Associations between psychological distress and thyroid cancer, and the mediating role of lifestyle and metabolism: a cohort study from the UK Biobank - Summary - MDSpire
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Associations between psychological distress and thyroid cancer, and the mediating role of lifestyle and metabolism: a cohort study from the UK Biobank
To evaluate if emotional distress enhances the risk of thyroid cancer and to investigate the mediating factors between emotional distress and thyroid cancer.
Approach:
Key Findings:
Participants with psychological distress had a thyroid cancer rate of 137.16 per 100,000 compared to 94.31 per 100,000 for those without.
Psychological distress significantly increased the risk of thyroid cancer (HR, 1.33; 95% CI, 1.09–1.62; P = 0.005).
Mediation analysis indicated that BMI, waist circumference, high-density lipoprotein, triglycerides, and alcohol intake partially mediated the relationship, with waist circumference having the most substantial influence (11.80%; P < 0.001).
Interpretation:
Psychological distress is associated with an increased risk of thyroid cancer, influenced by obesity, dyslipidemia, and alcohol use.
Limitations:
The study may not account for all potential confounding factors.
Reliance on self-reported data for psychological distress may introduce bias.
Conclusion:
The findings suggest that addressing weight, lipid levels, and alcohol consumption could be important for reducing cancer risk in individuals experiencing psychological distress.