Body weight, fat distribution and colorectal cancer risk: a report from cohort studies of 134 255 Chinese men and women
OBJECTIVE: The objective was to evaluate the association of body size and fat distribution with the risk of colorectal cancer (CRC) in Chinese men and women. DESIGN: This was a population-based, prospective cohort study. SUBJECTS: The analysis included 134 255 Chinese adults enrolled in the Shanghai...
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| Veröffentlicht in: | International Journal of Obesity 2013-06, Vol.37 (6), p.783-789 |
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| creator | Li, H Yang, G Xiang, Y-B Gao, J Zhang, X Zheng, W Gao, Y-T Shu, X-O |
| description | OBJECTIVE:
The objective was to evaluate the association of body size and fat distribution with the risk of colorectal cancer (CRC) in Chinese men and women.
DESIGN:
This was a population-based, prospective cohort study.
SUBJECTS:
The analysis included 134 255 Chinese adults enrolled in the Shanghai Women’s Health Study and the Shanghai Men’s Health Study, with an average follow-up of 11.0 and 5.5 years, respectively.
MEASUREMENTS:
Waist circumference (WC), body mass index (BMI) and waist-to-hip ratio (WHR) were measured by trained interviewers at baseline. Multivariable Cox models were used to calculate adjusted hazard ratios (HRs) for incident CRC.
RESULTS:
A total of 935 incident CRC cases were identified. Both measures of general adiposity (measured by BMI) and central adiposity (measured by WHR and WC) were significantly associated with an increased risk of colon cancer in men but not in women. Multivariable-adjusted HRs for colon cancer in men in the highest compared with the lowest quintiles were 2.15 (95% confidence interval (CI): 1.35–3.43;
P
for trend=0.0006) for BMI, 1.97 (95% CI: 1.19–3.24;
P
for trend=0.0004) for WHR and 2.00 (95% CI: 1.21–3.29;
P
for trend=0.0002) for WC. The BMI-associated risk was attenuated in analyses stratified by WHR, whereas the WHR-associated risk remained significant in the high BMI stratum (HR for comparison of extreme tertiles of WHR: 3.38, 95% CI: 1.47–7.75;
P
for trend =0.0002). None of these anthropometric measures were significantly associated with rectal cancer.
CONCLUSION:
Obesity, particularly central obesity, was associated with an increased risk of colon cancer in men. |
| doi_str_mv | 10.1038/ijo.2012.152 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3541452</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2992700541</sourcerecordid><originalsourceid>FETCH-LOGICAL-c523t-5b1f7eedbac54d9abbab1eab2c9b6c44994d5f446c7032c424a3b9abd7aafc7e3</originalsourceid><addsrcrecordid>eNptkV2LEzEUhoMobq3e-QMCInixU_M56XghaHE_YMEbvQ5J5kybOjOpScald976N_0lptuyqCwEcuA8ec4JL0IvKVlQwpdv_TYsGKFsQSV7hGZUqLqSolGP0Yxwoioia3mGnqW0JYRISdhTdMZYs6zrpZih_cfQ7vEt-PUmn-POZNz6lKO3U_ZhxGZssQt9iOCy6bEzo4OIo0_f3mGDI-xCzLiLYSjU5lCnPLUeEg4dplz8_vmLSYlXGz9CAjzA0XgbSvUcPelMn-DF6Z6jrxefvqyuqpvPl9erDzeVk4znSlraKYDWGidF2xhrjaVgLHONrZ0QTSNa2QlRO0U4c4IJw23BWmVM5xTwOXp_9O4mO0DrYMzR9HoX_WDiXgfj9b-d0W_0OvzQXAoqyg5z9OYkiOH7BCnrwScHfW9GCFPSlCtGZCMULeir_9BtmOJYvleoui6H8QN1fqRcDClF6O6XoUQfMtUlU33IVNO7-a9PUpOc6btYQvDp_g1TgtRL0hSuOnKptMY1xL-GP-T9A9Cpsag</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1366366231</pqid></control><display><type>article</type><title>Body weight, fat distribution and colorectal cancer risk: a report from cohort studies of 134 255 Chinese men and women</title><source>Springer Nature - Complete Springer Journals</source><source>Nature</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Li, H ; Yang, G ; Xiang, Y-B ; Gao, J ; Zhang, X ; Zheng, W ; Gao, Y-T ; Shu, X-O</creator><creatorcontrib>Li, H ; Yang, G ; Xiang, Y-B ; Gao, J ; Zhang, X ; Zheng, W ; Gao, Y-T ; Shu, X-O</creatorcontrib><description>OBJECTIVE:
The objective was to evaluate the association of body size and fat distribution with the risk of colorectal cancer (CRC) in Chinese men and women.
