Cited by 584Cancer Risks and FactorsObesity, Physical Activity, DietGlobal Cancer Incidence and Screening

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A prospective study of obesity and cancer risk (Sweden)

Wolk, Alicja, Gridley, Gloria, Svensson, Malin, Nyrén, Olof, McLaughlin, Joseph K., Fraumeni, Joseph F., Adami, Hans-Olov·2001·Cancer Causes & Control

DOI 10.1023/a:1008995217664

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Abstract

Objective [corrected] We evaluated the relation between obesity and the risks for various forms of cancer.Methods In a population-based cohort of 28,129 hospital patients (8165 men, 19,964 women) with any discharge diagnosis of obesity (9557 only diagnosis, 5266 primary, 13,306 secondary) during 1965-1993, cancer incidence was ascertained through 1993 by record linkage to the nationwide Swedish Cancer Registry. Cancer risk was estimated using the standardized incidence ratio (SIR, with 95% confidence interval), which is the ratio of the observed number of cancers to that expected.Results Overall, a 33% excess incidence of cancer was seen in obese persons, 25% in men and 37% in women. Significant risk elevations were observed for cancers of the small intestine (SIR = 2.8; 95% CI 1.6-4.5), colon (1.3; 1.1-1.5), gallbladder (1.6; 1.1-2.3), pancreas (1.5; 1.1-1.9), larynx (2.1; 1.1-3.5), renal parenchyma (2.3; 1.8-2.8), bladder (1.2; 1.0-1.6), cervix uteri (1.4; 1.1-1.9), endometrium (2.9; 2.5-3.4), ovary (1.2; 1.1-1.5), brain (1.5; 1.2-1.9), and connective tissue (1.9; 1.1-3.0), and for lymphomas (1.4; 1.0-1.7), with higher risk observed for Hodgkin's disease only in men (3.3; 1.4-6.5) and for non-Hodgkin's lymphoma only in women (1.6; 1.2-2.1). The association of obesity with risk of breast, prostate and pancreas cancers was modified by age.Conclusions Obesity is associated with more forms of cancer than previously reported.

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Authors: Wolk, A., Gridley, G., Svensson, M., Nyrén, O., McLaughlin, J. K., Fraumeni, J. F., & Adami, H.-O.
Affiliations: Karolinska Institutet (SE)
National Cancer Institute (US)
International Epidemiology Institute (US)
Corresponding author: Wolk, Alicja
ORCID: Wolk, Alicja
Nyrén, Olof
McLaughlin, Joseph K.
Adami, Hans-Olov
Venue: Cancer Causes & Control
Publisher: Springer Science and Business Media LLC
Published: 2001-01
Volume: 12
Issue: 1
Pages: 13-21
ISSN: 0957-5243 (ISSN-L)
1573-7225
DOI: 10.1023/a:1008995217664
OpenAlex: W1522687886
Cited by: 581
References: 77
Citations by year: 2026: 6 · 2025: 4 · 2024: 6 · 2023: 8 · 2022: 14 · 2021: 9 · 2020: 21 · 2019: 19 · 2018: 19 · 2017: 13 · 2016: 23 · 2015: 29 · 2014: 33 · 2013: 40 · 2012: 44
FWCI: 7.79
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Cancer Causes & Control (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (n01cp085636-006008)
National Cancer Institute (N01-CP-85636)
Topics: Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords: obesity, cancer risk, cancer incidence, standardized incidence ratio, small intestine neoplasms, colon cancer, gallbladder cancer, pancreatic cancer, laryngeal cancer, bladder cancer, cervical cancer, endometrial cancer, ovarian cancer, brain cancer, Hodgkin's disease, non-Hodgkin lymphoma, breast cancer, prostate cancer
MeSH terms: Adolescent, Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasms, Obesity, Patient Discharge, Population Surveillance, Registries, Risk Factors, Sweden, Comorbidity, Incidence, Prevalence, Sex Distribution

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A prospective study of obesity and cancer risk (Sweden)

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