TY  - JOUR
A1  - Christakoudi, Sofia
A1  - Pagoni, Panagiota
A1  - Ferrari, Pietro
A1  - Cross, Amanda J.
A1  - Tzoulaki, Ioanna
A1  - Muller, David C.
A1  - Weiderpass, Elisabete
A1  - Freisling, Heinz
A1  - Murphy, Neil
A1  - Dossus, Laure
A1  - Turzanski Fortner, Renee
A1  - Agudo, Antonio
A1  - Overvad, Kim
A1  - Perez-Cornago, Aurora
A1  - Key, Timothy J.
A1  - Brennan, Paul
A1  - Johansson, Mattias
A1  - Tjonneland, Anne
A1  - Halkjaer, Jytte
A1  - Boutron-Ruault, Marie-Christine
A1  - Artaud, Fanny
A1  - Severi, Gianluca
A1  - Kaaks, Rudolf
A1  - Schulze, Matthias Bernd
A1  - Bergmann, Manuela M.
A1  - Masala, Giovanna
A1  - Grioni, Sara
A1  - Simeon, Vittorio
A1  - Tumino, Rosario
A1  - Sacerdote, Carlotta
A1  - Skeie, Guri
A1  - Rylander, Charlotta
A1  - Borch, Kristin Benjaminsen
A1  - Quiros, J. Ramon
A1  - Rodriguez-Barranco, Miguel
A1  - Chirlaque, Maria-Dolores
A1  - Ardanaz, Eva
A1  - Amiano, Pilar
A1  - Drake, Isabel
A1  - Stocks, Tanja
A1  - Häggström, Christel
A1  - Harlid, Sophia
A1  - Ellingjord-Dale, Merete
A1  - Riboli, Elio
A1  - Tsilidis, Konstantinos K.
T1  - Weight change in middle adulthood and risk of cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort
JF  - International journal of cancer
N2  - Obesity is a risk factor for several major cancers. Associations of weight change in middle adulthood with cancer risk, however, are less clear. We examined the association of change in weight and body mass index (BMI) category during middle adulthood with 42 cancers, using multivariable Cox proportional hazards models in the European Prospective Investigation into Cancer and Nutrition cohort. Of 241 323 participants (31% men), 20% lost and 32% gained weight (>0.4 to 5.0 kg/year) during 6.9 years (average). During 8.0 years of follow-up after the second weight assessment, 20 960 incident cancers were ascertained. Independent of baseline BMI, weight gain (per one kg/year increment) was positively associated with cancer of the corpus uteri (hazard ratio [HR] = 1.14; 95% confidence interval: 1.05-1.23). Compared to stable weight (+/- 0.4 kg/year), weight gain (>0.4 to 5.0 kg/year) was positively associated with cancers of the gallbladder and bile ducts (HR = 1.41; 1.01-1.96), postmenopausal breast (HR = 1.08; 1.00-1.16) and thyroid (HR = 1.40; 1.04-1.90). Compared to maintaining normal weight, maintaining overweight or obese BMI (World Health Organisation categories) was positively associated with most obesity-related cancers. Compared to maintaining the baseline BMI category, weight gain to a higher BMI category was positively associated with cancers of the postmenopausal breast (HR = 1.19; 1.06-1.33), ovary (HR = 1.40; 1.04-1.91), corpus uteri (HR = 1.42; 1.06-1.91), kidney (HR = 1.80; 1.20-2.68) and pancreas in men (HR = 1.81; 1.11-2.95). Losing weight to a lower BMI category, however, was inversely associated with cancers of the corpus uteri (HR = 0.40; 0.23-0.69) and colon (HR = 0.69; 0.52-0.92). Our findings support avoiding weight gain and encouraging weight loss in middle adulthood.
KW  - BMI change
KW  - cancer
KW  - middle adulthood
KW  - weight gain
KW  - weight loss
Y1  - 2020
U6  - https://doi.org/10.1002/ijc.33339
SN  - 0020-7136
SN  - 1097-0215
VL  - 148
IS  - 7
SP  - 1637
EP  - 1651
PB  - Wiley
CY  - Hoboken
ER  - 
TY  - GEN
A1  - Christakoudi, Sofia
A1  - Pagoni, Panagiota
A1  - Ferrari, Pietro
A1  - Cross, Amanda J.
