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Original Research

Open Access

Dyslipidemia is positively associated with cervical cancer in Korea: Korean national health and nutrition examination survey 2010—2020

  • Seon-Mi Lee1
  • Sanghoon Lee1,*,†,
  • Tak Kim1,*,†,
  • Jae-Yun Song1
  • Hyun-Woong Cho2
  • Kyung-Jin Min3
  • Jin-Hwa Hong2
  • Jae-Kwan Lee2
  • Nak-Woo Lee3

1Department of Obstetrics and Gynecology, Korea University College of Medicine, Korea University Anam Hospital, 02841 Seoul, Republic of Korea

2Department of Obstetrics and Gynecology, Korea University College of Medicine, Korea University Guro Hospital, 08308 Seoul, Republic of Korea

3Department of Obstetrics and Gynecology, Korea University College of Medicine, Korea University Ansan Hospital, 15355 Ansan, Republic of Korea

DOI: 10.22514/ejgo.2023.032 Vol.44,Issue 3,June 2023 pp.1-11

Submitted: 01 December 2022 Accepted: 27 March 2023

Published: 15 June 2023

*Corresponding Author(s): Sanghoon Lee E-mail: mdleesh@korea.ac.kr
*Corresponding Author(s): Tak Kim E-mail: tkim@kumc.or.kr

† These authors contributed equally.

Abstract

Several previous papers have reported that hypoxic environments induced by hypertension, Insulin like growth factor-1 (IGF-1) overexpressed by hyperinsulinemia, hyperactivity of fatty acid metabolism, stimulation of cell growth signaling factors, and formation of carcinogen by dyslipidemia contribute to tumor cell proliferation.Therefore, we hypothesized that hypertension, diabetes, and dyslipidemia are positively correlated with cervical cancer; the purpose of this study was to evaluate this correlation. We included 25,055 participants from the Korean National Health and Nutrition Examination Survey between 2010 and 2020. The participants were divided into the non-cervical cancer and cervical cancer groups. For comparisons between the two groups, continuous variables were analyzed using Student’s t-test, and categorical variables were analyzed using the chi-squared test or Fisher’s exact test. The odds ratios (OR) in the non-cervical cancer group, and 311 females were included in the cervical cancer group. In the cervical cancer group, dyslipidemia had an adjusted OR (AOR) of 2.88 compared with that of the non-cervical cancer group (AOR: 2.88, confidence interval (CI): 1.785–4.654, p < 0.001) after adjusting for confounding variables such as age, education level, waist circumference, body mass index (BMI), and number of pregnancies in the multivariate logistic regression analysis. Among the three major chronic diseases, dyslipidemia was positively correlated with cervical cancer. Therefore, Encouraging gynecologists to get proper treatment for dyslipidemia in gynecological patients with dyslipidemia is believed to help lower the potential risk of cervical cancer in the future.


Keywords

Cervical cancer; Dyslipidemia; Korean females; Chronic diseases


Cite and Share

Seon-Mi Lee,Sanghoon Lee,Tak Kim,Jae-Yun Song,Hyun-Woong Cho,Kyung-Jin Min,Jin-Hwa Hong,Jae-Kwan Lee,Nak-Woo Lee. Dyslipidemia is positively associated with cervical cancer in Korea: Korean national health and nutrition examination survey 2010—2020. European Journal of Gynaecological Oncology. 2023. 44(3);1-11.

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