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Every tenth malignant solid tumor attributed to overweight and alcohol consumption: A population-based cohort study
Karri Seppä1, Sanna Heikkinen1, Heidi Ryynänen1
1Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
Smoking and excess body weight are major cancer risk factors in Finland. Public health measures are essential to reduce cancer burden, especially for women where weight and alcohol combined are significant contributors.
Area of Science:
- Epidemiology
- Public Health
- Oncology
Background:
- Four in ten cancers are linked to key risk factors.
- Estimating population attributable fractions (PAFs) for modifiable cancer risks is crucial.
Purpose of the Study:
- To estimate cohort-based population attributable fractions (PAFs) in Finland.
- To identify and quantify the impact of modifiable cancer risk factors.
Main Methods:
- Analysis of eight health studies with 253,953 subjects and 29,802 incident malignant solid tumors.
- Bayesian multivariate regression model with multiplicative risk factor effects.
- Estimation of PAFs for smoking, body weight, alcohol, physical activity, parity, and education, accounting for competing mortality.
Main Results:
- Combined PAF for all cancers and exposures was 34% in men and 24% in women.
- Smoking accounted for 23% of cancers in men and 8% in women.
- Excess body weight and alcohol combined contributed 10% in men and 9% in women.
Conclusions:
- Smoking is the leading cancer risk factor in Finnish men and women.
- Excess body weight and alcohol consumption combined exceed smoking's impact in women.
- Increased public health focus on healthy weight is vital to decrease cancer burden.
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