這個問題好像不好回答。但反過來問就容易答了:是不是得了癌症膽固醇會變低呢?是的,特別是肝癌,直接影響了膽固醇的合成。

來源: 吃與活 2016-10-19 11:18:04 [] [博客] [舊帖] [給我悄悄話] 本文已被閱讀: 次 (6860 bytes)
回答: 膽固醇太低易得癌症,這個說法對嗎?Gbdjw2016-10-19 10:53:36

2011 Apr 20;29(12):1592-8. doi: 10.1200/JCO.2010.31.5200. Epub 2011 Mar 21.

Total cholesterol and cancer risk in a large prospective study in Korea.

Abstract

PURPOSE:

To further clarify the relationship between total cholesterol and cancer, which remains unclear.

METHODS:

We prospectively examined the association between total cholesterol and site-specific and all-cancer incidence among 1,189,719 Korean adults enrolled in the National Health Insurance Corporation who underwent a standardized biennial medical examination in 1992 to 1995 and were observed for 14 years until cancer diagnosis or death.

RESULTS:

Over follow-up, 53,944 men and 24,475 women were diagnosed with a primary cancer. Compared with levels less than 160 mg/dL, high total cholesterol (≥ 240 mg/dL) was positively associated with prostate cancer (hazard ratio [HR], 1.24; 95% CI, 1.07 to 1.44; P trend = .001) and colon cancer (HR, 1.12; 95% CI, 1.00 to 1.25; P trend = .05) in men and breast cancer in women (HR, 1.17; 95% CI, 1.03 to 1.33; P trend = .03). Higher total cholesterol was associated with a lower incidence of liver cancer (men: HR, 0.42; 95% CI, 0.38 to 0.45; P trend < .001; women: HR, 0.32; 95% CI, 0.27 to 0.39; P trend < .001), stomach cancer (men: HR, 0.87; 95% CI, 0.82 to 0.93; P trend ≤ .001; women: HR, 0.86; 95% CI, 0.77 to 0.97; P trend = .06), and, in men, lung cancer (HR, 0.89; 95% CI, 0.82 to 0.96; P trend < .001). Results for liver cancer were slightly attenuated after additional adjustment for liver enzyme levels and hepatitis B surface antigen status (men: HR, 0.60; P trend < .001; women: HR, 0.46; P trend = .003) and exclusion of the first 10 years of follow-up (men: HR, 0.59; P trend < .001; women: HR, 0.44; P trend < .001). Total cholesterol was inversely associated with all-cancer incidence in both men (HR, 0.84; 95% CI, 0.81 to 0.86; P trend < .001) and women (HR, 0.91; 95% CI, 0.87 to 0.95; P trend < .001), but these associations were attenuated after excluding incident liver cancers (men: HR, 0.95; P trend < .001; women: HR, 0.98; P trend = .32).

CONCLUSION:

In this large prospective study, we found that total cholesterol was associated with the risk of several different cancers, although these relationships differed markedly by cancer site.

PMID:
21422422
PMCID:
PMC3082977
DOI:
10.1200/JCO.2010.31.5200

Fig 1.

 
An external file that holds a picture, illustration, etc.
Object name is zlj9991011040001.jpg

Hazard ratios and 95% CIs for total cholesterol (per 20 mg/dL) in relation to site-specific cancer incidence in (A) Korean men and (B) Korean women in the Korean Cancer Prevention Study (1992 to 2006). Models used attained age as the underlying time metric and were adjusted for cigarette smoking, alcohol drinking, body mass index, fasting serum glucose, hypertension, and physical activity.

所有跟帖: 

就是說高膽固醇的人沒得癌症?? -桃花好運- 給 桃花好運 發送悄悄話 (0 bytes) () 10/19/2016 postreply 11:34:53

好問題,不知有沒有研究,有沒有可能拿它當一個篩選指標? -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 10/19/2016 postreply 11:40:56

如果有道理,可以省下社會多少錢啊?這要被醫院建製派恨死了,少賺多少啊? -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 10/19/2016 postreply 11:43:03

膽固醇低者可與癌症相關,膽固醇高者也有不少結腸癌患者。。。 -禦用文人- 給 禦用文人 發送悄悄話 (0 bytes) () 10/19/2016 postreply 11:46:09

具體點吧,比如說膽固醇高的女性是不是就可以免做乳房軟X 線檢查?一個一個腫瘤研究,哪些相關,哪些不相關?如果有相關性,那真省社會 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 10/19/2016 postreply 11:50:31

那至少肯定沒肝癌...要是上麵的結論是對的... -桃花好運- 給 桃花好運 發送悄悄話 (0 bytes) () 10/19/2016 postreply 11:54:16

驗個血鈣,可比做個B超便宜多了。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 10/19/2016 postreply 11:56:43

是呀....可是他上麵的結論對嗎?? -桃花好運- 給 桃花好運 發送悄悄話 (169 bytes) () 10/19/2016 postreply 12:00:03

好像有這個說法,但是不知道是不是真的相關。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 10/19/2016 postreply 12:02:11

你們有實驗室的,真可以搜一下,有沒有相關研究在進行,如果還沒有,真有可能立項啊。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 10/19/2016 postreply 12:01:06

估計還沒到晚期。。。。 -吃與活- 給 吃與活 發送悄悄話 吃與活 的博客首頁 (0 bytes) () 10/19/2016 postreply 13:05:21

一般是這樣,反而是胖子抗折騰。 -吃與活- 給 吃與活 發送悄悄話 吃與活 的博客首頁 (0 bytes) () 10/19/2016 postreply 13:06:24

我認為圖A比圖B可信,或者說更接近真實的情況。因為樣本數大。就A講基本可以解釋 -Diana-Sun- 給 Diana-Sun 發送悄悄話 Diana-Sun 的博客首頁 (505 bytes) () 10/19/2016 postreply 12:37:00

同意你的看法。膽固醇和癌症的關係比較複雜:一方麵膽固醇是飲食習慣的一個marker,一方麵它也受癌症的影響。 -吃與活- 給 吃與活 發送悄悄話 吃與活 的博客首頁 (221 bytes) () 10/19/2016 postreply 13:25:29

是不是和家族性高膽固醇醇的早死,沒有活到生癌有關? -Diana-Sun- 給 Diana-Sun 發送悄悄話 Diana-Sun 的博客首頁 (101 bytes) () 10/19/2016 postreply 13:56:40

也不能完全排除這種可能。 -吃與活- 給 吃與活 發送悄悄話 吃與活 的博客首頁 (185 bytes) () 10/19/2016 postreply 14:10:38

ZT 膽固醇過高並不一定對長壽有害,有可能反較長壽 -阿明.- 給 阿明. 發送悄悄話 (4706 bytes) () 10/19/2016 postreply 14:27:55

家族性高膽固醇血症是一種遺傳病,純合子患者很少能活過40歲。和你這裏談的是不同的兩種人群。 -Diana-Sun- 給 Diana-Sun 發送悄悄話 Diana-Sun 的博客首頁 (0 bytes) () 10/19/2016 postreply 17:28:53

哦, 漲姿勢了. 謝謝! -阿明.- 給 阿明. 發送悄悄話 (0 bytes) () 10/19/2016 postreply 18:00:21

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