Comparison of anthropometric measurements of adiposity in relation to cancer risk: a systematic review of prospective studies

Purpose In epidemiology, the relationship between increased adiposity and cancer risk has long been recognized. However, whether the association is the same for measures of abdominal or whole body adiposity is unclear. The aim of this systematic review is to compare cancer risk, associated with body...

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Veröffentlicht in:Cancer causes & control 2016-03, Vol.27 (3), p.291-300
Hauptverfasser: De Ridder, Josefine, Julián-Almárcegui, Cristina, Mullee, Amy, Rinaldi, Sabina, Van Herck, Koen, Vicente-Rodríguez, German, Huybrechts, Inge
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container_end_page 300
container_issue 3
container_start_page 291
container_title Cancer causes & control
container_volume 27
creator De Ridder, Josefine
Julián-Almárcegui, Cristina
Mullee, Amy
Rinaldi, Sabina
Van Herck, Koen
Vicente-Rodríguez, German
Huybrechts, Inge
description Purpose In epidemiology, the relationship between increased adiposity and cancer risk has long been recognized. However, whether the association is the same for measures of abdominal or whole body adiposity is unclear. The aim of this systematic review is to compare cancer risk, associated with body mass index (BMI), an indicator of whole body adiposity, with indicators of abdominal adiposity in studies in which these indicators have been directly measured. Methods We conducted a systematic search from 1974 (EMBASE) and 1988 (PubMed) to September 2015 with keywords related to adiposity and cancer. Included studies were limited to cohort studies reporting directly measured anthropometry and performing mutually adjusted analyses. Results Thirteen articles were identified, with two reporting on breast cancer, three on colorectal cancer, three on endometrial cancer, two on gastro-oesophageal cancer, two on renal cancer, one on ovarian cancer, one on bladder cancer, one on liver and biliary tract cancer and one on leukaemia. Evidence suggests that abdominal adiposity is a stronger predictor than whole body adiposity for gastro-oesophageal, leukaemia and liver and biliary tract cancer in men and women and for renal cancer in women. Abdominal adiposity was a stronger predictor for bladder and colorectal cancer in women, while only BMI was a predictor in men. In contrast, BMI appears to be a stronger predictor for ovarian cancer. For breast and endometrial cancer, both measures were predictors for cancer risk in postmenopausal women. Conclusions Only few studies used mutually adjusted and measured anthropometric indicators when studying adiposity–cancer associations. Further research investigating cancer risk and adiposity should include more accurate non-invasive indicators of body fat deposition and focus on the understudied cancer types, namely leukaemia, ovarian, bladder and liver and biliary tract cancer.
doi_str_mv 10.1007/s10552-015-0709-y
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However, whether the association is the same for measures of abdominal or whole body adiposity is unclear. The aim of this systematic review is to compare cancer risk, associated with body mass index (BMI), an indicator of whole body adiposity, with indicators of abdominal adiposity in studies in which these indicators have been directly measured. Methods We conducted a systematic search from 1974 (EMBASE) and 1988 (PubMed) to September 2015 with keywords related to adiposity and cancer. Included studies were limited to cohort studies reporting directly measured anthropometry and performing mutually adjusted analyses. Results Thirteen articles were identified, with two reporting on breast cancer, three on colorectal cancer, three on endometrial cancer, two on gastro-oesophageal cancer, two on renal cancer, one on ovarian cancer, one on bladder cancer, one on liver and biliary tract cancer and one on leukaemia. Evidence suggests that abdominal adiposity is a stronger predictor than whole body adiposity for gastro-oesophageal, leukaemia and liver and biliary tract cancer in men and women and for renal cancer in women. Abdominal adiposity was a stronger predictor for bladder and colorectal cancer in women, while only BMI was a predictor in men. In contrast, BMI appears to be a stronger predictor for ovarian cancer. For breast and endometrial cancer, both measures were predictors for cancer risk in postmenopausal women. Conclusions Only few studies used mutually adjusted and measured anthropometric indicators when studying adiposity–cancer associations. Further research investigating cancer risk and adiposity should include more accurate non-invasive indicators of body fat deposition and focus on the understudied cancer types, namely leukaemia, ovarian, bladder and liver and biliary tract cancer.