DESIGN:
This was a population-based, prospective cohort study.
SUBJECTS:
The analysis included 134 255 Chinese adults enrolled in the Shanghai Women’s Health Study and the Shanghai Men’s Health Study, with an average follow-up of 11.0 and 5.5 years, respectively.
MEASUREMENTS:
Waist circumference (WC), body mass index (BMI) and waist-to-hip ratio (WHR) were measured by trained interviewers at baseline. Multivariable Cox models were used to calculate adjusted hazard ratios (HRs) for incident CRC.
RESULTS:
A total of 935 incident CRC cases were identified. Both measures of general adiposity (measured by BMI) and central adiposity (measured by WHR and WC) were significantly associated with an increased risk of colon cancer in men but not in women. Multivariable-adjusted HRs for colon cancer in men in the highest compared with the lowest quintiles were 2.15 (95% confidence interval (CI): 1.35–3.43;
P
for trend=0.0006) for BMI, 1.97 (95% CI: 1.19–3.24;
P
for trend=0.0004) for WHR and 2.00 (95% CI: 1.21–3.29;
P
for trend=0.0002) for WC. The BMI-associated risk was attenuated in analyses stratified by WHR, whereas the WHR-associated risk remained significant in the high BMI stratum (HR for comparison of extreme tertiles of WHR: 3.38, 95% CI: 1.47–7.75;
P
for trend =0.0002). None of these anthropometric measures were significantly associated with rectal cancer.
CONCLUSION:
Obesity, particularly central obesity, was associated with an increased risk of colon cancer in men.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2012.152</identifier><identifier>PMID: 22986684</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/2743/393 ; 692/699/67/1504/1885 ; 692/700/478/174 ; Age ; Biological and medical sciences ; Body mass index ; Body size ; Body weight ; Cohort analysis ; Colorectal cancer ; Colorectal carcinoma ; Epidemiology ; Gastroenterology. Liver. Pancreas. Abdomen ; Health Promotion and Disease Prevention ; Health risks ; Internal Medicine ; Medical research ; Medical sciences ; Medicine ; Medicine & Public Health ; Mens health ; Metabolic Diseases ; Miscellaneous ; Obesity ; original-article ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Self report ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tumors ; Womens health</subject><ispartof>International Journal of Obesity, 2013-06, Vol.37 (6), p.783-789</ispartof><rights>Macmillan Publishers Limited 2013</rights><rights>2014 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Jun 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c523t-5b1f7eedbac54d9abbab1eab2c9b6c44994d5f446c7032c424a3b9abd7aafc7e3</citedby><cites>FETCH-LOGICAL-c523t-5b1f7eedbac54d9abbab1eab2c9b6c44994d5f446c7032c424a3b9abd7aafc7e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ijo.2012.152$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ijo.2012.152$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27406809$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, H</creatorcontrib><creatorcontrib>Yang, G</creatorcontrib><creatorcontrib>Xiang, Y-B</creatorcontrib><creatorcontrib>Gao, J</creatorcontrib><creatorcontrib>Zhang, X</creatorcontrib><creatorcontrib>Zheng, W</creatorcontrib><creatorcontrib>Gao, Y-T</creatorcontrib><creatorcontrib>Shu, X-O</creatorcontrib><title>Body weight, fat distribution and colorectal cancer risk: a report from cohort studies of 134 255 Chinese men and women</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><description>OBJECTIVE:
The objective was to evaluate the association of body size and fat distribution with the risk of colorectal cancer (CRC) in Chinese men and women.
