Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study
ABSTRACT Background An increased risk of becoming overweight has been reported for childhood cancer survivors (CCSs), in particular leukemia survivors, although the evidence is inconclusive. Objective We assessed the prevalence of overweight in CCSs, with a focus on leukemia survivors, compared it w...
Gespeichert in:
| Veröffentlicht in: | The American journal of clinical nutrition 2018-01, Vol.107 (1), p.3-11 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 11 |
|---|---|
| container_issue | 1 |
| container_start_page | 3 |
| container_title | The American journal of clinical nutrition |
| container_volume | 107 |
| creator | Belle, Fabiën N Weiss, Annette Schindler, Matthias Goutaki, Myrofora Bochud, Murielle Zimmermann, Karin von der Weid, Nicolas Ammann, Roland A Kuehni, Claudia E |
| description | ABSTRACT
Background
An increased risk of becoming overweight has been reported for childhood cancer survivors (CCSs), in particular leukemia survivors, although the evidence is inconclusive.
Objective
We assessed the prevalence of overweight in CCSs, with a focus on leukemia survivors, compared it with their peers, and determined potential risk factors.
Design
As part of the Swiss Childhood Cancer Survivor Study, we sent a questionnaire between 2007 and 2013 to all Swiss resident CCSs aged |
| doi_str_mv | 10.1093/ajcn/nqx006 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1993010347</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/ajcn/nqx006</oup_id><sourcerecordid>1993010347</sourcerecordid><originalsourceid>FETCH-LOGICAL-c385t-7c0367dc05d629f4d22debb32eb8208edd13db2cf0237edbe3abd9ac85a164623</originalsourceid><addsrcrecordid>eNp90M9LwzAYxvEgipvTk3cpCCJI3ZukTVpvUvwFgx2q55Amqe3o2i1pN_ff29HpwYOn9_Lh4eWL0CWGewwxncqFqqf1-guAHaExjmnkUwL8GI0BgPgxZuEInTm3AMAkiNgpGpEeYR6TMUrnG2O3pvwsWq-sPVWUlS6aRntK1spYz3V2U24a6x68tjBeui2d85JflQwqPSgvbTu9O0cnuaycuTjcCfp4fnpPXv3Z_OUteZz5ikZh63MFlHGtINSMxHmgCdEmyygxWUQgMlpjqjOiciCUG50ZKjMdSxWFErOAETpBt8PuyjbrzrhWLEunTFXJ2jSdEziOKWCgAe_p9R-6aDpb998JAsAZBx6wXt0NStnGOWtysbLlUtqdwCD2rcW-tRha9_rqsNllS6N_7U_cHtwMoOlW_y59A5cDiNo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2007670746</pqid></control><display><type>article</type><title>Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Belle, Fabiën N ; Weiss, Annette ; Schindler, Matthias ; Goutaki, Myrofora ; Bochud, Murielle ; Zimmermann, Karin ; von der Weid, Nicolas ; Ammann, Roland A ; Kuehni, Claudia E</creator><creatorcontrib>Belle, Fabiën N ; Weiss, Annette ; Schindler, Matthias ; Goutaki, Myrofora ; Bochud, Murielle ; Zimmermann, Karin ; von der Weid, Nicolas ; Ammann, Roland A ; Kuehni, Claudia E</creatorcontrib><description>ABSTRACT
Background
An increased risk of becoming overweight has been reported for childhood cancer survivors (CCSs), in particular leukemia survivors, although the evidence is inconclusive.
Objective
We assessed the prevalence of overweight in CCSs, with a focus on leukemia survivors, compared it with their peers, and determined potential risk factors.
Design
As part of the Swiss Childhood Cancer Survivor Study, we sent a questionnaire between 2007 and 2013 to all Swiss resident CCSs aged <21 y at diagnosis who had survived ≥5 y. We calculated body mass index (BMI) from medical records at diagnosis and self-reported heights and weights at survey. We calculated BMI z scores by using Swiss references for children and compared overweight prevalence in CCSs, their siblings, and the general population with the use of the Swiss Health Survey (SHS) and assessed risk factors for being overweight by using multivariable logistic regression.
Results
The study included 2365 CCSs, 819 siblings, and 9591 SHS participants. At survey, at an average of 15 y after diagnosis, the prevalence of overweight in CCSs overall (26%) and in leukemia survivors (26%) was similar to that in siblings (22%) and the general population (25%). Risk factors for being overweight in CCSs were male sex (OR: 1.8; 95% CI: 1.5, 2.1), both young (OR for ages 5–14 y: 1.6; 95% CI: 1.2, 2.3) and older (range—OR for ages 25–29 y: 1.7; 95% CI: 1.2, 2.4; OR for ages 40–45 y: 4.0; 95% CI: 2.5, 6.5) age at study, lower education (OR: 1.4; 95% CI: 1.1, 1.8), migration background (OR: 1.3; 95% CI: 1.1, 1.7), and no sports participation (OR: 1.4; 95% CI: 1.1, 1.7). Risk factors for overweight were similar in peers. CCSs treated with cranial radiotherapy (≥20 Gy) were more likely to be overweight than their peers (OR: 1.6; 95% CI: 1.2, 2.2).