A1  - Tzoulaki, Ioanna
A1  - Muller, David C.
A1  - Weiderpass, Elisabete
A1  - Freisling, Heinz
A1  - Murphy, Neil
A1  - Dossus, Laure
A1  - Turzanski Fortner, Renee
A1  - Agudo, Antonio
A1  - Overvad, Kim
A1  - Perez-Cornago, Aurora
A1  - Key, Timothy J.
A1  - Brennan, Paul
A1  - Johansson, Mattias
A1  - Tjonneland, Anne
A1  - Halkjaer, Jytte
A1  - Boutron-Ruault, Marie-Christine
A1  - Artaud, Fanny
A1  - Severi, Gianluca
A1  - Kaaks, Rudolf
A1  - Schulze, Matthias Bernd
A1  - Bergmann, Manuela M.
A1  - Masala, Giovanna
A1  - Grioni, Sara
A1  - Simeon, Vittorio
A1  - Tumino, Rosario
A1  - Sacerdote, Carlotta
A1  - Skeie, Guri
A1  - Rylander, Charlotta
A1  - Borch, Kristin Benjaminsen
A1  - Quiros, J. Ramon
A1  - Rodriguez-Barranco, Miguel
A1  - Chirlaque, Maria-Dolores
A1  - Ardanaz, Eva
A1  - Amiano, Pilar
A1  - Drake, Isabel
A1  - Stocks, Tanja
A1  - Haggstrom, Christel
A1  - Harlid, Sophia
A1  - Ellingjord-Dale, Merete
A1  - Riboli, Elio
A1  - Tsilidis, Konstantinos K.
T1  - Weight change in middle adulthood and risk of cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort
T2  - Zweitveröffentlichungen der Universität Potsdam : Mathematisch-Naturwissenschaftliche Reihe
N2  - Obesity is a risk factor for several major cancers. Associations of weight change in middle adulthood with cancer risk, however, are less clear. We examined the association of change in weight and body mass index (BMI) category during middle adulthood with 42 cancers, using multivariable Cox proportional hazards models in the European Prospective Investigation into Cancer and Nutrition cohort. Of 241 323 participants (31% men), 20% lost and 32% gained weight (>0.4 to 5.0 kg/year) during 6.9 years (average). During 8.0 years of follow-up after the second weight assessment, 20 960 incident cancers were ascertained. Independent of baseline BMI, weight gain (per one kg/year increment) was positively associated with cancer of the corpus uteri (hazard ratio [HR] = 1.14; 95% confidence interval: 1.05-1.23). Compared to stable weight (+/- 0.4 kg/year), weight gain (>0.4 to 5.0 kg/year) was positively associated with cancers of the gallbladder and bile ducts (HR = 1.41; 1.01-1.96), postmenopausal breast (HR = 1.08; 1.00-1.16) and thyroid (HR = 1.40; 1.04-1.90). Compared to maintaining normal weight, maintaining overweight or obese BMI (World Health Organisation categories) was positively associated with most obesity-related cancers. Compared to maintaining the baseline BMI category, weight gain to a higher BMI category was positively associated with cancers of the postmenopausal breast (HR = 1.19; 1.06-1.33), ovary (HR = 1.40; 1.04-1.91), corpus uteri (HR = 1.42; 1.06-1.91), kidney (HR = 1.80; 1.20-2.68) and pancreas in men (HR = 1.81; 1.11-2.95). Losing weight to a lower BMI category, however, was inversely associated with cancers of the corpus uteri (HR = 0.40; 0.23-0.69) and colon (HR = 0.69; 0.52-0.92). Our findings support avoiding weight gain and encouraging weight loss in middle adulthood.
