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November 14, 1998BMJ9 citationsOpen Access

Initiating angiotensin converting enzyme inhibitors in mild to moderate heart failure in general practice: randomised, placebo controlled trial

MLMurray LoughJCJohn G.F. ClelandJLJohn Langan

Key Result

Childhood energy intake and height were positively associated with subsequent risk of developing cancers unrelated to smoking.

Study Design

Type

RCT

Blinding

Placebo-controlled

Randomization

Randomized

Structured PICO

P
Population
Patients with mild to moderate heart failure in general practice (based on title). Abstract discusses individuals assessed for childhood energy intake and cancer risk.
I
Intervention
Angiotensin converting enzyme inhibitors (based on title). Abstract evaluates childhood energy intake/height.
C
Comparator
Placebo (based on title).
O
Outcome
Risk of developing cancer (all malignant neoplasms).

Childhood energy intake during growth may be an important determinant of later risk of developing cancer.

Limitations

  • Height serves as only an indirect and comparatively weak proxy measure of dietary intake in childhood.
  • Height serves as only an indirect and comparatively weak proxy measure of dietary intake in childhood

Abstract

study, in which the positive association between childhood energy intake and subsequent risk of cancer was also confined to cancers unrelated to smoking. 2 Most previous studies have either grouped all cancers together or looked only at individual cancers.However, consistent with our results, the physicians health study found a positive association of height with all malignant neoplasms but not with lung cancer. 5 In line with extensive animal experimental evidence, 1 therefore, our data and those from the Boyd Orr study 2 suggest that energy intake during growth may be an important determinant of later risk of developing cancer.Since height serves as only an indirect and comparatively weak proxy measure of dietary intake in childhood, the size of the association found in this study may reflect a much stronger underlying association with directly measured childhood energy intake.

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Cite This Study

Lough et al. (1998) conducted an RCT in Mild to moderate heart failure (title) / Cancer (abstract). Angiotensin converting enzyme inhibitors vs. Placebo was evaluated on Cancer risk. Childhood energy intake and height were positively associated with subsequent risk of developing cancers unrelated to smoking.

synapsesocial.com/papers/6a995308e8ca4d2af63648fahttps://doi.org/10.1136/bmj.317.7169.1352
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