Conclusions
The prevalence of and risk factors for being overweight are similar in long-term CCSs and their peers. This suggests that prevention methods can be the same as in the general population. An important exception is CCSs treated with cranial radiotherapy ≥20 Gy who may need extra attention during follow-up care. This study was registered at clinicaltrials.gov as NCT03297034.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.1093/ajcn/nqx006</identifier><identifier>PMID: 29381792</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; Adult ; Age ; Body Mass Index ; Body size ; Body weight ; Cancer ; Cancer Survivors ; Child ; Child, Preschool ; Childhood ; Children ; Children & youth ; Design factors ; Diagnosis ; Female ; Follow-Up Studies ; Humans ; Leukemia ; Leukemia - diagnosis ; Leukemia - radiotherapy ; Logistic Models ; Male ; Mathematical analysis ; Medical Records ; Middle Aged ; Migration ; Obesity ; Overweight ; Overweight - epidemiology ; Prevalence ; Radiation therapy ; Retrospective Studies ; Risk analysis ; Risk assessment ; Risk Factors ; Siblings ; Skull ; Socioeconomic Factors ; Surveys and Questionnaires ; Survivor ; Switzerland - epidemiology ; Young Adult</subject><ispartof>The American journal of clinical nutrition, 2018-01, Vol.107 (1), p.3-11</ispartof><rights>2018 American Society for Nutrition. All rights reserved. 2018</rights><rights>2018 American Society for Nutrition. All rights reserved.</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Jan 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-7c0367dc05d629f4d22debb32eb8208edd13db2cf0237edbe3abd9ac85a164623</citedby><cites>FETCH-LOGICAL-c385t-7c0367dc05d629f4d22debb32eb8208edd13db2cf0237edbe3abd9ac85a164623</cites><orcidid>0000-0002-0037-4817 ; 0000-0001-8036-2092 ; 0000-0002-5727-0218 ; 0000-0001-8957-2002 ; 0000-0001-8295-3574 ; 0000-0002-1902-2352 ; 0000-0001-7232-693X ; 0000-0002-9555-3817</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29381792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Belle, Fabiën N</creatorcontrib><creatorcontrib>Weiss, Annette</creatorcontrib><creatorcontrib>Schindler, Matthias</creatorcontrib><creatorcontrib>Goutaki, Myrofora</creatorcontrib><creatorcontrib>Bochud, Murielle</creatorcontrib><creatorcontrib>Zimmermann, Karin</creatorcontrib><creatorcontrib>von der Weid, Nicolas</creatorcontrib><creatorcontrib>Ammann, Roland A</creatorcontrib><creatorcontrib>Kuehni, Claudia E</creatorcontrib><title>Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>ABSTRACT
Background
An increased risk of becoming overweight has been reported for childhood cancer survivors (CCSs), in particular leukemia survivors, although the evidence is inconclusive.
Objective
We assessed the prevalence of overweight in CCSs, with a focus on leukemia survivors, compared it with their peers, and determined potential risk factors.
Design
As part of the Swiss Childhood Cancer Survivor Study, we sent a questionnaire between 2007 and 2013 to all Swiss resident CCSs aged <21 y at diagnosis who had survived ≥5 y. We calculated body mass index (BMI) from medical records at diagnosis and self-reported heights and weights at survey. We calculated BMI z scores by using Swiss references for children and compared overweight prevalence in CCSs, their siblings, and the general population with the use of the Swiss Health Survey (SHS) and assessed risk factors for being overweight by using multivariable logistic regression.
Results
The study included 2365 CCSs, 819 siblings, and 9591 SHS participants. At survey, at an average of 15 y after diagnosis, the prevalence of overweight in CCSs overall (26%) and in leukemia survivors (26%) was similar to that in siblings (22%) and the general population (25%). Risk factors for being overweight in CCSs were male sex (OR: 1.8; 95% CI: 1.5, 2.1), both young (OR for ages 5–14 y: 1.6; 95% CI: 1.2, 2.3) and older (range—OR for ages 25–29 y: 1.7; 95% CI: 1.2, 2.4; OR for ages 40–45 y: 4.0; 95% CI: 2.5, 6.5) age at study, lower education (OR: 1.4; 95% CI: 1.1, 1.8), migration background (OR: 1.3; 95% CI: 1.1, 1.7), and no sports participation (OR: 1.4; 95% CI: 1.1, 1.7). Risk factors for overweight were similar in peers. CCSs treated with cranial radiotherapy (≥20 Gy) were more likely to be overweight than their peers (OR: 1.6; 95% CI: 1.2, 2.2).
