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@ARTICLE{Mandic:294918,
author = {M. Mandic$^*$ and F. Safizadeh$^*$ and M. Hoffmeister$^*$
and H. Brenner$^*$},
title = {{O}vercoming underestimation of the share of colorectal
cancer cases attributable to excess weight: a
population-based study.},
journal = {Obesity},
volume = {33},
number = {1},
issn = {1071-7323},
address = {Hoboken, NJ},
publisher = {Wiley},
reportid = {DKFZ-2024-02625},
pages = {156-163},
year = {2025},
note = {#EA:C070#LA:C070# / 2025 Jan;33(1):156-163},
abstract = {Previous research may have underestimated the relationship
between overweight/obesity and colorectal cancer (CRC) risk
by overlooking important potential sources of bias.We used
data from a large, population-based case-control study
encompassing 7098 CRC cases and 5757 age- and sex-matched
controls with comprehensive information on risk factors,
including self-reported body weight. Multivariate logistic
regression was used to assess the associations of BMI with
CRC risk before and after considering prediagnostic weight
loss, history of lower gastrointestinal endoscopy, and
potentially increased CRC risk beneath the overweight
threshold (BMI 25 kg/m2). Subsequently, population
attributable fractions were calculated.In the standard
analysis evaluating the BMI-CRC association, in which none
of the three aforementioned factors was considered, the
fraction of CRC cases attributable to overweight and obesity
was estimated to be $11.5\%.$ This finding is consistent
with estimates from previous studies, which mostly did not
consider any of the three factors. However, when all three
factors were considered in the analysis, a higher BMI was
estimated to account for $23.4\%$ of all CRC cases.Careful
consideration of important sources of bias suggests that a
substantially larger share of the CRC burden may be
attributable to excess weight than previously thought.},
cin = {C070 / HD01},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)HD01-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:39658513},
doi = {10.1002/oby.24164},
url = {https://inrepo02.dkfz.de/record/294918},
}