An ecological study of obesity-related cancer incidence trends in Australia from 1983 to 2017

Feletto, E (通讯作者),Univ Sydney, Daffodil Ctr, Joint Venture Canc Council NSW, 153 Dowling St, Woolloomooloo, NSW 2011, Australia.
2022-12
Background Overweight and obesity is a growing public health issue as it contributes to the future burden of obesity-related diseases, including cancer, especially in high-income countries. In Australia, 4.3% of all cancers diagnosed in 2013 were attributable to overweight and obesity. Our aim was to examine Australian age-specific incidence trends over the last 35 years for obesity-related cancers based on expert review (colorectal, liver, gallbladder, pancreas, breast in postmenopausal women, uterine, ovary, kidney, thyroid, and multiple myeloma) individually and pooled. Methods Australian incidence data for 10 obesity-related cancers among people aged 25-84 years, diagnosed from 1983 to 2017, were obtained from the Australian Cancer Database. We used age-period-cohort modelling and join-point analysis to assess trends, estimating incidence rate ratios (IRR) by birth-cohort for each individual cancer and pooled, and the annual percentage change. The analyses were also conducted for non-obesity-related cancers over the same period. Findings The total number of cancers where some proportion is obesity-related, diagnosed from 1983-2017, was 1,005,933. This grouping was 34.7% of cancers diagnosed. The IRR of obesity-related cancers increased from 0.77 (95% CI 0.73, 0.81) for the 1903 birth-cohort to 2.95 (95% CI 2.58, 3.38) for the recent 1988 cohort relative to the 1943 cohort. The IRRs of non-obesity related cancers were stable with non-significant decreases in younger cohorts. These trends were broadly similar across sex and age groups. Interpretation The incidence of obesity-related cancers in Australia has increased by birth-cohort across all age-groups, which should be monitored. Obesity, a public health epidemic, needs to be addressed through increased awareness, policy support and evidence-based interventions. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.
LANCET REGIONAL HEALTH-WESTERN PACIFIC
卷号:29
收录类别:SCIE
语种
英语
来源机构
University of Sydney; Cancer Council New South Wales; University of Sydney
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
7
2013以来使用计数
7
EISSN
2666-6065
出版年
2022-12
DOI
10.1016/j.lanwpc.2022.100575
学科领域
循证公共卫生
关键词
Cancer Obesity Overweight Age-period-cohort Incidence
WOS学科分类
Health Care Sciences & Services Public, Environmental & Occupational Health