Pre-diagnostic anthropometry and survival after colorectal cancer diagnosis in Western European populations

Item Type:	Article
Title:	Pre-diagnostic anthropometry and survival after colorectal cancer diagnosis in Western European populations
Creators Name:	Fedirko, V. and Romieu, I. and Aleksandrova, K. and Pischon, T. and Trichopoulos, D. and Peeters, P.H. and Romaguera-Bosch, D. and Bueno-de-Mesquita, H.B. and Dahm, C.C. and Overvad, K. and Chirlaque, M.D. and Johansen, C. and Bidstrup, P.E. and Dalton, S.O. and Gunter, M.J. and Wark, P.A. and Norat, T. and Halkjaer, J. and Tjønneland, A. and Dik, V.K. and Siersema, P.D. and Boutron-Ruault, M.C. and Dossus, L. and Bastide, N. and Kühn, T. and Kaaks, R. and Boeing, H. and Trichopoulou, A. and Klinaki, E. and Katsoulis, M. and Pala, V. and Panico, S. and Tumino, R. and Palli, D. and Vineis, P. and Weiderpass, E. and Skeie, G. and González, C.A. and Sánchez, M.J. and Barricarte, A. and Amiano, P. and Quiros, J.R. and Manjer, J. and Jirström, K. and Ljuslinder, I. and Palmqvist, R. and Khaw, K.T. and Wareham, N. and Bradbury, K.E. and Stepien, M. and Duarte-Salles, T. and Riboli, E. and Jenab, M.
Abstract:	General and abdominal adiposity are associated with a high risk of developing colorectal cancer (CRC), but the role of these exposures on cancer survival has been less studied. The association between pre-diagnostic anthropometric characteristics and CRC-specific and all-cause death was examined among 3,924 men and women diagnosed with CRC between 1992-2009 in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Multivariable Cox proportional hazards models were used to calculate hazard ratios (HRs) and corresponding 95% confidence intervals (CIs). Over a mean follow-up period of 49 months, 1,309 deaths occurred of which 1,043 (79.7%) were due to CRC. In multivariable analysis, pre-diagnostic BMI≥30 kg/m(2) was associated with a high risk for CRC-specific (HR=1.26, 95% CI=1.04 to 1.52) and all-cause (HR=1.32, 95% CI=1.12 to 1.56) death relative to BMI<25 kg/m(2) . Every 5 kg/m(2) increase in BMI was associated with a high risk for CRC-specific (HR=1.10, 95% CI=1.02 to 1.19) and all-cause death (HR=1.12, 95% CI=1.05 to 1.20); and every 10 cm increase in waist circumference was associated with a high risk for CRC-specific (HR=1.09, 95% CI=1.02 to 1.16) and all-cause death (HR=1.11, 95% CI=1.05 to 1.18). Similar associations were observed for waist-to-hip and waist-to-height ratios. Height was not associated with CRC-specific or all-cause death. Associations tended to be stronger among men than in women. Possible interactions by age at diagnosis, cancer stage, tumor location, and hormone replacement therapy use among postmenopausal women were noted. Pre-diagnostic general and abdominal adiposity are associated with lower survival after CRC diagnosis.
Keywords:	Obesity, Abdominal Obesity, Body Composition, Colorectal Neoplasms, Survival
Source:	International Journal of Cancer
ISSN:	0020-7136
Publisher:	Wiley-Blackwell
Volume:	135
Number:	8
Page Range:	1949-1960
Date:	15 October 2014
Official Publication:	https://doi.org/10.1002/ijc.28841
PubMed:	View item in PubMed

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