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The Association between Obesity and Cancer Risk: A Meta-Analysis of Observational Studies from 1985 to 2011
M Dobbins1, K Decorby1, B C K Choi2
1School of Nursing, McMaster University, 1280 Main Street West, 3N25G, Hamilton, ON, Canada L8N 3Z5.
Obesity is linked to increased cancer risk in both men and women. Reducing obesity could significantly decrease cancer incidence, especially in countries like Canada.
Area of Science:
- Oncology
- Epidemiology
- Public Health
Background:
- Cancer and cardiovascular diseases are leading global causes of death.
- Obesity is a significant risk factor for numerous cancers.
- Previous research has identified a link between obesity and 13 specific cancers.
Purpose of the Study:
- To synthesize existing evidence on the association between obesity and 13 specific cancers.
- To evaluate the strength and significance of the obesity-cancer relationship.
- To provide data for public health strategies aimed at cancer prevention.
Main Methods:
- Systematic review and meta-analysis of previously identified and newly searched studies (Medline, Embase) from January 2007 to May 2011.
- Independent relevance and quality assessment by two reviewers.
- Random effects meta-analysis performed separately for men and women.
Main Results:
- Included 98 studies from 18 countries (1985-2011); analyzed 57 high/moderate quality studies.
- Obese men showed higher risk for colon, renal, gallbladder, pancreatic, and malignant melanoma.
- Obese women had increased risk for esophageal adenocarcinoma, endometrial, gallbladder, renal, pancreatic, leukemia, postmenopausal breast, and colon cancers.
Conclusions:
- A significant positive association exists between obesity and cancer incidence.
- The strength of the association varies by cancer type and sex.
- Reducing obesity rates could lead to substantial cancer prevention, particularly in populations with high obesity prevalence like Canada.
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