RSS-Feed abonnieren
DOI: 10.1055/s-0029-1241870
© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York
Obesity and Cancer
Part 1 of the Diabetes and Cancer Mini-Review SeriesPublikationsverlauf
received 28.09.2009
first decision 28.09.2009
accepted 29.09.2009
Publikationsdatum:
18. November 2009 (online)

Abstract
Epidemiological studies have suggested that obesity is associated with increased risk of several cancer types including colon, esophagus, breast (in postmenopausal women), endometrium, kidney, liver, gallbladder and pancreas. Suggested mechanisms include increased intake of potentially carcinogenic food ingredients along with excessive amount of calories, loss of cancer protective effects due to reduced physical activity, carcinogenic factors released from increased adipose tissue mass and “secondary” associations via “precursor” condition such as gallstones. The increased cancer risk in patients with obesity is a neglected topic which deserves more scientific attention. Because of its extreme chronicity and co-association with numerous other conditions true causality and underlying mechanisms are difficult to study. Nevertheless, a large body of literature is already available which provides concepts for future research.
Key words
cancer - estrogens - obesity - adipocytokines - leptin - insulin
References
- 1
Ogdan C.
Advanced Data from Vital Health Statistics CDC.
2004;
MissingFormLabel
- 2
Olshansky SJ, Passaro DJ, Hershow RC. et al .
A potential decline in life expectancy in the United States in the 21st century.
N Engl J Med.
2005;
352
1138-1145
MissingFormLabel
- 3
Vainio H, Bianchini F.
Weight control and physical activity. International Agency for Cancer handbook of
cancer prevention, Lyon: IARC.
2002;
6
MissingFormLabel
- 4
Renehan AG, Tyson M, Egger M. et al .
Body-mass index and incidence of cancer: a systematic review and meta-analysis of
prospective observational studies.
Lancet.
2008;
371
569-578
MissingFormLabel
- 5
Mokdad AH, Marks JS, Stroup DF. et al .
Actual causes of death in the United States, 2000.
JAMA.
2004;
291
1238-1245
MissingFormLabel
- 6
Calle EE, Kaaks R.
Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms.
Nat Rev Cancer.
2004;
4
579-591
MissingFormLabel
- 7
Hursting SD, Lashinger LM, Wheatley KW. et al .
Reducing the weight of cancer: mechanistic targets for breaking the obesity-carcinogenesis
link.
Best Pract Res Clin Endocrinol Metab.
2008;
22
659-669
MissingFormLabel
- 8
Jayachandran J, Banez LL, Aronson WJ. et al .
Obesity as a predictor of adverse outcome across black and white race: results from
the Shared Equal Access Regional Cancer Hospital (SEARCH) Database.
Cancer.
2009;
MissingFormLabel
- 9
Bianchini F, Kaaks R, Vainio H.
Overweight, obesity, and cancer risk.
Lancet Oncol.
2002;
3
565-574
MissingFormLabel
- 10
Calle EE, Rodriguez C, Walker-Thurmond K. et al .
Overweight, obesity, and mortality from cancer in a prospectively studied cohort of
US adults.
N Engl J Med.
2003;
348
1625-1638
MissingFormLabel
- 11
Galanis DJ, Kolonel LN, Lee J. et al .
Anthropometric predictors of breast cancer incidence and survival in a multi-ethnic
cohort of female residents of Hawaii, United States.
Cancer Causes Control.
1998;
9
217-224
MissingFormLabel
- 12
Trentham-Dietz A, Newcomb PA, Egan KM. et al .
Weight change and risk of postmenopausal breast cancer (United States).
Cancer Causes Control.
2000;
11
533-542
MissingFormLabel
- 13
Kaaks R, Lukanova A, Kurzer MS.
Obesity, endogenous hormones, and endometrial cancer risk: a synthetic review.
Cancer Epidemiol Biomarkers Prev.
2002;
11
1531-1543
MissingFormLabel
- 14
Hu J, Mao Y, White K.
Overweight and obesity in adults and risk of renal cell carcinoma in Canada.
Soz Praventivmed.
2003;
48
178-185
MissingFormLabel
- 15
Bergstrom A, Pisani P, Tenet V. et al .
Overweight as an avoidable cause of cancer in Europe.
Int J Cancer.
2001;
91
421-430
MissingFormLabel
- 16
Wild CP, Hardie LJ.
Reflux, Barrett's oesophagus and adenocarcinoma: burning questions.
Nat Rev Cancer.
2003;
3
676-684
MissingFormLabel
- 17
Lagergren J.
