Body size and obesity during adulthood, and risk of lympho-haematopoietic cancers: an update of the WCRF-AICR systematic review of published prospective studies.
File(s)
Author(s)
Type
Journal Article
Abstract
BACKGROUND: To summarise the evidence on the associations between body mass index (BMI) and BMI in early adulthood, height, waist circumference (WC) and waist-to-hip ratio (WHR), and risk of lympho-haematopoietic cancers. METHOD: We conducted a meta-analysis of prospective studies and identified relevant studies published up to December 2017 by searching PubMed. A random-effects model was used to calculate dose-response summary relative risks (RRs). RESULTS: Our findings showed BMI, and BMI in early adulthood (aged 18-21years) is associated with the risk of Hodgkin's and non-Hodgkin's lymphoma (HL and NHL), diffuse large beta-cell lymphoma (DLBCL), Leukaemia including acute and chronic myeloid lymphoma (AML and CML), and chronic lymphocytic leukaemia (CLL) and multiple myeloma (MM). The summary RR per 5kg/m2 increase in BMI were 1.12 [95% confidence interval (CI): 1.05-1.20] for HL, 1.05 (95% CI: 1.03-1.08) for NHL, 1.11 (95% CI: 1.05-1.16) for DLBCL, 1.06 (95% CI: 1.03-1.09) for ML, 1.09 (95% CI: 1.03-1.15) for leukaemia, 1.13 (95% CI: 1.04-1.24) for AML, 1.13 (95% CI: 1.05-1.22) for CML and 1.04 (95% CI: 1.00-1.09) for CLL, and were1.12 (95% CI: 1.05-1.19) for NHL, 1.22 (95% CI: 1.09-1.37) for DLBCL, and 1.19 (95% CI: 1.03-1.38) for FL for BMI in early adulthood analysis. Results on mortality showed a 15%, 16% and 17% increased risk of NHL, MM and leukaemia, respectively. Greater height increased the risk of NHL by 7%, DLBCL by 10%, FL by 9%, MM by 5% and Leukaemia by 7%. WHR was associated with increased risk of DLBCL by 12%. No association was found between higher WC and risk of MM. CONCLUSION: Our results revealed that general adiposity in adulthood and early adulthood, and greater height may increase the risk of almost all types of lympho-haematopoietic cancers and this adds to a growing body of evidence linking body fatness to several types of cancers.
Date Issued
2019-04
Date Acceptance
2019-01-23
Citation
Ann Oncol, 2019, 30 (4), pp.528-541
ISSN
0923-7534
Publisher
Oxford University Press (OUP)
Start Page
528
End Page
541
Journal / Book Title
Ann Oncol
Volume
30
Issue
4
Copyright Statement
© 2019 European Society for Medical Oncology. This is a pre-copy-editing, author-produced version of an article accepted for publication in Annals of Oncology following peer review. The definitive publisher-authenticated version L Abar, J G Sobiecki, M Cariolou, N Nanu, A R Vieira, C Stevens, D Aune, D C Greenwood, D S M Chan, T Norat, Body size and obesity during adulthood, and risk of lympho-haematopoietic cancers: an update of the WCRF-AICR systematic review of published prospective studies, Annals of Oncology, Volume 30, Issue 4, April 2019, Pages 528–541, is available online at: https://doi.org/10.1093/annonc/mdz045
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31987269
PII: S0923-7534(19)31126-3
Subjects
met analysis BMI leukaemia
met analysis BMI lymphoma
met analysis BMI myeloma
met analysis abdominal obesity lympho-haematopoietic cancer
met analysis general obesity lymphoma
met analysis height lympho-haematopoietic cancer
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2019-02-07