Hospital‐diagnosed overweight and obesity related to cancer risk: a 40‐year Danish cohort study
Background Obesity is associated with metabolic abnormalities that predispose patients to increased cancer risk. Contemporary data on the long‐term risk of specific cancers are sparse among patients with hospital‐diagnosed overweight and obesity. Objectives To examine the overall cancer incidence an...
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| Veröffentlicht in: | Journal of internal medicine 2020-04, Vol.287 (4), p.435-447 |
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| creator | Gribsholt, S. B. Cronin‐Fenton, D. Veres, K. Thomsen, R. W. Ording, A. G. Richelsen, B. Sørensen, H. T. |
| description | Background
Obesity is associated with metabolic abnormalities that predispose patients to increased cancer risk. Contemporary data on the long‐term risk of specific cancers are sparse among patients with hospital‐diagnosed overweight and obesity.
Objectives
To examine the overall cancer incidence and specific site‐related cancer incidences among patients with overweight and obesity, compared to the general Danish population.
Methods
For this 40‐year (1977–2016), nationwide, Danish cohort study, we reviewed medical databases to identify individuals with hospital‐based overweight and obesity diagnoses. We computed age‐ and gender‐standardized incidence ratios (SIRs) for subsequent cancer compared to the general population.
Results
We observed 20 706 cancers among 313 321 patients diagnosed with overweight and obesity (median age 43 years; median follow‐up 6.7 years, range 1–40 years) compared to the 18 480 cancers expected; thus, the SIR was 1.12 [95% confidence interval (95% CI): 1.11–1.14]. The SIR associated with overweight and obesity was increased with concomitant comorbidities, like type 2 diabetes (SIR: 1.18; 95% CI: 1.13–1.23) and alcoholism‐related diseases (SIR: 1.62; 95% CI: 1.45–1.82). The SIR was 1.31 (95% CI: 1.28–1.34) for cancers previously identified as obesity‐related, including pancreatic (SIR: 1.38; 95% CI; 1.27–1.49) and postmenopausal breast cancer (SIR: 1.14; 95% CI: 1.09–1.19). Obesity/overweight status also elevated the SIRs for haematological (SIR: 1.24; 95% CI: 1.18–1.29) and neurological cancers (SIR: 1.19; 95% CI: 1.11–1.27]. In contrast, SIRs were 1.01 (95% CI: 0.97–1.05) for immune‐related cancers, 0.88 (95% CI: 0.82–0.95) for malignant melanoma, and 0.88 (95% CI: 0.85–0.92) for hormone‐related cancers, other than postmenopausal breast cancer.
Conclusion
In this large cohort study, overweight and obesity was associated with increased risk of several common cancers. |
| doi_str_mv | 10.1111/joim.13013 |
| format | Article |
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Obesity is associated with metabolic abnormalities that predispose patients to increased cancer risk. Contemporary data on the long‐term risk of specific cancers are sparse among patients with hospital‐diagnosed overweight and obesity.
Objectives
To examine the overall cancer incidence and specific site‐related cancer incidences among patients with overweight and obesity, compared to the general Danish population.
Methods
For this 40‐year (1977–2016), nationwide, Danish cohort study, we reviewed medical databases to identify individuals with hospital‐based overweight and obesity diagnoses. We computed age‐ and gender‐standardized incidence ratios (SIRs) for subsequent cancer compared to the general population.
Results
We observed 20 706 cancers among 313 321 patients diagnosed with overweight and obesity (median age 43 years; median follow‐up 6.7 years, range 1–40 years) compared to the 18 480 cancers expected; thus, the SIR was 1.12 [95% confidence interval (95% CI): 1.11–1.14]. The SIR associated with overweight and obesity was increased with concomitant comorbidities, like type 2 diabetes (SIR: 1.18; 95% CI: 1.13–1.23) and alcoholism‐related diseases (SIR: 1.62; 95% CI: 1.45–1.82). The SIR was 1.31 (95% CI: 1.28–1.34) for cancers previously identified as obesity‐related, including pancreatic (SIR: 1.38; 95% CI; 1.27–1.49) and postmenopausal breast cancer (SIR: 1.14; 95% CI: 1.09–1.19). Obesity/overweight status also elevated the SIRs for haematological (SIR: 1.24; 95% CI: 1.18–1.29) and neurological cancers (SIR: 1.19; 95% CI: 1.11–1.27]. In contrast, SIRs were 1.01 (95% CI: 0.97–1.05) for immune‐related cancers, 0.88 (95% CI: 0.82–0.95) for malignant melanoma, and 0.88 (95% CI: 0.85–0.92) for hormone‐related cancers, other than postmenopausal breast cancer.
