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Updated: May 25, 2026

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
[Obesity and colorectal cancer]
Soo-Young Na1, Seung-Jae Myung
1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Obesity significantly increases colorectal cancer risk by 1.5 times, particularly in men and colon cancer. Lifestyle changes may reduce this risk, highlighting obesity as a modifiable factor.
Area of Science:
- Oncology
- Metabolic Syndrome
Context:
- Rising global obesity rates present a significant public health challenge.
- Obesity is an independent risk factor for various cancers, including colorectal cancer (CRC).
- Visceral adipose tissue plays a more critical role than subcutaneous adipose tissue in metabolic processes.
Purpose:
- To review the association between obesity and colorectal cancer incidence, progression, and outcomes.
- To explore the underlying mechanisms linking obesity to colorectal carcinogenesis.
- To discuss the potential impact of weight management on CRC risk and patient prognosis.
Summary:
- Obese individuals have a 1.5-fold higher relative risk of CRC, with higher incidence in men and colon compared to rectum.
- Mechanisms include altered levels of insulin, insulin-like growth factor, leptin, adiponectin, chronic inflammation, and gut microbiome changes.
- Obesity negatively impacts CRC progression and chemotherapy response.
Impact:
- Obesity is identified as a significant, modifiable risk factor for colorectal cancer.
- Understanding these links can inform targeted prevention and treatment strategies.
- Weight loss and lifestyle modifications show potential in reducing CRC risk and improving outcomes.
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