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Table 1 Summary of study characteristics included in primary analysis

From: Serum glucose and risk of cancer: a meta-analysis

Author/Year

Country

Sex

Cancer (s) included

Timing of measurement glucose

Method for glucose assessment

Study type

Cases

Age range

Adjusted for

Main finding

Yun et al. 2012 [77]

Korea

Male

Prostate

Fasting

Hitachi 7600 automatic chemical analyser using hexokinase method

Case control#

166

66.4 (mean)

Age, BMI

OR for 2nd and 3rd tertile compared to 1st tertile: 1.63 (95% CI: 0.92-2.88) and 1.70 (95% CI: 0.91-3.18)

Albanes et al. 2009 [78]

Finland

Male

Prostate

Fasting

Hitachi 912 Chemistry Analyzer using the hexokinase reagent

Case cohort

100

50-69

Age, BMI

OR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 1.33 (95% CI: 0.72-2.48), 0.95 (95% CI: 0.46-1.86), and 1.43 (95% CI: 0.76-2.68)

Chung et al. 2006 [79]

Korea

Both

Colorectal

Fasting

Enzymatic colorimetric test

Case control#

105

35-75

Age, sex, BMI, triglycerides, cholesterol

OR for 2nd and 3rd tertile compared to 1st tertile: 2.0 (95% CI: 0.9-4.4) and 3.0 (95% CI: 0.9-9.8)

Jee et al. 2005 Male [5]

Korea

Male

All Cancers

Fasting

Not specified

Cohort

37759

45.3 (mean)

Age, age squared, amount of smoking, alcohol use

HR for 2nd, 3rd, 4th, and 5th quintile compared to 1st quintile: 1.01 (95% CI: 0.99-1.04), 1.13 (95% CI: 1.09-1.17), 1.16 (95% CI: 1.08-1.24), and 1.22 (95% CI: 1.16-1.27)

Jee et al. 2005 Female [5]

Korea

Female

All Cancers

Fasting

Not specified

Cohort

16074

49.6 (mean)

Age, age squared, amount of smoking, alcohol use

HR for 2nd, 3rd, 4th, and 5th quintile compared to 1st quintile: 1.02 (95% CI: 0.99-1.06), 1.03 (95% CI: 0.96-1.10), 1.03 (95% CI: 0.93-1.13), and 1.15 (95% CI: 1.01-1.25)

Hsing et al. 2003 [80]

China

Male

Prostate

Fasting

Radioimmunoassay with sensitivity limit of 0.5 ng/mL

Case control*

128

N/S

Age, total calories, BMI

OR for 2nd and 3rd tertile compared to 1st quartile: 0.81 (95% CI: 0.46-1.44), and 1.68 (95% CI: 1.01-2.80)

Wulaningsih et al. 2013 [81]

Sweden

Both

All Cancers

Non specified

Enzymatically with a glucose oxidase/peroxidase method

Cohort

1021

20>

Age, gender, socioeconomic status, fasting,co-morbidities

HR: 1.08 (95% CI: 1.02-1.14) per standardized log of glucose

Cust et al. 2007 [82]

Western Europe

Female

Endometrial

Non specified

Enzymatic colorimetric test

Case control*

284

59.9 (mean)

Study centre, menopausal status, age, time of day of blood collection, fasting status, phase of menstrual cycle (pre menopausal)

OR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 1.01 (95% CI: 0.58-1.74), 1.59 (95% CI: 0.89-2.83), and 1.62 (95% CI: 0.89-2.95)

Limburg et al. 2006 [83]

Finland

Male

Colorectal

Fasting

Hitachi 912 Chemistry Analyzer using the hexokinase reagent

Case cohort

134

50-69

Smoking pack years, BMI, protein intake, fat intake, fibre intake, alcohol consumption, caloric intake, history of DM, occupational physical activity

HR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 1.19 (95% CI: 0.58-2.43), 1.95 (95% CI: 0.97-3.91), and 1.65 (95% CI: 0.78-3.49)

Stolzenberg-Solomon et al. 2005 [84]

Finland

Male

Pancreatic

Fasting

Assay performed on a chemical analyser

Case cohort

169

52-69

Age, years of smoking and BMI

HR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 1.15 (95% CI: 0.66-2.02), 1.49 (95% CI: 0.86-2.59), and 1.69 (95% CI: 0.97-2.94)

Yamada 1998 et al. [85]