Conclusion
In this large cohort study, overweight and obesity was associated with increased risk of several common cancers.</description><identifier>ISSN: 0954-6820</identifier><identifier>EISSN: 1365-2796</identifier><identifier>DOI: 10.1111/joim.13013</identifier><identifier>PMID: 31912596</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Abnormalities ; Adolescent ; Adult ; Aged ; Alcohol Drinking - adverse effects ; Alcoholism ; Body weight ; Breast cancer ; Cancer ; Case-Control Studies ; Child ; Child, Preschool ; Cohort analysis ; Comorbidity ; Confidence intervals ; Denmark - epidemiology ; Diabetes mellitus (non-insulin dependent) ; Drug abuse ; epidemiology ; Female ; Health risk assessment ; Health risks ; Hematology ; Hospitalization - statistics & numerical data ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Melanoma ; Middle Aged ; Neoplasms - epidemiology ; Neoplasms - etiology ; Obesity ; Obesity - complications ; Obesity - diagnosis ; Obesity - epidemiology ; Overweight ; Overweight - complications ; Overweight - diagnosis ; Overweight - epidemiology ; Pancreas ; Patients ; Post-menopause ; Registries ; Retrospective Studies ; Risk ; Risk Factors ; Smoking - adverse effects ; Young Adult</subject><ispartof>Journal of internal medicine, 2020-04, Vol.287 (4), p.435-447</ispartof><rights>2020 The Association for the Publication of the Journal of Internal Medicine</rights><rights>2020 The Association for the Publication of the Journal of Internal Medicine.</rights><rights>Copyright © 2020 The Association for the Publication of the Journal of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4593-c65ad548e56ff4dd4005851a76345a171681d98e0b857b93b090c0b6442be1f43</citedby><cites>FETCH-LOGICAL-c4593-c65ad548e56ff4dd4005851a76345a171681d98e0b857b93b090c0b6442be1f43</cites><orcidid>0000-0003-4299-7040 ; 0000-0002-8681-6822 ; 0000-0001-9738-2284 ; 0000-0001-9135-3474 ; 0000-0001-8886-9736</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjoim.13013$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoim.13013$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31912596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gribsholt, S. B.</creatorcontrib><creatorcontrib>Cronin‐Fenton, D.</creatorcontrib><creatorcontrib>Veres, K.</creatorcontrib><creatorcontrib>Thomsen, R. W.</creatorcontrib><creatorcontrib>Ording, A. G.</creatorcontrib><creatorcontrib>Richelsen, B.</creatorcontrib><creatorcontrib>Sørensen, H. T.</creatorcontrib><title>Hospital‐diagnosed overweight and obesity related to cancer risk: a 40‐year Danish cohort study</title><title>Journal of internal medicine</title><addtitle>J Intern Med</addtitle><description>Background
Obesity is associated with metabolic abnormalities that predispose patients to increased cancer risk. Contemporary data on the long‐term risk of specific cancers are sparse among patients with hospital‐diagnosed overweight and obesity.
Objectives
To examine the overall cancer incidence and specific site‐related cancer incidences among patients with overweight and obesity, compared to the general Danish population.
Methods
For this 40‐year (1977–2016), nationwide, Danish cohort study, we reviewed medical databases to identify individuals with hospital‐based overweight and obesity diagnoses. We computed age‐ and gender‐standardized incidence ratios (SIRs) for subsequent cancer compared to the general population.
Results
We observed 20 706 cancers among 313 321 patients diagnosed with overweight and obesity (median age 43 years; median follow‐up 6.7 years, range 1–40 years) compared to the 18 480 cancers expected; thus, the SIR was 1.12 [95% confidence interval (95% CI): 1.11–1.14]. The SIR associated with overweight and obesity was increased with concomitant comorbidities, like type 2 diabetes (SIR: 1.18; 95% CI: 1.13–1.23) and alcoholism‐related diseases (SIR: 1.62; 95% CI: 1.45–1.82). The SIR was 1.31 (95% CI: 1.28–1.34) for cancers previously identified as obesity‐related, including pancreatic (SIR: 1.38; 95% CI; 1.27–1.49) and postmenopausal breast cancer (SIR: 1.14; 95% CI: 1.09–1.19). Obesity/overweight status also elevated the SIRs for haematological (SIR: 1.24; 95% CI: 1.18–1.29) and neurological cancers (SIR: 1.19; 95% CI: 1.11–1.27]. In contrast, SIRs were 1.01 (95% CI: 0.97–1.05) for immune‐related cancers, 0.88 (95% CI: 0.82–0.95) for malignant melanoma, and 0.88 (95% CI: 0.85–0.92) for hormone‐related cancers, other than postmenopausal breast cancer.
