Comparison of anthropometric measures as predictors of cancer incidence: A pooled collaborative analysis of 11 Australian cohorts.
Identifieur interne : 002862 ( PubMed/Corpus ); précédent : 002861; suivant : 002863Comparison of anthropometric measures as predictors of cancer incidence: A pooled collaborative analysis of 11 Australian cohorts.
Auteurs : Jessica L. Harding ; Jonathan E. Shaw ; Kaarin J. Anstey ; Robert Adams ; Beverley Balkau ; Sharon L. Brennan-Olsen ; Tom Briffa ; Timothy M E. Davis ; Wendy A. Davis ; Annette Dobson ; Leon Flicker ; Graham Giles ; Janet Grant ; Rachel Huxley ; Matthew Knuiman ; Mary Luszcz ; Robert J. Macinnis ; Paul Mitchell ; Julie A. Pasco ; Christopher Reid ; David Simmons ; Leon Simons ; Andrew Tonkin ; Mark Woodward ; Anna Peeters ; Dianna J. MaglianoSource :
- International journal of cancer [ 1097-0215 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Australia, New Zealand.
- epidemiology : Neoplasms, Obesity.
- Adiposity, Aged, Anthropometry, Body Mass Index, Female, Humans, Male, Middle Aged.
Abstract
Obesity is a risk factor for cancer. However, it is not known if general adiposity, as measured by body mass index (BMI) or central adiposity [e.g., waist circumference (WC)] have stronger associations with cancer, or which anthropometric measure best predicts cancer risk. We included 79,458 men and women from the Australian and New Zealand Diabetes and Cancer Collaboration with complete data on anthropometry [BMI, WC, Hip Circumference (HC), WHR, waist to height ratio (WtHR), A Body Shape Index (ABSI)], linked to the Australian Cancer Database. Cox proportional hazards models assessed the association between each anthropometric marker, per standard deviation and the risk of overall, colorectal, post-menopausal (PM) breast, prostate and obesity-related cancers. We assessed the discriminative ability of models using Harrell's c-statistic. All anthropometric markers were associated with overall, colorectal and obesity-related cancers. BMI, WC and HC were associated with PM breast cancer and no significant associations were seen for prostate cancer. Strongest associations were observed for WC across all outcomes, excluding PM breast cancer for which HC was strongest. WC had greater discrimination compared to BMI for overall and colorectal cancer in men and women with c-statistics ranging from 0.70 to 0.71. We show all anthropometric measures are associated with the overall, colorectal, PM breast and obesity-related cancer in men and women, but not prostate cancer. WC discriminated marginally better than BMI. However, all anthropometric measures were similarly moderately predictive of cancer risk. We do not recommend one anthropometric marker over another for assessing an individuals' risk of cancer.
DOI: 10.1002/ijc.29529
PubMed: 25810218
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Comparison of anthropometric measures as predictors of cancer incidence: A pooled collaborative analysis of 11 Australian cohorts.</title><author><name sortKey="Harding, Jessica L" sort="Harding, Jessica L" uniqKey="Harding J" first="Jessica L" last="Harding">Jessica L. Harding</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E" last="Shaw">Jonathan E. Shaw</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Anstey, Kaarin J" sort="Anstey, Kaarin J" uniqKey="Anstey K" first="Kaarin J" last="Anstey">Kaarin J. Anstey</name><affiliation><nlm:affiliation>Research School of Population Health, The Australian National University, Canberra, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Adams, Robert" sort="Adams, Robert" uniqKey="Adams R" first="Robert" last="Adams">Robert Adams</name><affiliation><nlm:affiliation>The Health Observatory Discipline of Medicine, The University of Adelaide, Adelaide, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name><affiliation><nlm:affiliation>Centre for Research in Epidemiology and Population Health, INSERM, U018, France.</nlm:affiliation></affiliation></author><author><name sortKey="Brennan Olsen, Sharon L" sort="Brennan Olsen, Sharon L" uniqKey="Brennan Olsen S" first="Sharon L" last="Brennan-Olsen">Sharon L. Brennan-Olsen</name><affiliation><nlm:affiliation>IMPACT Strategic Research Centre School of Medicine, Deakin University, Geelong, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Briffa, Tom" sort="Briffa, Tom" uniqKey="Briffa T" first="Tom" last="Briffa">Tom Briffa</name><affiliation><nlm:affiliation>School of Population Health, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Davis, Timothy M E" sort="Davis, Timothy M E" uniqKey="Davis T" first="Timothy M E" last="Davis">Timothy M E. Davis</name><affiliation><nlm:affiliation>School of Medicine and Pharmacology, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Davis, Wendy A" sort="Davis, Wendy A" uniqKey="Davis W" first="Wendy A" last="Davis">Wendy A. Davis</name><affiliation><nlm:affiliation>School of Medicine and Pharmacology, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Dobson, Annette" sort="Dobson, Annette" uniqKey="Dobson A" first="Annette" last="Dobson">Annette Dobson</name><affiliation><nlm:affiliation>School of Population Health, The University of Queensland, Brisbane, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Flicker, Leon" sort="Flicker, Leon" uniqKey="Flicker L" first="Leon" last="Flicker">Leon Flicker</name><affiliation><nlm:affiliation>Centre for Medical Research, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Giles, Graham" sort="Giles, Graham" uniqKey="Giles G" first="Graham" last="Giles">Graham Giles</name><affiliation><nlm:affiliation>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Grant, Janet" sort="Grant, Janet" uniqKey="Grant J" first="Janet" last="Grant">Janet Grant</name><affiliation><nlm:affiliation>Population Research & Outcome