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-015-0709-y</identifier><identifier>PMID: 26759333</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Cham: Springer Science + Business Media</publisher><subject>Adiposity ; Anthropometry ; Biomedical and Life Sciences ; Biomedicine ; Body Mass Index ; Cancer Research ; Epidemiology ; Female ; Hematology ; Humans ; Male ; Neoplasms - epidemiology ; Neoplasms - pathology ; Obesity - epidemiology ; Obesity, Abdominal - epidemiology ; Oncology ; Public Health ; REVIEW ARTICLE ; Risk</subject><ispartof>Cancer causes &amp; control, 2016-03, Vol.27 (3), p.291-300</ispartof><rights>Springer International Publishing Switzerland 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-26235933ac0c1a80cbbdec0b6bf6ad53ab6c4f8f02f19820b2b4838ddbe01bd03</citedby><cites>FETCH-LOGICAL-c464t-26235933ac0c1a80cbbdec0b6bf6ad53ab6c4f8f02f19820b2b4838ddbe01bd03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48691789$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48691789$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>313,314,776,780,788,799,27899,27901,27902,41464,42533,51294,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26759333$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Ridder, Josefine</creatorcontrib><creatorcontrib>Julián-Almárcegui, Cristina</creatorcontrib><creatorcontrib>Mullee, Amy</creatorcontrib><creatorcontrib>Rinaldi, Sabina</creatorcontrib><creatorcontrib>Van Herck, Koen</creatorcontrib><creatorcontrib>Vicente-Rodríguez, German</creatorcontrib><creatorcontrib>Huybrechts, Inge</creatorcontrib><title>Comparison of anthropometric measurements of adiposity in relation to cancer risk: a systematic review of prospective studies</title><title>Cancer causes &amp; control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description>Purpose In epidemiology, the relationship between increased adiposity and cancer risk has long been recognized. 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Evidence suggests that abdominal adiposity is a stronger predictor than whole body adiposity for gastro-oesophageal, leukaemia and liver and biliary tract cancer in men and women and for renal cancer in women. Abdominal adiposity was a stronger predictor for bladder and colorectal cancer in women, while only BMI was a predictor in men. In contrast, BMI appears to be a stronger predictor for ovarian cancer. For breast and endometrial cancer, both measures were predictors for cancer risk in postmenopausal women. Conclusions Only few studies used mutually adjusted and measured anthropometric indicators when studying adiposity–cancer associations. 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However, whether the association is the same for measures of abdominal or whole body adiposity is unclear. The aim of this systematic review is to compare cancer risk, associated with body mass index (BMI), an indicator of whole body adiposity, with indicators of abdominal adiposity in studies in which these indicators have been directly measured. Methods We conducted a systematic search from 1974 (EMBASE) and 1988 (PubMed) to September 2015 with keywords related to adiposity and cancer. Included studies were limited to cohort studies reporting directly measured anthropometry and performing mutually adjusted analyses. Results Thirteen articles were identified, with two reporting on breast cancer, three on colorectal cancer, three on endometrial cancer, two on gastro-oesophageal cancer, two on renal cancer, one on ovarian cancer, one on bladder cancer, one on liver and biliary tract cancer and one on leukaemia. Evidence suggests that abdominal adiposity is a stronger predictor than whole body adiposity for gastro-oesophageal, leukaemia and liver and biliary tract cancer in men and women and for renal cancer in women. Abdominal adiposity was a stronger predictor for bladder and colorectal cancer in women, while only BMI was a predictor in men. In contrast, BMI appears to be a stronger predictor for ovarian cancer. For breast and endometrial cancer, both measures were predictors for cancer risk in postmenopausal women. Conclusions Only few studies used mutually adjusted and measured anthropometric indicators when studying adiposity–cancer associations. Further research investigating cancer risk and adiposity should include more accurate non-invasive indicators of body fat deposition and focus on the understudied cancer types, namely leukaemia, ovarian, bladder and liver and biliary tract cancer.</abstract><cop>Cham</cop><pub>Springer Science + Business Media</pub><pmid>26759333</pmid><doi>10.1007/s10552-015-0709-y</doi><tpages>10</tpages></addata></record>
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source Jstor Complete Legacy; MEDLINE; SpringerLink Journals
subjects Adiposity
Anthropometry
Biomedical and Life Sciences
Biomedicine
Body Mass Index
Cancer Research
Epidemiology
Female
Hematology
Humans
Male
Neoplasms - epidemiology
Neoplasms - pathology
Obesity - epidemiology
Obesity, Abdominal - epidemiology
Oncology
Public Health
REVIEW ARTICLE
Risk
title Comparison of anthropometric measurements of adiposity in relation to cancer risk: a systematic review of prospective studies
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