Japan

Both

Colorectal

Fasting

Enzymatically using commercially available kits

Case control*

129

34-73

Age, sex, BMI, smoking, alcohol consumption

OR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 1.0 (95% CI: 0.6-1.7), 0.7 (95% CI: 0.3-1.5), and 2.0 (0.9-4.4)

Schoen et al. 1999 [86]

USA

Both

Colorectal

Fasting

 

Cohort

102

65 >

Age, sex, physical activity

 

Zhang et al. 2010 [87]

China

Female

Endometrial

Fasting

Abbott Aeroset TM fully Automatic Biochemical Analyzer

Case control#

942

N/A

Menopausal status, BMI

OR: 4.34 (95% CI: 3.48-5.42) for high versus low serum glucose levels

Gunter et al. 2009 [88]

USA

Female

Breast

Fasting

Assay with sensitivity of 0.5 mg/dL

Case cohort

835

50-79

Age, race, alcohol consumption, smoking, FHx breast cancer, parity,age at menarche, age at first childs birth,use of OCP, NSAIDs, HRT, educational attainment, endogenous estrodiol levels, BMI, physical activity

HR for 2nd, 3rd, and 4th quantile compared to 1st quantile: 1.14 (95% CI: 0.82-1.59), 0.99 (95% CI: 0.70-1.38), and 0.92 (95% CI: 0.65-1.29)

Sieri et al. 2012 [89]

Italy

Female

Breast

Fasting

Enzymatic UV test using a fully automated system with sensitivity of 0.04 mmol/L

Case control*

356

35-69

Age, education, age at first birth, age at menarche, parity, FHx breast cancer, OCP, breastfeeding, alcohol intake, smoking

OR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 1.18 (95% CI: 0.84-1.66), 1.29 (95% CI: 0.89-1.86), and 1.63 (95% CI: 1.14-2.32)

Gunter et al. 2008 [44]

USA

Female

Colorectal

Fasting

Assay with sensitivity of 0.5 mg/dL

Case cohort

438

50-79

Age

HR for 2nd, 3rd, and 4th quantile compared to 1st quantile: 0.94 (95% CI: 0.66-1.34), 0.91 (95% CI: 0.63-1.30), and 1.16 (95% CI: 0.83-1.63)

Van Hemelrijck et al. 2011 [90]

Sweden

Both

Renal

Mixed

Enzymatically with a glucose-oxidaseperoxidase method

Cohort

958

55.4 (mean)

Age, gender, creatinine, triglycerides, total cholesterol, fasting status, SES

HR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 0.97 (95% CI: 0.77-1.21), 1.09 (95% CI: 0.88-1.35), and 1.19 (95% CI: 0.97-1.46)

Van Hemelrijck et al. 2011 [91]

Sweden

Male

Prostate

Mixed

Enzymatically with a glucose-oxidaseperoxidase method

Cohort

5112

20-80

Fasting status,triglyceride and total cholesterol quartile , SES, time btw measurement and cohort entry

HR for 2nd, 3rd, and 4th quartile compared to 1st quartile: 0.93 (95% CI: 0.86-1.01), 0.93 (95% CI: 0.85-1.01), and 0.87 (95% CI: 0.81-0.94)

Chao et al. 2011 [92]

China

Male

Liver

Fasting

Automatic dry-chemical analyzer

Case cohort

124

30-65

Age, smoking, alcohol consumption, FHx of HCC, HBV viral load, HCV genotype ,HbeAg status, BCP double mutations

HR for 2nd and 3rd tertile compared to 1st tertile: 1.40 (95% CI: 0.80-2.45) and 2.37 (95% CI: 1.12-5.04)

Stocks et al. 2009 [18]

Western Europe

Male

All Cancers

Mixed

Mixture of non-enzymatic, serum/enzymatic, and plasma/enzymatic

Cohort

18621

44.7 (mean)

Age, BMI, smoking status

HR for 2nd, 3rd, 4th, and 5th quintile compared to 1st quintile: 1.07 (95% CI: 0.90-1.25), 1.10 (95% CI: 0.93-1.29), 1.18 (95% CI: 1.02-1.37), and 1.18 (95% CI: 1.00-1.37)

Stocks et al. 2009 [18]

Western Europe

Female

All Cancers

Mixed

Cohort

11664

45 (mean)

Age, BMI, smoking status

HR for 2nd, 3rd, 4th, and 5th quintile compared to 1st quintile: 0.87 (95% CI: 0.70-1.07), 0.90 (95% CI: 0.73-1.10), 1.18 (95% CI: 0.97-1.42), and 1.29 (95% CI: 1.07-1.59)

  1. *Nested case–control studies; #Hospital-based case–control studies.