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ORIGINAL RESEARCH article

Front. Oncol.
Sec. Neuro-Oncology and Neurosurgical Oncology
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1471733

Life-style and metabolic factors do not affect risk for glioma: A prospective population-based study (The Cohort of Norway)

Provisionally accepted
Anamaria Gheorghiu Anamaria Gheorghiu 1,2Cathrine Brunborg Cathrine Brunborg 3Tom B Johannesen Tom B Johannesen 3,4Eirik Helseth Eirik Helseth 1,3John-Anker Zwart John-Anker Zwart 1,3Markus K.H. Wiedmann Markus K.H. Wiedmann 3*
  • 1 University of Oslo, Oslo, Oslo, Norway
  • 2 Emergency Clinical Hospital Bagdasar Arseni, Bucharest, Romania
  • 3 Oslo University Hospital, Oslo, Norway
  • 4 Cancer Registry of Norway, Oslo, Norway

The final, formatted version of the article will be published soon.

    The identification of modifiable risk factors for intracranial glioma remains a significant challenge. While lifestyle factors and metabolic syndrome are well-established risk factors for various other cancers, their association with glioma risk remains unclear.Objectives: This study aims to conduct a comprehensive analysis of lifestyle factors and metabolic factors in relation to glioma risk.The Cohort of Norway (CONOR) is a prospective, population-based health survey encompassing anthropometric measurements, blood tests and health questionnaires. CONOR data were linked to the National Cancer Registry to identify incident glioma cases. Follow-up time was calculated in person-years from the baseline examination until the date of glioma diagnosis, death, or the end of the follow-up period. Cox proportional hazards regression was used to calculate hazard ratios (HR).The study cohort included 160,938 women and men. Over 2.8 million person-years of follow-up, 319 intracranial gliomas were diagnosed. Lifestyle factors such as physical activity, alcohol consumption, smoking, and marital status were not associated with glioma risk. There was no increased glioma risk among participants with diabetes mellitus or hypertension. Furthermore, metabolic syndrome in both women and men was not associated with an elevated risk of glioma.Blood lipids, including total cholesterol, triglycerides, and HDL, were not linked to glioma risk. However, increasing LDL levels were associated with a decreased risk of glioma in men (HR per category 0.84; 95% CI 0.74-0.96), but not in women.This is the first comprehensive prospective cohort study to evaluate potentially modifiable risk factors for glioma. Our findings do not support previously suggested associations between smoking, alcohol consumption, or metabolic syndrome and glioma risk.

    Keywords: Glioma, Glioblastoma, metabolic syndrome, diabetes, Obesity, brain tumor, risk factor, smoking Glioma

    Received: 28 Jul 2024; Accepted: 18 Nov 2024.

    Copyright: © 2024 Gheorghiu, Brunborg, Johannesen, Helseth, Zwart and Wiedmann. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Markus K.H. Wiedmann, Oslo University Hospital, Oslo, Norway

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