T3  - Zweitveröffentlichungen der Universität Potsdam : Mathematisch-Naturwissenschaftliche Reihe - 1373 
KW  - BMI change
KW  - cancer
KW  - middle adulthood
KW  - weight gain
KW  - weight loss
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-573609
SN  - 1866-8372
IS  - 7
ER  - 
TY  - JOUR
A1  - Botteri, Edoardo
A1  - Peveri, Giulia
A1  - Berstad, Paula
A1  - Bagnardi, Vincenzo
A1  - Chen, Sairah L. F.
A1  - Sandanger, Torkjel M.
A1  - Hoff, Geir
A1  - Dahm, Christina C.
A1  - Antoniussen, Christian S.
A1  - Tjonneland, Anne
A1  - Eriksen, Anne Kirstine
A1  - Skeie, Guri
A1  - Perez-Cornago, Aurora
A1  - Huerta, Jose Maria
A1  - Jakszyn, Paula
A1  - Harlid, Sophia
A1  - Sundstroem, Bjoern
A1  - Barricarte, Aurelio
A1  - Monninkhof, Evelyn M.
A1  - Derksen, Jeroen W. G.
A1  - Schulze, Matthias Bernd
A1  - Bueno-de-Mesquita, Bas
A1  - Sanchez, Maria-Jose
A1  - Cross, Amanda J.
A1  - Tsilidis, Konstantinos K.
A1  - De Magistris, Maria Santucci
A1  - Kaaks, Rudolf
A1  - Katzke, Verena
A1  - Rothwell, Joseph A.
A1  - Laouali, Nasser
A1  - Severi, Gianluca
A1  - Amiano, Pilar
A1  - Contiero, Paolo
A1  - Sacerdote, Carlotta
A1  - Goldberg, Marcel
A1  - Touvier, Mathilde
A1  - Freisling, Heinz
A1  - Viallon, Vivian
A1  - Weiderpass, Elisabete
A1  - Riboli, Elio
A1  - Gunter, Marc J.
A1  - Jenab, Mazda
A1  - Ferrari, Pietro
T1  - Changes in lifestyle and risk of colorectal cancer in the European prospective investigation into cancer and nutrition
JF  - The American journal of gastroenterology : AJG
N2  - INTRODUCTION:
We investigated the impact of changes in lifestyle habits on colorectal cancer (CRC) risk in a multicountry European cohort.

METHODS:
We used baseline and follow-up questionnaire data from the European Prospective Investigation into Cancer cohort to assess changes in lifestyle habits and their associations with CRC development. We calculated a healthy lifestyle index (HLI) score based on smoking status, alcohol consumption, body mass index, and physical activity collected at the 2 time points. HLI ranged from 0 (most unfavorable) to 16 (most favorable). We estimated the association between HLI changes and CRC risk using Cox regression models and reported hazard ratios (HR) with 95% confidence intervals (CI). 

RESULTS:
Among 295,865 participants, 2,799 CRC cases were observed over a median of 7.8 years. The median time between questionnaires was 5.7 years. Each unit increase in HLI from the baseline to the follow-up assessment was associated with a statistically significant 3% lower CRC risk. Among participants in the top tertile at baseline (HLI > 11), those in the bottom tertile at follow-up (HLI <= 9) had a higher CRC risk (HR 1.34; 95% CI 1.02-1.75) than those remaining in the top tertile. Among individuals in the bottom tertile at baseline, those in the top tertile at follow-up had a lower risk (HR 0.77; 95% CI 0.59-1.00) than those remaining in the bottom tertile.

DISCUSSION:
Improving adherence to a healthy lifestyle was inversely associated with CRC risk, while worsening adherence was positively associated with CRC risk. These results justify and support recommendations for healthy lifestyle changes and healthy lifestyle maintenance for CRC prevention.
Y1  - 2022
U6  - https://doi.org/10.14309/ajg.0000000000002065
SN  - 0002-9270
SN  - 1572-0241
VL  - 118
IS  - 4
SP  - 702
EP  - 711
PB  - Lippincott Williams & Wilkins
CY  - Philadelphia
ER  -