chemistry , physics , optics , gene
Obesity has become increasingly prevalent worldwide and is a risk factor for many malignancies. We studied the correlation between body mass index (BMI) and the incidence of acute promyelocytic leukemia (APL), non‐APL acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), and control hospitalized patients without leukemia in the same community. Methods Multicenter, retrospective analysis of 71 196 patients: APL (n = 200), AML (n = 437), ALL (n = 103), nonleukemia hospitalized (n = 70 456) admitted to University of Maryland and Johns Hopkins Cancer Centers, and University of Maryland Medical Center. Results Patients with APL had a significantly higher unadjusted mean and median BMI (32.5 and 30.3 kg/m 2 ) than those with AML (28.3 and 27.1 kg/m 2 ), ALL (29.3 and 27.7 kg/m 2 ), and others (29.3 and 27.7 kg/m 2 ) ( P < .001). Log‐transformed BMI multivariable models demonstrated that APL patients had a significantly higher adjusted mean BMI by 3.7 kg/m 2 ( P < .001) or approximately 10% ( P < .01) compared to the other groups, when controlled for sex, race, and age. Conclusions This study confirms that when controlled for sex, age, and race there is an independent association of higher BMI among patients with APL compared to patients with ALL, AML, and hospitalized individuals without leukemia in the same community.