DESIGN:
This was a population-based, prospective cohort study.
SUBJECTS:
The analysis included 134 255 Chinese adults enrolled in the Shanghai Women’s Health Study and the Shanghai Men’s Health Study, with an average follow-up of 11.0 and 5.5 years, respectively.
MEASUREMENTS:
Waist circumference (WC), body mass index (BMI) and waist-to-hip ratio (WHR) were measured by trained interviewers at baseline. Multivariable Cox models were used to calculate adjusted hazard ratios (HRs) for incident CRC.
RESULTS:
A total of 935 incident CRC cases were identified. Both measures of general adiposity (measured by BMI) and central adiposity (measured by WHR and WC) were significantly associated with an increased risk of colon cancer in men but not in women. Multivariable-adjusted HRs for colon cancer in men in the highest compared with the lowest quintiles were 2.15 (95% confidence interval (CI): 1.35–3.43;
P
for trend=0.0006) for BMI, 1.97 (95% CI: 1.19–3.24;
P
for trend=0.0004) for WHR and 2.00 (95% CI: 1.21–3.29;
P
for trend=0.0002) for WC. The BMI-associated risk was attenuated in analyses stratified by WHR, whereas the WHR-associated risk remained significant in the high BMI stratum (HR for comparison of extreme tertiles of WHR: 3.38, 95% CI: 1.47–7.75;
P
for trend =0.0002). None of these anthropometric measures were significantly associated with rectal cancer.
CONCLUSION:
Obesity, particularly central obesity, was associated with an increased risk of colon cancer in men.</description><subject>692/699/2743/393</subject><subject>692/699/67/1504/1885</subject><subject>692/700/478/174</subject><subject>Age</subject><subject>Biological and medical sciences</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Cohort analysis</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Epidemiology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health risks</subject><subject>Internal Medicine</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mens health</subject><subject>Metabolic Diseases</subject><subject>Miscellaneous</subject><subject>Obesity</subject><subject>original-article</subject><subject>Public Health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Self report</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Tumors</subject><subject>Womens health</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkV2LEzEUhoMobq3e-QMCInixU_M56XghaHE_YMEbvQ5J5kybOjOpScald976N_0lptuyqCwEcuA8ec4JL0IvKVlQwpdv_TYsGKFsQSV7hGZUqLqSolGP0Yxwoioia3mGnqW0JYRISdhTdMZYs6zrpZih_cfQ7vEt-PUmn-POZNz6lKO3U_ZhxGZssQt9iOCy6bEzo4OIo0_f3mGDI-xCzLiLYSjU5lCnPLUeEg4dplz8_vmLSYlXGz9CAjzA0XgbSvUcPelMn-DF6Z6jrxefvqyuqpvPl9erDzeVk4znSlraKYDWGidF2xhrjaVgLHONrZ0QTSNa2QlRO0U4c4IJw23BWmVM5xTwOXp_9O4mO0DrYMzR9HoX_WDiXgfj9b-d0W_0OvzQXAoqyg5z9OYkiOH7BCnrwScHfW9GCFPSlCtGZCMULeir_9BtmOJYvleoui6H8QN1fqRcDClF6O6XoUQfMtUlU33IVNO7-a9PUpOc6btYQvDp_g1TgtRL0hSuOnKptMY1xL-GP-T9A9Cpsag</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Li, H</creator><creator>Yang, G</creator><creator>Xiang, Y-B</creator><creator>Gao, J</creator><creator>Zhang, X</creator><creator>Zheng, W</creator><creator>Gao, Y-T</creator><creator>Shu, X-O</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7U1</scope><scope>7U2</scope><scope>5PM</scope></search><sort><creationdate>20130601</creationdate><title>Body weight, fat distribution and colorectal cancer risk: a report from cohort studies of 134 255 Chinese men and women</title><author>Li, H ; Yang, G ; Xiang, Y-B ; Gao, J ; Zhang, X ; Zheng, W ; Gao, Y-T ; Shu, X-O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c523t-5b1f7eedbac54d9abbab1eab2c9b6c44994d5f446c7032c424a3b9abd7aafc7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>692/699/2743/393</topic><topic>692/699/67/1504/1885</topic><topic>692/700/478/174</topic><topic>Age</topic><topic>Biological and medical sciences</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Cohort analysis</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Epidemiology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Health Promotion and Disease Prevention</topic><topic>Health risks</topic><topic>Internal