Conclusions
The prevalence of and risk factors for being overweight are similar in long-term CCSs and their peers. This suggests that prevention methods can be the same as in the general population. An important exception is CCSs treated with cranial radiotherapy ≥20 Gy who may need extra attention during follow-up care. This study was registered at clinicaltrials.gov as NCT03297034.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Cancer</subject><subject>Cancer Survivors</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Children</subject><subject>Children & youth</subject><subject>Design factors</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Leukemia</subject><subject>Leukemia - diagnosis</subject><subject>Leukemia - radiotherapy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mathematical analysis</subject><subject>Medical Records</subject><subject>Middle Aged</subject><subject>Migration</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Overweight - epidemiology</subject><subject>Prevalence</subject><subject>Radiation therapy</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Siblings</subject><subject>Skull</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Survivor</subject><subject>Switzerland - epidemiology</subject><subject>Young Adult</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90M9LwzAYxvEgipvTk3cpCCJI3ZukTVpvUvwFgx2q55Amqe3o2i1pN_ff29HpwYOn9_Lh4eWL0CWGewwxncqFqqf1-guAHaExjmnkUwL8GI0BgPgxZuEInTm3AMAkiNgpGpEeYR6TMUrnG2O3pvwsWq-sPVWUlS6aRntK1spYz3V2U24a6x68tjBeui2d85JflQwqPSgvbTu9O0cnuaycuTjcCfp4fnpPXv3Z_OUteZz5ikZh63MFlHGtINSMxHmgCdEmyygxWUQgMlpjqjOiciCUG50ZKjMdSxWFErOAETpBt8PuyjbrzrhWLEunTFXJ2jSdEziOKWCgAe_p9R-6aDpb998JAsAZBx6wXt0NStnGOWtysbLlUtqdwCD2rcW-tRha9_rqsNllS6N_7U_cHtwMoOlW_y59A5cDiNo</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Belle, Fabiën N</creator><creator>Weiss, Annette</creator><creator>Schindler, Matthias</creator><creator>Goutaki, Myrofora</creator><creator>Bochud, Murielle</creator><creator>Zimmermann, Karin</creator><creator>von der Weid, Nicolas</creator><creator>Ammann, Roland A</creator><creator>Kuehni, Claudia E</creator><general>Oxford University Press</general><general>American Society for Clinical Nutrition, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0037-4817</orcidid><orcidid>https://orcid.org/0000-0001-8036-2092</orcidid><orcidid>https://orcid.org/0000-0002-5727-0218</orcidid><orcidid>https://orcid.org/0000-0001-8957-2002</orcidid><orcidid>https://orcid.org/0000-0001-8295-3574</orcidid><orcidid>https://orcid.org/0000-0002-1902-2352</orcidid><orcidid>https://orcid.org/0000-0001-7232-693X</orcidid><orcidid>https://orcid.org/0000-0002-9555-3817</orcidid></search><sort><creationdate>20180101</creationdate><title>Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study</title><author>Belle, Fabiën N ; Weiss, Annette ; Schindler, Matthias ; Goutaki, Myrofora ; Bochud, Murielle ; Zimmermann, Karin ; von der Weid, Nicolas ; Ammann, Roland A ; Kuehni, Claudia E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-7c0367dc05d629f4d22debb32eb8208edd13db2cf0237edbe3abd9ac85a164623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Cancer</topic><topic>Cancer Survivors</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Childhood</topic><topic>Children</topic><topic>Children & youth</topic><topic>Design factors</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Leukemia</topic><topic>Leukemia - diagnosis</topic><topic>Leukemia - radiotherapy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mathematical analysis</topic><topic>Medical Records</topic><topic>Middle Aged</topic><topic>Migration</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Overweight - epidemiology</topic><topic>Prevalence</topic><topic>Radiation therapy</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Risk assessment</topic><topic>Risk Factors</topic><topic>Siblings</topic><topic>Skull</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Survivor</topic><topic>Switzerland - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Belle, Fabiën N</creatorcontrib><creatorcontrib>Weiss, Annette</creatorcontrib><creatorcontrib>Schindler, Matthias</creatorcontrib><creatorcontrib>Goutaki, Myrofora</creatorcontrib><creatorcontrib>Bochud, Murielle</creatorcontrib><creatorcontrib>Zimmermann, Karin</creatorcontrib><creatorcontrib>von der Weid, Nicolas</creatorcontrib><creatorcontrib>Ammann, Roland A</creatorcontrib><creatorcontrib>Kuehni, Claudia E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Belle, Fabiën N</au><au>Weiss, Annette</au><au>Schindler, Matthias</au><au>Goutaki, Myrofora</au><au>Bochud, Murielle</au><au>Zimmermann, Karin</au><au>von der Weid, Nicolas</au><au>Ammann, Roland A</au><au>Kuehni, Claudia E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>107</volume><issue>1</issue><spage>3</spage><epage>11</epage><pages>3-11</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><abstract>ABSTRACT
Background
An increased risk of becoming overweight has been reported for childhood cancer survivors (CCSs), in particular leukemia survivors, although the evidence is inconclusive.
