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Updated: Oct 16, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
A comprehensive review of the impact of obesity on plasma cell disorders
Richa Parikh1, Syed Maaz Tariq2, Catherine R Marinac3
1Myeloma Center, Division of Hematology/Oncology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Abstract:
Multiple myeloma (MM) remains an incurable plasma cell malignancy. Although little is known about the etiology of MM, several metabolic risk factors such as obesity, diabetes, poor nutrition, many of which are modifiable, have been linked to the pathogenesis of numerous neoplasms including MM. In this article, we provide a detailed summary of what is known about the impact of obesity on the pathogenesis of MM, its influence on outcomes in MM patients, and discuss potential mechanisms through which obesity is postulated to influence MM risk and prognosis. Along with advancements in treatment modalities to improve survival in MM patients, focused efforts are needed to prevent or intercept MM at its earliest stages. The consolidated findings presented in this review highlight the need for clinical trials to assess if lifestyle modifications can reduce the incidence and improve outcomes of MM in high-risk populations. Data generated from such studies can help formulate evidence-based lifestyle recommendations for the prevention and control of MM.
Insights
Obesity is linked to multiple myeloma (MM) development and prognosis. Lifestyle changes may reduce MM incidence and improve outcomes in high-risk individuals.
Area of Science:
- Oncology
- Metabolic Syndrome
Background:
- Multiple myeloma (MM) is an incurable plasma cell cancer.
- Metabolic risk factors, including obesity, are associated with cancer development.
- The precise role of obesity in MM pathogenesis and prognosis requires further elucidation.
Purpose of the Study:
- To review the impact of obesity on multiple myeloma pathogenesis.
- To examine obesity's influence on MM patient outcomes.
- To discuss potential mechanisms linking obesity to MM risk and prognosis.
Main Methods:
- Literature review and synthesis of existing research on obesity and multiple myeloma.
- Analysis of data on MM risk, progression, and survival in relation to obesity.
- Discussion of proposed biological pathways connecting metabolic factors to MM.
Main Results:
- Obesity is associated with increased risk and potentially poorer outcomes in multiple myeloma patients.
- Several mechanisms are proposed, including chronic inflammation, altered immune function, and hormonal changes.
- Modifiable lifestyle factors, particularly weight management, may play a significant role.
Conclusions:
- Obesity is a critical factor influencing multiple myeloma development and patient prognosis.
- Further clinical trials are needed to evaluate lifestyle interventions for MM prevention and management.
- Evidence-based lifestyle recommendations could improve MM control in at-risk populations.
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