Medicine</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mens health</topic><topic>Metabolic Diseases</topic><topic>Miscellaneous</topic><topic>Obesity</topic><topic>original-article</topic><topic>Public Health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Self report</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tumors</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, H</creatorcontrib><creatorcontrib>Yang, G</creatorcontrib><creatorcontrib>Xiang, Y-B</creatorcontrib><creatorcontrib>Gao, J</creatorcontrib><creatorcontrib>Zhang, X</creatorcontrib><creatorcontrib>Zheng, W</creatorcontrib><creatorcontrib>Gao, Y-T</creatorcontrib><creatorcontrib>Shu, X-O</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, H</au><au>Yang, G</au><au>Xiang, Y-B</au><au>Gao, J</au><au>Zhang, X</au><au>Zheng, W</au><au>Gao, Y-T</au><au>Shu, X-O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body weight, fat distribution and colorectal cancer risk: a report from cohort studies of 134 255 Chinese men and women</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><date>2013-06-01</date><risdate>2013</risdate><volume>37</volume><issue>6</issue><spage>783</spage><epage>789</epage><pages>783-789</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>OBJECTIVE:
The objective was to evaluate the association of body size and fat distribution with the risk of colorectal cancer (CRC) in Chinese men and women.
DESIGN:
This was a population-based, prospective cohort study.
SUBJECTS:
The analysis included 134 255 Chinese adults enrolled in the Shanghai Women’s Health Study and the Shanghai Men’s Health Study, with an average follow-up of 11.0 and 5.5 years, respectively.
MEASUREMENTS:
Waist circumference (WC), body mass index (BMI) and waist-to-hip ratio (WHR) were measured by trained interviewers at baseline. Multivariable Cox models were used to calculate adjusted hazard ratios (HRs) for incident CRC.
RESULTS:
A total of 935 incident CRC cases were identified. Both measures of general adiposity (measured by BMI) and central adiposity (measured by WHR and WC) were significantly associated with an increased risk of colon cancer in men but not in women. Multivariable-adjusted HRs for colon cancer in men in the highest compared with the lowest quintiles were 2.15 (95% confidence interval (CI): 1.35–3.43;
P
for trend=0.0006) for BMI, 1.97 (95% CI: 1.19–3.24;
P
for trend=0.0004) for WHR and 2.00 (95% CI: 1.21–3.29;
P
for trend=0.0002) for WC. The BMI-associated risk was attenuated in analyses stratified by WHR, whereas the WHR-associated risk remained significant in the high BMI stratum (HR for comparison of extreme tertiles of WHR: 3.38, 95% CI: 1.47–7.75;
P
for trend =0.0002). None of these anthropometric measures were significantly associated with rectal cancer.
CONCLUSION:
Obesity, particularly central obesity, was associated with an increased risk of colon cancer in men.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>22986684</pmid><doi>10.1038/ijo.2012.152</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | International Journal of Obesity, 2013-06, Vol.37 (6), p.783-789 |
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| source | Springer Nature - Complete Springer Journals; Nature; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | 692/699/2743/393 692/699/67/1504/1885 692/700/478/174 Age Biological and medical sciences Body mass index Body size Body weight Cohort analysis Colorectal cancer Colorectal carcinoma Epidemiology Gastroenterology. Liver. Pancreas. Abdomen Health Promotion and Disease Prevention Health risks Internal Medicine Medical research Medical sciences Medicine Medicine & Public Health Mens health Metabolic Diseases Miscellaneous Obesity original-article Public Health Public health. Hygiene Public health. Hygiene-occupational medicine Self report Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors Womens health |
| title | Body weight, fat distribution and colorectal cancer risk: a report from cohort studies of 134 255 Chinese men and women |
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