Cited by 778Cancer Risks and FactorsObesity, Physical Activity, DietObesity and Health Practices

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Obesity and Cancer

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Wolin, Kathleen Y., Carson, Kenneth, Colditz, Graham A.·2010·The Oncologist

DOI 10.1634/theoncologist.2009-0285PMC PMC3227989

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Abstract

Weight, weight gain, and obesity account for approximately 20% of all cancer cases. Evidence on the relation of each to cancer is summarized, including esophageal, thyroid, colon, renal, liver, melanoma, multiple myeloma, rectum, gallbladder, leukemia, lymphoma, and prostate in men; and postmenopausal breast and endometrium in women. Different mechanisms drive etiologic pathways for these cancers. Weight loss, particularly among postmenopausal women, reduces risk for breast cancer. Among cancer patients, data are less robust, but we note a long history of poor outcomes after breast cancer among obese women. While evidence on obesity and outcomes for other cancers is mixed, growing evidence points to benefits of physical activity for breast and colon cancers. Dosing of chemotherapy and radiation therapy among obese patients is discussed and the impact on therapy-related toxicity is noted. Guidelines for counseling patients for weight loss and increased physical activity are presented and supported by strong evidence that increased physical activity leads to improved quality of life among cancer survivors. The “Five A's” model guides clinicians through a counseling session: assess, advise, agree, assist, arrange. The burden of obesity on society continues to increase and warrants closer attention by clinicians for both cancer prevention and improved outcomes after diagnosis.

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Authors: Wolin, K. Y., Carson, K., & Colditz, G. A.
Affiliations: Barnes-Jewish Hospital (US)
Corresponding author: Wolin, Kathleen Y.
ORCID: Wolin, Kathleen Y.
Carson, Kenneth
Colditz, Graham A.
Venue: The Oncologist
Publisher: Oxford University Press (OUP)
Published: 2010-05-27
Volume: 15
Issue: 6
Pages: 556-565
ISSN: 1083-7159 (ISSN-L)
1549-490X
DOI: 10.1634/theoncologist.2009-0285
PMC: PMC3227989
OpenAlex: W2155052327
Cited by: 778
References: 75
Citations by year: 2026: 10 · 2025: 38 · 2024: 53 · 2023: 60 · 2022: 61 · 2021: 52 · 2020: 63 · 2019: 41 · 2018: 42 · 2017: 54 · 2016: 44 · 2015: 64 · 2014: 64 · 2013: 50 · 2012: 50
FWCI: 4.60
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations: The Oncologist (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: American Cancer Society Clinical Research Professorship
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 › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Keywords: obesity, cancer risk, weight gain, weight loss, breast cancer, postmenopausal women, colon cancer, physical activity, chemotherapy dosing, radiotherapy toxicity, cancer survivorship, cancer prevention, quality of life
MeSH terms: Female, Humans, Male, Neoplasms, Obesity, Risk Factors, Weight Gain

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