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@ARTICLE{Chalitsios:298576,
author = {C. V. Chalitsios and G. Markozannes and C. Papagiannopoulos
and E. K. Aglago and S. I. Berndt and D. D. Buchanan and P.
T. Campbell and Y. Cao and A. T. Chan and N. Dimou and D. A.
Drew and A. J. French and P. Georgeson and M. Giannakis and
S. B. Gruber and M. J. Gunter and T. A. Harrison and M.
Hoffmeister$^*$ and L. Hsu and W.-Y. Huang and M. A. Hullar
and J. R. Huyghe and B. M. Lynch and V. Moreno and C. C.
Newton and J. A. Nowak and M. Obón-Santacana and S. Ogino
and C. Qu and S. L. Schmit and R. S. Steinfelder and W. Sun
and C. E. Thomas and A. E. Toland and Q. M. Trinh and T.
Ugai and C. Y. Um and B. Van Guelpen and S. H. Zaidi and N.
Murphy and U. Peters and A. I. Phipps and K. K. Tsilidis},
title = {{W}aist circumference, a body shape index, and molecular
subtypes of colorectal cancer: {A} pooled analysis of four
cohort studies.},
journal = {Cancer epidemiology, biomarkers $\&$ prevention},
volume = {34},
number = {4},
issn = {1055-9965},
address = {Philadelphia, Pa.},
publisher = {AACR},
reportid = {DKFZ-2025-00293},
pages = {568-577},
year = {2025},
note = {2025 Apr 3;34(4):568-577},
abstract = {Background Waist circumference (WC) and its allometric
counterpart, 'a body shape index' (ABSI), are risk factors
for colorectal cancer (CRC); however, it is uncertain
whether associations with these body measurements are
limited to specific molecular subtypes of the disease.
Methods Data from 2,772 CRC cases and 3,521 controls were
pooled from four cohort studies within the Genetics and
Epidemiology of Colorectal Cancer Consortium. Four molecular
markers (BRAF mutation, KRAS mutation, CpG island methylator
phenotype, and microsatellite instability) were analysed
individually and in combination (Jass-types). Multivariable
logistic and multinomial logistic models were used to assess
the associations of WC and ABSI with overall CRC risk and in
case-only analyses evaluating heterogeneity by molecular
subtype, respectively. Results Higher WC (ORper 5cm=1.06,
$95\%CI:1.04-1.09)$ and ABSI (ORper 1-SD=1.07,
$95\%CI:1.00-1.14)$ were associated with elevated CRC risk.
There was no evidence of heterogeneity between the molecular
subtypes. No difference was observed regarding the influence
of WC and ABSI on the four major molecular markers in
proximal colon, distal colon, and rectal cancer, as well as
in early and later onset CRC. Associations did not differ in
the Jass-type analysis. Conclusions Higher WC and ABSI were
associated with elevated CRC risk; however, they do not
differentially influence all four major molecular mutations
involved in colorectal carcinogenesis but underscore the
importance of maintaining a healthy body weight in CRC
prevention. Impact The proposed results have potential
utility in colorectal cancer prevention.},
cin = {C070},
ddc = {610},
cid = {I:(DE-He78)C070-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:39898780},
doi = {10.1158/1055-9965.EPI-24-1534},
url = {https://inrepo02.dkfz.de/record/298576},
}