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10. The Coexistence of Common Pulmonary Diseases on the Histologic Type of Lung Cancer in Both Genders in Taiwan

Author

Jian, Zhi-Hong, Lung, Chia-Chi, Huang, Jing-Yang, Ko, Pei-Chieh, Jan, Shiou-Rung, Ndi Nfor, Oswald, Ku, Wen-Yuan, Ho, Chien-Chang, Pan, Hui-Hsien, and Liaw, Yung-Po

Subjects
Adult, Aged, 80 and over, Male, Lung Neoplasms, Carcinoma, Taiwan, Observational Study, Comorbidity, Middle Aged, Article, Asthma, respiratory tract diseases, Cohort Studies, Pulmonary Disease, Chronic Obstructive, Young Adult, Humans, Tuberculosis, Female, Aged
Abstract

Effects of pulmonary diseases [asthma, chronic obstructive pulmonary disease (COPD), and lung tuberculosis (TB)] on subsequent lung cancer development have been reported. However, whether patients with coexisting pulmonary diseases are at greater risk of developing various histologic types of lung cancer remains elusive. Patients newly diagnosed with lung cancer between 2004 and 2008 were identified from National Health Insurance Research Database (Taiwan). The histologic types of lung cancer were further confirmed using Taiwan Cancer Registry Database. Cox proportional hazard regression was used to calculate the hazard ratio (HR) of coexisting asthma, COPD and/or TB to estimate lung cancer risk by histologic type. During the study period, 32,759 cases of lung cancer were identified from 15,219,024 residents age 20 years and older, who were free from the disease before 2003. Coexisting pulmonary diseases showed stronger association with lung cancer than specific lung disorders. Specifically, among men, the HRs for squamous cell carcinoma (SqCC) were 3.98 (95% CI, 3.22–4.93), 2.68 (95% CI, 2.45–2.93), and 2.57 (95% CI, 2.10–3.13) for individuals with asthma+COPD+TB, asthma+COPD, and COPD+TB, respectively. Among women, the HRs for SqCC were 3.64 (95% CI, 1.88–7.05), 3.35 (95% CI, 1.59–7.07), and 2.21 (95% CI, 1.66–2.94) for individuals with TB, COPD+TB, and asthma+COPD, respectively. Adenocarcinoma HRs for men and women were 2.00 (95% CI, 1.54–2.60) and 2.82 (95% CI, 1.97–4.04) for individuals with asthma+COPD+TB, 2.28 (95% CI, 1.91–2.73) and 2.16 (95% CI, 1.57–2.95) for COPD+TB, and 1.76 (95% CI, 1.04–2.97) and 2.04 (95% CI, 1.02–4.09) for individuals with asthma+TB. Specifically, small cell carcinoma (SmCC) HRs among men were 3.65 (95% CI, 1.97–6.80), 2.20 (95% CI, 1.45–3.36), and 2.14 (95% CI, 1.86–2.47) for those with asthma+TB, asthma+COPD+TB, and asthma+ COPD, respectively. Among women, the HRs of SmCC were 8.97 (95% CI, 3.31–24.28), 3.94 (95% CI, 1.25–12.35) and 3.33 (95% CI, 2.23–4.97) for those with asthma+COPD+TB, COPD+TB, and asthma+COPD, respectively. Patients with coexistence of pulmonary diseases were more susceptible to lung cancer. Affected persons deserve greater attention while undergoing cancer screening.

Published
2014

11. Association between fine particulate matter and oral cancer among Taiwanese men.

Author

Yu-Hua Chu, Syuan-Wei Kao, Tantoh, Disline Manli, Pei-Chieh Ko, Shou-Jen Lan, Yung-Po Liaw, Chu, Yu-Hua, Kao, Syuan-Wei, Ko, Pei-Chieh, Lan, Shou-Jen, and Liaw, Yung-Po

