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Excess body fatness during early to mid-adulthood and survival from colorectal and breast cancer : a pooled analysis of five international cohort studies

Charvat, Hadrien (författare)
Cancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France,International Agency for Research on Cancer, World Health Organization
Freisling, Heinz (författare)
Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC/WHO), Lyon, France,International Agency for Research on Cancer, World Health Organization
Noh, Hwayoung (författare)
Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC/WHO), Lyon, France,International Agency for Research on Cancer, World Health Organization
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Gaudet, Mia M. (författare)
Department of Population Sciences, American Cancer Society, GA, Atlanta, United States
Gunter, Marc J. (författare)
Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC/WHO), Lyon, France,International Agency for Research on Cancer, World Health Organization
Cross, Amanda J. (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom
Tsilidis, Konstantinos K. (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Hygiene and Epidemiology, School of Medicine, University of Ioannina, Ioannina, Greece
Tjønneland, Anne (författare)
Danish Cancer Society Research Center, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark
Katzke, Verena (författare)
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
Bergmann, Manuela (författare)
Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrucke, Nuthetal, Germany
Agnoli, Claudia (författare)
Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
Rylander, Charlotta (författare)
Department of Community Medicine, Faculty of Health Sciences, University of Tromsø (UiT), The Arctic University of Norway, Tromsø, Norway
Skeie, Guri (författare)
Department of Community Medicine, Faculty of Health Sciences, University of Tromsø (UiT), The Arctic University of Norway, Tromsø, Norway; Nutritional Epidemiology Group, School of Food and Nutrition, University of Leeds, Leeds, United Kingdom
Jakszyn, Paula (författare)
Unit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain; Facultat Ciències Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain,Bellvitge University Hospital-IDIBELL
Rosendahl, Ann H. (författare)
Lund University,Lunds universitet,Bröstcancer - prevention & intervention,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Bröstcancer,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Breast cancer prevention & intervention,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Breastcancer,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine
Sund, Malin (författare)
Umeå University,Umeå universitet,Kirurgi
Severi, Gianluca (författare)
Center for Research in Epidemiology and Population Health, Institut Gustave Roussy, Villejuif, France
Tsugane, Shoichiro (författare)
Epi-demiology and Prevention Division, National Cancer Center, Tokyo, Japan
Sawada, Norie (författare)
Epi-demiology and Prevention Division, National Cancer Center, Tokyo, Japan
Brenner, Hermann (författare)
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany
Adami, Hans-Olov (författare)
Karolinska Institutet,Karolinska Institute,University of Oslo
Weiderpass, Elisabete (författare)
Director’s Office, International Agency for Research on Cancer (IARC/WHO), Lyon, France,International Agency for Research on Cancer, World Health Organization
Soerjomataram, Isabelle (författare)
Cancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France,International Agency for Research on Cancer, World Health Organization
Arnold, Melina (författare)
Cancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France,International Agency for Research on Cancer, World Health Organization
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 (creator_code:org_t)
American Association for Cancer Research, 2022
2022
Engelska.
Ingår i: Cancer Epidemiology, Biomarkers and Prevention. - : American Association for Cancer Research. - 1055-9965 .- 1538-7755. ; 31:2, s. 325-333
Relaterad länk:
http://dx.doi.org/10...
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https://urn.kb.se/re...
https://doi.org/10.1...
https://lup.lub.lu.s...
http://kipublication...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Here, we explore the association between excess weight during early to mid-adulthood and survival in patients diagnosed with breast and colorectal cancer, using a pooled analysis of five cohort studies and study participants from 11 countries.Methods: Participant-level body mass index (BMI) trajectories were estimated by fitting a growth curve model using over 2 million repeated BMI measurements from close to 600,000 cohort participants. Cumulative measures of excess weight were derived. Data from over 23,000 patients with breast and colorectal cancer were subsequently analyzed using time-to-event models for death with the date of diagnosis as start of follow-up. Study-specific results were combined through a random effect meta-analysis.Results: We found a significant dose–response relationship (P trend ¼ 0.013) between the average BMI during early and mid-adulthood and death from breast cancer, with a pooled HR of 1.31 (1.07–1.60) and the time to death shortened by 16% for average BMI above 25 kg/m2 compared with average BMI less than or equal to 22.5 kg/m2, respectively. Similar results were found for categories of cumulative time spent with excess weight. There was no association between excess body fatness during early to mid-adulthood and death in patients with colorectal cancer.Conclusions: Excess body fatness during early to mid-adulthood is associated not only with an increased risk of developing cancer, but also with a lower survival in patients with breast cancer.Impact: Our results emphasize the importance of public health policies aimed at reducing overweight during adulthood and inform future studies on the relationship between excess weight and cancer outcomes.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

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