Conclusion
In this large cohort study, overweight and obesity was associated with increased risk of several common cancers.</description><subject>Abnormalities</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcoholism</subject><subject>Body weight</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort analysis</subject><subject>Comorbidity</subject><subject>Confidence intervals</subject><subject>Denmark - epidemiology</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Drug abuse</subject><subject>epidemiology</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Hematology</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Melanoma</subject><subject>Middle Aged</subject><subject>Neoplasms - epidemiology</subject><subject>Neoplasms - etiology</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - diagnosis</subject><subject>Obesity - epidemiology</subject><subject>Overweight</subject><subject>Overweight - complications</subject><subject>Overweight - diagnosis</subject><subject>Overweight - epidemiology</subject><subject>Pancreas</subject><subject>Patients</subject><subject>Post-menopause</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Smoking - adverse effects</subject><subject>Young Adult</subject><issn>0954-6820</issn><issn>1365-2796</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1O3DAQxy3UCpaPCw-ALPWCkALj-CNxb4h-QAXiAufIcSasl2y82Akotz5Cn7FPUm8XOPTQuYxG85ufRn9CDhmcslRnC--Wp4wD41tkxriSWV5o9YHMQEuRqTKHHbIb4wISAQq2yQ5nmuVSqxmxlz6u3GC63z9_Nc489D5iQ_0zhhd0D_OBmj6NNUY3TDRgZ4a0Hjy1prcYaHDx8TM1VEC6n9AE-sX0Ls6p9XMfBhqHsZn2ycfWdBEPXvseuf_29e7iMru-_X51cX6dWSE1z6ySppGiRKnaVjSNAJClZKZQXEjDCqZK1ugSoS5lUWtegwYLtRIir5G1gu-R4413FfzTiHGoli5a7DrTox9jlXMuCgAQRUI__YMu_Bj69F2iSiaVVuVaeLKhbPAxBmyrVXBLE6aKQbWOvlpHX_2NPsFHr8qxXmLzjr5lnQC2AV5ch9N_VNWP26ubjfQPuPCO7Q</recordid><startdate>202004</startdate><enddate>202004</enddate><creator>Gribsholt, S. B.</creator><creator>Cronin‐Fenton, D.</creator><creator>Veres, K.</creator><creator>Thomsen, R. W.</creator><creator>Ording, A. G.</creator><creator>Richelsen, B.</creator><creator>Sørensen, H. T.</creator><general>Blackwell Publishing Ltd</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>7QL</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4299-7040</orcidid><orcidid>https://orcid.org/0000-0002-8681-6822</orcidid><orcidid>https://orcid.org/0000-0001-9738-2284</orcidid><orcidid>https://orcid.org/0000-0001-9135-3474</orcidid><orcidid>https://orcid.org/0000-0001-8886-9736</orcidid></search><sort><creationdate>202004</creationdate><title>Hospital‐diagnosed overweight and obesity related to cancer risk: a 40‐year Danish cohort study</title><author>Gribsholt, S. B. ; Cronin‐Fenton, D. ; Veres, K. ; Thomsen, R. W. ; Ording, A. G. ; Richelsen, B. ; Sørensen, H. T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4593-c65ad548e56ff4dd4005851a76345a171681d98e0b857b93b090c0b6442be1f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abnormalities</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Alcoholism</topic><topic>Body weight</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort analysis</topic><topic>Comorbidity</topic><topic>Confidence intervals</topic><topic>Denmark - epidemiology</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Drug abuse</topic><topic>epidemiology</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Hematology</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Melanoma</topic><topic>Middle Aged</topic><topic>Neoplasms - epidemiology</topic><topic>Neoplasms - etiology</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - diagnosis</topic><topic>Obesity - epidemiology</topic><topic>Overweight</topic><topic>Overweight - complications</topic><topic>Overweight - diagnosis</topic><topic>Overweight - epidemiology</topic><topic>Pancreas</topic><topic>Patients</topic><topic>Post-menopause</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Smoking - adverse effects</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gribsholt, S. B.</creatorcontrib><creatorcontrib>Cronin‐Fenton, D.</creatorcontrib><creatorcontrib>Veres, K.</creatorcontrib><creatorcontrib>Thomsen, R. W.</creatorcontrib><creatorcontrib>Ording, A. G.</creatorcontrib><creatorcontrib>Richelsen, B.</creatorcontrib><creatorcontrib>Sørensen, H. T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gribsholt, S. B.</au><au>Cronin‐Fenton, D.</au><au>Veres, K.</au><au>Thomsen, R. W.</au><au>Ording, A. G.</au><au>Richelsen, B.</au><au>Sørensen, H. T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital‐diagnosed overweight and obesity related to cancer risk: a 40‐year Danish cohort study</atitle><jtitle>Journal of internal medicine</jtitle><addtitle>J Intern Med</addtitle><date>2020-04</date><risdate>2020</risdate><volume>287</volume><issue>4</issue><spage>435</spage><epage>447</epage><pages>435-447</pages><issn>0954-6820</issn><eissn>1365-2796</eissn><abstract>Background
Obesity is associated with metabolic abnormalities that predispose patients to increased cancer risk. Contemporary data on the long‐term risk of specific cancers are sparse among patients with hospital‐diagnosed overweight and obesity.