Abstract

The aim of this study was to investigate the association between fine particulate matter 2.5 (PM2.5) and oral cancer among Taiwanese men. Four linked data sources including the Taiwan Cancer Registry, Adult Preventive Medical Services Database, National Health Insurance Research Database, and Air Quality Monitoring Database were used. Concentrations of sulfur dioxide, carbon monoxide, ozone, NOx (nitrogen monoxide and nitrogen dioxide), coarse particulate matter (PM10-2.5) and PM2.5 in 2009 were assessed in quartiles. A total of 482 659 men aged 40 years and above were included in the analysis. Logistic regression was used to examine the association between PM2.5 and oral cancer diagnosed from 2012 to 2013. After adjusting for potential confounders, the ORs of oral cancer were 0.91 (95% CI 0.75 to 1.11) for 26.74≤PM2.5<32.37, 1.01 (95% CI 0.84 to 1.20) for 32.37≤PM2.5<40.37 µg/m3 and 1.43 (95% CI 1.17 to 1.74) for PM2.5≥40.37 µg/m3 compared with PM2.5<26.74 µg/m3 In this study, there was an increased risk of oral cancer among Taiwanese men who were exposed to higher concentrations of PM2.5. [ABSTRACT FROM AUTHOR]

Published
2019
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14. The Impact of Coexisting Asthma, Chronic Obstructive Pulmonary Disease and Tuberculosis on Survival in Patients with Lung Squamous Cell Carcinoma

Author

Huang, Jing-Yang, primary, Jian, Zhi-Hong, additional, Ndi Nfor, Oswald, additional, Jhang, Kai-Ming, additional, Ku, Wen-Yuan, additional, Ko, Pei-Chieh, additional, Jan, Shiou-Rung, additional, Ho, Chien-Chang, additional, Lung, Chia-Chi, additional, Pan, Hui-Hsien, additional, Liang, Yu-Chiu, additional, and Liaw, Yung-Po, additional

Published
2015
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16. Association Between Periodontal Disease and Osteoporosis by Gender

Author

Lin, Tzu-Hsien, primary, Lung, Chia-Chi, additional, Su, Hsun-Pi, additional, Huang, Jing-Yang, additional, Ko, Pei-Chieh, additional, Jan, Shiou-Rung, additional, Sun, Yi-Hua, additional, Nfor, Oswald Ndi, additional, Tu, Hsiao-Pei, additional, Chang, Chin-Shun, additional, Jian, Zhi-Hong, additional, Chiang, Yi-Chen, additional, and Liaw, Yung-Po, additional

Published
2015
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19. Vegetarian diet and cholesterol and TAG levels by gender

Author

Jian, Zhi-Hong, primary, Chiang, Yi-Chen, additional, Lung, Chia-Chi, additional, Ho, Chien-Chang, additional, Ko, Pei-Chieh, additional, Ndi Nfor, Oswald, additional, Chang, Hui-Chin, additional, Liaw, Yi-Ching, additional, Liang, Yu-Chiu, additional, and Liaw, Yung-Po, additional

Published
2014
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25. The effects of pulmonary diseases on histologic types of lung cancer in both sexes: a population-based study in Taiwan.

Author

Jing-Yang Huang, Zhi-Hong Jian, Nfor, Oswald Ndi, Wen-Yuan Ku, Pei-Chieh Ko, Chia-Chi Lung, Chien-Chang Ho, Hui-Hsien Pan, Chieh-Ying Huang, Yu-Chiu Liang, Yung-Po Liaw, Huang, Jing-Yang, Jian, Zhi-Hong, Ku, Wen-Yuan, Ko, Pei-Chieh, Lung, Chia-Chi, Ho, Chien-Chang, Pan, Hui-Hsien, Huang, Chieh-Ying, and Liang, Yu-Chiu

Subjects
LUNG diseases, LUNG cancer, HISTOLOGY, ASTHMA, OBSTRUCTIVE lung diseases, SMALL cell carcinoma, SQUAMOUS cell carcinoma, TUBERCULOSIS, TUBERCULOSIS epidemiology, HUMAN reproduction, LUNG tumors
Abstract