Increased incidence of adenocarcinoma of the esophagus and cardia. Reflux and obesity
are strong and independent risk factors according to the SECC study.
Lakartidningen.
2000;
97
1950-1953
MissingFormLabel
- 18
Nilsson M, Johnsen R, Ye W. et al .
Obesity and estrogen as risk factors for gastroesophageal reflux symptoms.
JAMA.
2003;
290
66-72
MissingFormLabel
- 19
Gapstur SM, Gann PH, Lowe W. et al .
Abnormal glucose metabolism and pancreatic cancer mortality.
JAMA.
2000;
283
2552-2558
MissingFormLabel
- 20
Silverman DT, Swanson CA, Gridley G. et al .
Dietary and nutritional factors and pancreatic cancer: a case-control study based
on direct interviews.
J Natl Cancer Inst.
1998;
90
1710-1719
MissingFormLabel
- 21
Wolk A, Gridley G, Svensson M. et al .
A prospective study of obesity and cancer risk (Sweden).
Cancer Causes Control.
2001;
12
13-21
MissingFormLabel
- 22
Strom BL, Soloway RD, Rios-Dalenz JL. et al .
Risk factors for gallbladder cancer. An international collaborative case-control study.
Cancer.
1995;
76
1747-1756
MissingFormLabel
- 23
Pan SY, DesMeules M.
Energy intake, physical activity, energy balance, and cancer: epidemiologic evidence.
Methods Mol Biol.
2009;
472
191-215
MissingFormLabel
- 24
Key TJ, Allen NE, Spencer EA. et al .
The effect of diet on risk of cancer.
Lancet.
2002;
360
861-868
MissingFormLabel
- 25 Thompson HJ. Ovesity as a cancer risk factor: potential mechanisms. Nutrition and Cancer Previntion, Taylor & Francis, Boca Raton, FL pp 2006: 565-57
MissingFormLabel
- 26
Yakar S, Leroith D, Brodt P.
The role of the growth hormone/insulin-like growth factor axis in tumor growth and
progression: Lessons from animal models.
Cytokine Growth Factor Rev.
2005;
16
407-420
MissingFormLabel
- 27
Shaw RJ, Cantley LC.
Ras, PI(3)K and mTOR signalling controls tumour cell growth.
Nature.
2006;
441
424-430
MissingFormLabel
- 28
Lukanova A, Zeleniuch-Jacquotte A, Lundin E. et al .
Prediagnostic levels of C-peptide, IGF-I, IGFBP-1, -2 and -3 and risk of endometrial
cancer.
Int J Cancer.
2004;
108
262-268
MissingFormLabel
- 29
Abe R, Yamagishi S.
AGE-RAGE system and carcinogenesis.
Curr Pharm Des.
2008;
14
940-945
MissingFormLabel
- 30
Trayhurn P, Wood IS.
Adipokines: inflammation and the pleiotropic role of white adipose tissue.
Br J Nutr.
2004;
92
347-355
MissingFormLabel
- 31
Feagins LA, Souza RF, Spechler SJ.
Carcinogenesis in IBD: potential targets for the prevention of colorectal cancer.
Nat Rev Gastroenterol Hepatol.
2009;
6
297-305
MissingFormLabel
- 32
Stattin P, Lukanova A, Biessy C. et al .
Obesity and colon cancer: does leptin provide a link?.
Int J Cancer.
2004;
109
149-152
MissingFormLabel
- 33
Fenton JI, Hord NG, Lavigne JA. et al .
Leptin, insulin-like growth factor-1, and insulin-like growth factor-2 are mitogens
in ApcMin/+ but not Apc+/+ colonic epithelial cell lines.
Cancer Epidemiol Biomarkers Prev.
2005;
14
1646-1652
MissingFormLabel
- 34
Rajala MW, Scherer PE.
Minireview: The adipocyte--at the crossroads of energy homeostasis, inflammation,
and atherosclerosis.
Endocrinology.
2003;
144
3765-3773
MissingFormLabel
- 35
Gonzalez RR, Cherfils S, Escobar M. et al .
Leptin signaling promotes the growth of mammary tumors and increases the expression
of vascular endothelial growth factor (VEGF) and its receptor type two (VEGF-R2).
J Biol Chem.
2006;
281
26320-26328
MissingFormLabel
Correspondence
M. StumvollMD
Department of Medicine University of Leipzig
Liebigstraße 18
04109 Leipzig
Germany
Telefon: +49/341/971 33 80
Fax: +49/341/971 33 89
eMail: michael.stumvoll@medizin.uni-leipzig.de