Evidence map›Paper›PMID 39910021›Full record

ArticleCancer causes & control : CCC2025

Adult head circumference and the risk of cancer: a retrospective cohort study.

Suhas Krishnamoorthy, Jonathan K L Mak, Kathryn C B Tan, Gloria H Y Li, Ching-Lung Cheung

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Article in Cancer causes & control : CCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Suhas Krishnamoorthy *Department of Pharmacology and Pharmacy, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, SAR, China.
Jonathan K L Mak *Department of Pharmacology and Pharmacy, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, SAR, China.
Kathryn C B TanDepartment of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, SAR, China.
Gloria H Y LiDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
Ching-Lung CheungDepartment of Pharmacology and Pharmacy, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, SAR, China. lung1212@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCancer-related genes and pathways have recently been implicated in a genome-wide meta-analysis of head size. In the current study, we aimed to evaluate the association between adult head circumference and the risk of cancer.

methodsThis is a cohort study using data from the Hong Kong Osteoporosis Study, where 1,301 participants aged 27-96 years with head circumference measured between 2015 and 2019, and without a history of cancer, were followed up to 15 January 2024. Incident cancers were identified using electronic medical records from a territory-wide database. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated using Cox proportional hazards regression, adjusting for age, sex, height, weight, education, smoking, alcohol drinking, physical activity, and family history of cancer, as well as accounting for familial clustering.

resultsThe median head circumference was 53 cm (interquartile range [IQR]: 51-54) and 54 cm (IQR: 53-55) for women and men, respectively. During a median follow-up of 6.9 years, 66 individuals were diagnosed with cancer. In the adjusted model, a larger head circumference was associated with an increased risk of any cancer (HR per cm increase: 1.17; 95% CI 1.00-1.36). Results remained similar when adjusting for waist-to-hip ratio instead of weight or when additionally adjusting for serum calcium and phosphorus levels. When stratified by cancer sites, head circumference was most strongly associated with colorectal cancer (HR per cm increase: 1.81; 95% CI 1.14-2.90) and prostate cancer (HR per cm increase: 1.58; 95% CI 1.16-2.16).

conclusionHead circumference is positively associated with the risk of cancer independently of height, weight, and other cancer risk factors.

Indexed as

HeadNeoplasmsAdultAgedAged, 80 and overFemaleFollow-Up StudiesHong KongHumansMaleMiddle AgedRetrospective StudiesRisk FactorsCancerEpidemiologyHead circumferenceRetrospective cohort study

Identifiers

PMID39910021
PMCPMC12103361

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.