Objectives
To examine the overall cancer incidence and specific site‐related cancer incidences among patients with overweight and obesity, compared to the general Danish population.
Methods
For this 40‐year (1977–2016), nationwide, Danish cohort study, we reviewed medical databases to identify individuals with hospital‐based overweight and obesity diagnoses. We computed age‐ and gender‐standardized incidence ratios (SIRs) for subsequent cancer compared to the general population.
Results
We observed 20 706 cancers among 313 321 patients diagnosed with overweight and obesity (median age 43 years; median follow‐up 6.7 years, range 1–40 years) compared to the 18 480 cancers expected; thus, the SIR was 1.12 [95% confidence interval (95% CI): 1.11–1.14]. The SIR associated with overweight and obesity was increased with concomitant comorbidities, like type 2 diabetes (SIR: 1.18; 95% CI: 1.13–1.23) and alcoholism‐related diseases (SIR: 1.62; 95% CI: 1.45–1.82). The SIR was 1.31 (95% CI: 1.28–1.34) for cancers previously identified as obesity‐related, including pancreatic (SIR: 1.38; 95% CI; 1.27–1.49) and postmenopausal breast cancer (SIR: 1.14; 95% CI: 1.09–1.19). Obesity/overweight status also elevated the SIRs for haematological (SIR: 1.24; 95% CI: 1.18–1.29) and neurological cancers (SIR: 1.19; 95% CI: 1.11–1.27]. In contrast, SIRs were 1.01 (95% CI: 0.97–1.05) for immune‐related cancers, 0.88 (95% CI: 0.82–0.95) for malignant melanoma, and 0.88 (95% CI: 0.85–0.92) for hormone‐related cancers, other than postmenopausal breast cancer.
Conclusion
In this large cohort study, overweight and obesity was associated with increased risk of several common cancers.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>31912596</pmid><doi>10.1111/joim.13013</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-4299-7040</orcidid><orcidid>https://orcid.org/0000-0002-8681-6822</orcidid><orcidid>https://orcid.org/0000-0001-9738-2284</orcidid><orcidid>https://orcid.org/0000-0001-9135-3474</orcidid><orcidid>https://orcid.org/0000-0001-8886-9736</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of internal medicine, 2020-04, Vol.287 (4), p.435-447 |
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| language | eng |
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| source | Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Abnormalities Adolescent Adult Aged Alcohol Drinking - adverse effects Alcoholism Body weight Breast cancer Cancer Case-Control Studies Child Child, Preschool Cohort analysis Comorbidity Confidence intervals Denmark - epidemiology Diabetes mellitus (non-insulin dependent) Drug abuse epidemiology Female Health risk assessment Health risks Hematology Hospitalization - statistics & numerical data Humans Incidence Infant Infant, Newborn Male Melanoma Middle Aged Neoplasms - epidemiology Neoplasms - etiology Obesity Obesity - complications Obesity - diagnosis Obesity - epidemiology Overweight Overweight - complications Overweight - diagnosis Overweight - epidemiology Pancreas Patients Post-menopause Registries Retrospective Studies Risk Risk Factors Smoking - adverse effects Young Adult |
| title | Hospital‐diagnosed overweight and obesity related to cancer risk: a 40‐year Danish cohort study |
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