Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies

Andrew G. Renehan, Margaret Tyson, Matthias Egger, Richard F. Heller, Marcel Zwahlen

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: Excess bodyweight, expressed as increased body-mass index (BMI), is associated with the risk of some common adult cancers. We did a systematic review and meta-analysis to assess the strength of associations between BMI and different sites of cancer and to investigate differences in these associations between sex and ethnic groups. Methods: We did electronic searches on Medline and Embase (1966 to November 2007), and searched reports to identify prospective studies of incident cases of 20 cancer types. We did random-effects meta-analyses and meta-regressions of study-specific incremental estimates to determine the risk of cancer associated with a 5 kg/m2 increase in BMI. Findings: We analysed 221 datasets (141 articles), including 282 137 incident cases. In men, a 5 kg/m2 increase in BMI was strongly associated with oesophageal adenocarcinoma (RR 1·52, p
    Original languageEnglish
    Pages (from-to)569-578
    Number of pages9
    JournalThe Lancet
    Volume371
    Issue number9612
    DOIs
    Publication statusPublished - 2008

    Keywords

    • Body Mass Index
    • Ethnic Groups
    • Female
    • Humans
    • Male
    • etiology: Neoplasms
    • complications: Overweight
    • Regression Analysis
    • Risk
    • Sex Factors

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