Objective
We assessed the prevalence of overweight in CCSs, with a focus on leukemia survivors, compared it with their peers, and determined potential risk factors.
Design
As part of the Swiss Childhood Cancer Survivor Study, we sent a questionnaire between 2007 and 2013 to all Swiss resident CCSs aged <21 y at diagnosis who had survived ≥5 y. We calculated body mass index (BMI) from medical records at diagnosis and self-reported heights and weights at survey. We calculated BMI z scores by using Swiss references for children and compared overweight prevalence in CCSs, their siblings, and the general population with the use of the Swiss Health Survey (SHS) and assessed risk factors for being overweight by using multivariable logistic regression.
Results
The study included 2365 CCSs, 819 siblings, and 9591 SHS participants. At survey, at an average of 15 y after diagnosis, the prevalence of overweight in CCSs overall (26%) and in leukemia survivors (26%) was similar to that in siblings (22%) and the general population (25%). Risk factors for being overweight in CCSs were male sex (OR: 1.8; 95% CI: 1.5, 2.1), both young (OR for ages 5–14 y: 1.6; 95% CI: 1.2, 2.3) and older (range—OR for ages 25–29 y: 1.7; 95% CI: 1.2, 2.4; OR for ages 40–45 y: 4.0; 95% CI: 2.5, 6.5) age at study, lower education (OR: 1.4; 95% CI: 1.1, 1.8), migration background (OR: 1.3; 95% CI: 1.1, 1.7), and no sports participation (OR: 1.4; 95% CI: 1.1, 1.7). Risk factors for overweight were similar in peers. CCSs treated with cranial radiotherapy (≥20 Gy) were more likely to be overweight than their peers (OR: 1.6; 95% CI: 1.2, 2.2).
Conclusions
The prevalence of and risk factors for being overweight are similar in long-term CCSs and their peers. This suggests that prevention methods can be the same as in the general population. An important exception is CCSs treated with cranial radiotherapy ≥20 Gy who may need extra attention during follow-up care. This study was registered at clinicaltrials.gov as NCT03297034.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>29381792</pmid><doi>10.1093/ajcn/nqx006</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-0037-4817</orcidid><orcidid>https://orcid.org/0000-0001-8036-2092</orcidid><orcidid>https://orcid.org/0000-0002-5727-0218</orcidid><orcidid>https://orcid.org/0000-0001-8957-2002</orcidid><orcidid>https://orcid.org/0000-0001-8295-3574</orcidid><orcidid>https://orcid.org/0000-0002-1902-2352</orcidid><orcidid>https://orcid.org/0000-0001-7232-693X</orcidid><orcidid>https://orcid.org/0000-0002-9555-3817</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9165 |
| ispartof | The American journal of clinical nutrition, 2018-01, Vol.107 (1), p.3-11 |
| issn | 0002-9165 1938-3207 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1993010347 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Age Body Mass Index Body size Body weight Cancer Cancer Survivors Child Child, Preschool Childhood Children Children & youth Design factors Diagnosis Female Follow-Up Studies Humans Leukemia Leukemia - diagnosis Leukemia - radiotherapy Logistic Models Male Mathematical analysis Medical Records Middle Aged Migration Obesity Overweight Overweight - epidemiology Prevalence Radiation therapy Retrospective Studies Risk analysis Risk assessment Risk Factors Siblings Skull Socioeconomic Factors Surveys and Questionnaires Survivor Switzerland - epidemiology Young Adult |
| title | Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T15%3A21%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Overweight%20in%20childhood%20cancer%20survivors:%20the%20Swiss%20Childhood%20Cancer%20Survivor%20Study&rft.jtitle=The%20American%20journal%20of%20clinical%20nutrition&rft.au=Belle,%20Fabi%C3%ABn%20N&rft.date=2018-01-01&rft.volume=107&rft.issue=1&rft.spage=3&rft.epage=11&rft.pages=3-11&rft.issn=0002-9165&rft.eissn=1938-3207&rft_id=info:doi/10.1093/ajcn/nqx006&rft_dat=%3Cproquest_cross%3E1993010347%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2007670746&rft_id=info:pmid/29381792&rft_oup_id=10.1093/ajcn/nqx006&rfr_iscdi=true |