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      Interactions of anthropometric indices, rs9939609 FTO gene polymorphism and breast cancer: A case‐control study

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          Abstract

          Contradictory results were reported on the effect of fat mass‐ and obesity‐associated (FTO) gene and anthropometric measurements on breast cancer (BC). This study aimed to assess the interactions between rs9939609 polymorphism of FTO gene, anthropometric indices and BC risk in Iranian women. This case‐control study was performed on 540 women including 180 women with BC and 360 healthy women in Tehran, Iran. Physical activity and dietary intakes were assessed by validated questionnaires. Data on sociodemographic and pathologic factors of the participants as well as their blood samples were collected. The rs9939609 FTO gene polymorphism was genotyped using the tetra‐primer amplification refractory mutation system‐polymerase chain reaction (T‐ARMS‐PCR). No significant association was found between BC and risk allele of FTO rs9939609 polymorphism after adjustments for the confounders. However, there was a significant association between rs9939609 polymorphism risk allele and BC risk in females with overweight, even after adjusting for age, family history of BC, abortion, BMI and the number of pregnancies ( P < .05). The association was disappeared after further adjustments for lifestyle factors including smoking, alcohol consumption, calorie and macronutrients intake, and physical activity. The FTO gene polymorphism was associated with the risk of BC in overweight individuals. This association was influenced by environmental factors including diet, alcohol consumption and smoking. Future studies are required to confirm the association between the FTO gene and BC in overweight females and to identify the underlying mechanisms.

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          Most cited references32

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          A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity.

          Obesity is a serious international health problem that increases the risk of several common diseases. The genetic factors predisposing to obesity are poorly understood. A genome-wide search for type 2 diabetes-susceptibility genes identified a common variant in the FTO (fat mass and obesity associated) gene that predisposes to diabetes through an effect on body mass index (BMI). An additive association of the variant with BMI was replicated in 13 cohorts with 38,759 participants. The 16% of adults who are homozygous for the risk allele weighed about 3 kilograms more and had 1.67-fold increased odds of obesity when compared with those not inheriting a risk allele. This association was observed from age 7 years upward and reflects a specific increase in fat mass.
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            Incidence and Mortality and Epidemiology of Breast Cancer in the World.

            Breast cancer is the most common malignancy in women around the world. Information on the incidence and mortality of breast cancer is essential for planning health measures. This study aimed to investigate the incidence and mortality of breast cancer in the world using age-specific incidence and mortality rates for the year 2012 acquired from the global cancer project (GLOBOCAN 2012) as well as data about incidence and mortality of the cancer based on national reports. It was estimated that 1,671,149 new cases of breast cancer were identified and 521,907 cases of deaths due to breast cancer occurred in the world in 2012. According to GLOBOCAN, it is the most common cancer in women, accounting for 25.1% of all cancers. Breast cancer incidence in developed countries is higher, while relative mortality is greatest in less developed countries. Education of women is suggested in all countries for early detection and treatment. Plans for the control and prevention of this cancer must be a high priority for health policy makers; also, it is necessary to increase awareness of risk factors and early detection in less developed countries.
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              Reproductive factors and breast cancer.

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                Author and article information

                Contributors
                rmosavi@yahoo.com
                Journal
                J Cell Mol Med
                J Cell Mol Med
                10.1111/(ISSN)1582-4934
                JCMM
                Journal of Cellular and Molecular Medicine
                John Wiley and Sons Inc. (Hoboken )
                1582-1838
                1582-4934
                25 February 2021
                April 2021
                : 25
                : 7 ( doiID: 10.1111/jcmm.v25.7 )
                : 3252-3257
                Affiliations
                [ 1 ] Cancer Research Center Shahid Beheshti University of Medical Sciences Tehran Iran
                [ 2 ] Department of Clinical Nutrition and Dietetics Shahid Beheshti University of Medical Science Tehran Iran
                [ 3 ] Student Research Committee Cancer Research Center, Shahid Beheshti University of Medical Sciences Tehran Iran
                [ 4 ] Department of Health Sciences in Nutrition, School of Health Qazvin University of Medical Sciences Qazvin Iran
                [ 5 ] Iranian Research Center on Healthy Aging Sabzevar University of Medical Sciences Sabzevar Iran
                [ 6 ] Non‐Communicable Diseases Research Center Sabzevar University of Medical Sciences Sabzevar Iran
                [ 7 ] Department of Nutrition Urmia University of Medical Science Urmia Iran
                [ 8 ] School of Paramedicine Guilan University of Medical Sciences Langroud Iran
                [ 9 ] Department of Clinical Biochemistry, Faculty of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran
                [ 10 ] Nutrition and Food Security Research Center Shahid Sadoughi University of Medical Sciences Yazd Iran
                [ 11 ] Department of Medical Genetics, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran
                [ 12 ] Genomic Research center Shahid Beheshti University of Medical Sciences Tehran Iran
                [ 13 ] Department of non‐communicable diseases, deputy of health services Dezful University of Medical Sciences Dezful Iran
                [ 14 ] Student Research Committee, Department of Clinical Nutrition, School of Nutrition and Food Sciences Shiraz University of Medical Sciences Shiraz Iran
                Author notes
                [*] [* ] Correspondence

                Seyed Alireza Mosavi Jarrahi, Professor in Epidemiology, Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

                Email: rmosavi@ 123456yahoo.com

                Author information
                https://orcid.org/0000-0001-8289-8819
                https://orcid.org/0000-0001-8043-9221
                Article
                JCMM16394
                10.1111/jcmm.16394
                8034447
                33634577
                61e62d8e-886b-4a9d-a012-15c8da57d584
                © 2021 The Authors. Journal of Cellular and Molecular Medicine published by Foundation for Cellular and Molecular Medicine and John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 07 February 2021
                : 01 January 2021
                : 09 February 2021
                Page count
                Figures: 0, Tables: 4, Pages: 6, Words: 4896
                Funding
                Funded by: Shahid Beheshti University of Medical Sciences, Tehran, Iran
                Award ID: 16142
                Funded by: Iran National Science Foundation (INSF)
                Award ID: 96009292
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                April 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.1 mode:remove_FC converted:09.04.2021

                Molecular medicine
                anthropometric indices,breast cancer,fat mass‐ and obesity‐associated,polymorphism

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