Background: The associations between pulmonary diseases (asthma, chronic obstructive pulmonary disease [COPD], and tuberculosis [TB]) and subsequent lung cancer risk have been reported, but few studies have investigated the association with different histologic types of lung cancer.Methods: Patients newly diagnosed with lung cancer from 2004 to 2008 were identified from the National Health Insurance Research Database in Taiwan. Histologic types of lung cancer were further confirmed using the Taiwan Cancer Registry Database. Cox proportional hazards regression was used to calculate the hazard ratio (HR) of asthma, COPD, and TB and to estimate the risk of specific types of lung cancer.Results: During the study period, 32,759 cases of lung cancer were identified from 15,219,024 insurants aged 20 years and older. In men and women, the adjusted HR estimates of squamous cell carcinoma were respectively 1.37 (95 % confidence interval [CI], 1.21-1.54) and 2.10 (95 % CI, 1.36-3.23) for TB, 1.52 (95 % CI, 1.42-1.64) and 1.50 (95 % CI, 1.21-1.85) for asthma, and 1.66 (95 % CI, 1.56-1.76) and 1.44 (95 % CI, 1.19-1.74) for COPD. Similarly, the adjusted HR estimates of adenocarcinoma were respectively 1.33 (95 % CI, 1.19-1.50) and 1.86 (95 % CI, 1.57-2.19) for TB, 1.13 (95 % CI, 1.05-1.21) and 1.18 (95 % CI, 1.09-1.28) for asthma, and 1.50 (95 % CI, 1.42-1.59) and 1.33 (95 % CI, 1.25-1.42) for COPD. The HRs of small cell carcinoma were respectively 1.24 (95 % CI, 1.01-1.52) and 2.23 (95 % CI, 1.17-4.25) for TB, 1.51 (95 % CI, 1.35-1.69) and 1.63 (95 % CI, 1.16-2.27) for asthma, and 1.39 (95 % CI, 1.26-1.53) and 1.78 (95 % CI, 1.33-2.39) for COPD.Conclusions: Asthma, COPD, and TB were associated with an increased risk of all major subtypes of lung cancer. The risk was the highest among women with TB. [ABSTRACT FROM AUTHOR]

Published
2015
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26. Vegetarian diet and cholesterol and TAG levels by gender.

Author

Jian, Zhi-Hong, Chiang, Yi-Chen, Lung, Chia-Chi, Ho, Chien-Chang, Ko, Pei-Chieh, Ndi Nfor, Oswald, Chang, Hui-Chin, Liaw, Yi-Ching, Liang, Yu-Chiu, and Liaw, Yung-Po

Subjects
HIGH density lipoproteins, OMNIVORES, DIETARY supplements, HYPERGLYCEMIA, NUTRITION surveys, MULTIVARIATE analysis, CROSS-sectional method, DISEASE prevalence
Abstract

ObjectiveThe present study assessed the effects of vegetarian and omnivorous diets on HDL-cholesterol (HDL-C), LDL-cholesterol (LDL-C), TAG and the ratio of HDL-C to total cholesterol (TC) by gender.DesignHDL-C, LDL-C, TAG and HDL-C:TC were compared among three diet groups (vegan, ovo-lacto vegetarian and omnivorous). Multivariate linear regression analysis was performed to examine factors significantly and independently associated with vegetarian status and to estimate the β value of lipid profiles for the diet groups.SettingsA cross-sectional study. Data were obtained from the Taiwanese Survey on the Prevalence of Hyperglycemia, Hyperlipidemia and Hypertension (TwSHHH).SubjectsThe study comprised included 3257 men and 3551 women.ResultsAfter adjusting for confounders, vegan and ovo-lacto vegetarian diets lowered LDL-C levels (β=−10·98, P=0·005 and β=−7·12, P=0·025, respectively) in men compared with omnivorous diet. There was a significant association between HDL-C and vegan diet (β=−6·53, P=0·004). In females, the β values of HDL-C, TAG and HDL-C:TC were −5·72 (P<0·0001), 16·51 (P=0·011) and −0·02 (P=0·012) for vegan diet, and −4·86 (P=0·002), 15·09 (P=0·008) and −0·01 (P=0·026) for ovo-lacto vegetarian diet, when compared with omnivorous diet.ConclusionsVegan diet was associated with lower HDL-C concentrations in both males and females. Because the ovo-lacto vegetarian diet was effective in lowering LDL-C, it may be more appropriate for males. [ABSTRACT FROM AUTHOR]

Published
2015
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