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Katrine Wallace,
Epidemiology and Biostatistics
I am a PhD candidate in the Epidemiology and Biostatistics Division.
As an undergraduate, I majored in sociology at DePaul University. I later
received a master’s degree in quantitative social sciences, also
at DePaul. My main research interests are the epidemiology of prostate
cancer, aging, and quantitative research methodology.
Prostate cancer is the sixth most common cancer in the world in terms
of incidence and the third most common cancer among men. Despite its
marked prevalence, the natural history of prostate cancer is very poorly
understood. Something about the Western lifestyle and diet is a risk
factor for prostate cancer. High fat and caloric diets result in high
levels of a hormone called insulin-like growth factor 1 (IGF-1) and low
levels of the associated insulin-like binding protein-3 (IGFBP-3) in
the bloodstream. Increased IGF-1 has been found to be significantly and
positively associated with prostate cancer. However, existing studies
on IGF-1 and prostate cancer have not assessed race, nor have they examined
interactions of IGF-1 with modifiable risk factors such as diet and exercise.
This project will assess racial differences in potential dietary/lifestyle
risk factors (IGF-1 levels, IGFBP-3 levels, dietary intake, exercise
habits, and body composition) for prostate cancer. To accomplish these
ends, 328 subjects will be enrolled at Jesse Brown VA Medical Center
in Chicago. The subject enrollment will consist of 228 prostate cancer
patients (114 African-American and 114 Caucasian) and 110 controls (55
African-American and 55 Caucasian). Once enrolled, subjects will participate
in one study visit which will consist of a demographic interview, body
measurements, blood sampling (for IGF-1, IGFBP-3, PSA, and testosterone),
and questionnaires pertaining to lifestyle, medical history and exercise.
Follow-up phone calls will be made by a registered dietitian to assess
dietary intake. Data will be analyzed to determine whether racial differences
in prostate cancer risk are attributed, in part, to interactions between
lifestyle factors and the IGF axis.
Conducting etiologic research in prostate cancer by race groups is of
the utmost importance. Immeasurable clinical benefit would be gained
if there are lifestyle changes that, if initiated, would decrease the
incidence of prostate cancer and reduce the health disparities between
African-Americans and other races in the U.S. Results from the current
study could contribute valuable information for primary and perhaps secondary
prevention of the disease.
This project is funded by the Department of Defense.
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