Studies, The University of Adelaide, Adelaide, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Huxley, Rachel" sort="Huxley, Rachel" uniqKey="Huxley R" first="Rachel" last="Huxley">Rachel Huxley</name><affiliation><nlm:affiliation>School of Population Health, The University of Queensland, Brisbane, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Knuiman, Matthew" sort="Knuiman, Matthew" uniqKey="Knuiman M" first="Matthew" last="Knuiman">Matthew Knuiman</name><affiliation><nlm:affiliation>School of Population Health, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Luszcz, Mary" sort="Luszcz, Mary" uniqKey="Luszcz M" first="Mary" last="Luszcz">Mary Luszcz</name><affiliation><nlm:affiliation>Flinders Centre for Ageing Studies, Flinders University, Adelaide, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Macinnis, Robert J" sort="Macinnis, Robert J" uniqKey="Macinnis R" first="Robert J" last="Macinnis">Robert J. Macinnis</name><affiliation><nlm:affiliation>School of Population and Global Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Mitchell, Paul" sort="Mitchell, Paul" uniqKey="Mitchell P" first="Paul" last="Mitchell">Paul Mitchell</name><affiliation><nlm:affiliation>Westmead Millennium Institute, The University of Sydney, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Pasco, Julie A" sort="Pasco, Julie A" uniqKey="Pasco J" first="Julie A" last="Pasco">Julie A. Pasco</name><affiliation><nlm:affiliation>IMPACT Strategic Research Centre School of Medicine, Deakin University, Geelong, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Reid, Christopher" sort="Reid, Christopher" uniqKey="Reid C" first="Christopher" last="Reid">Christopher Reid</name><affiliation><nlm:affiliation>School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Simmons, David" sort="Simmons, David" uniqKey="Simmons D" first="David" last="Simmons">David Simmons</name><affiliation><nlm:affiliation>Institute of Metabolic Science, Cambridge University Hospitals NHS Foundation Trust, Cambridge, England.</nlm:affiliation></affiliation></author><author><name sortKey="Simons, Leon" sort="Simons, Leon" uniqKey="Simons L" first="Leon" last="Simons">Leon Simons</name><affiliation><nlm:affiliation>UNSW Australia Lipid Research Dept, St Vincent's Hospital, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Tonkin, Andrew" sort="Tonkin, Andrew" uniqKey="Tonkin A" first="Andrew" last="Tonkin">Andrew Tonkin</name><affiliation><nlm:affiliation>School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Woodward, Mark" sort="Woodward, Mark" uniqKey="Woodward M" first="Mark" last="Woodward">Mark Woodward</name><affiliation><nlm:affiliation>The George Institute for Global Health, The University of Sydney, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Peeters, Anna" sort="Peeters, Anna" uniqKey="Peeters A" first="Anna" last="Peeters">Anna Peeters</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Magliano, Dianna J" sort="Magliano, Dianna J" uniqKey="Magliano D" first="Dianna J" last="Magliano">Dianna J. Magliano</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25810218</idno><idno type="pmid">25810218</idno><idno type="doi">10.1002/ijc.29529</idno><idno type="wicri:Area/PubMed/Corpus">002862</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002862</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Comparison of anthropometric measures as predictors of cancer incidence: A pooled collaborative analysis of 11 Australian cohorts.</title><author><name sortKey="Harding, Jessica L" sort="Harding, Jessica L" uniqKey="Harding J" first="Jessica L" last="Harding">Jessica L. Harding</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E" last="Shaw">Jonathan E. Shaw</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Anstey, Kaarin J" sort="Anstey, Kaarin J" uniqKey="Anstey K" first="Kaarin J" last="Anstey">Kaarin J. Anstey</name><affiliation><nlm:affiliation>Research School of Population Health, The Australian National University, Canberra, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Adams, Robert" sort="Adams, Robert" uniqKey="Adams R" first="Robert" last="Adams">Robert Adams</name><affiliation><nlm:affiliation>The Health Observatory Discipline of Medicine, The University of Adelaide, Adelaide, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name><affiliation><nlm:affiliation>Centre for Research in Epidemiology and Population Health, INSERM, U018, France.</nlm:affiliation></affiliation></author><author><name sortKey="Brennan Olsen, Sharon L" sort="Brennan Olsen, Sharon L" uniqKey="Brennan Olsen S" first="Sharon L" last="Brennan-Olsen">Sharon L. Brennan-Olsen</name><affiliation><nlm:affiliation>IMPACT Strategic Research Centre School of Medicine, Deakin University, Geelong, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Briffa, Tom" sort="Briffa, Tom" uniqKey="Briffa T" first="Tom" last="Briffa">Tom Briffa</name><affiliation><nlm:affiliation>School of Population Health, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Davis, Timothy M E" sort="Davis, Timothy M E" uniqKey="Davis T" first="Timothy M E" last="Davis">Timothy M E. Davis</name><affiliation><nlm:affiliation>School of Medicine and Pharmacology, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Davis, Wendy A" sort="Davis, Wendy A" uniqKey="Davis W" first="Wendy A" last="Davis">Wendy A. Davis</name><affiliation><nlm:affiliation>School of Medicine and Pharmacology, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Dobson, Annette" sort="Dobson, Annette" uniqKey="Dobson A" first="Annette" last="Dobson">Annette Dobson</name><affiliation><nlm:affiliation>School of Population Health, The University of Queensland, Brisbane, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Flicker, Leon" sort="Flicker, Leon" uniqKey="Flicker L" first="Leon" last="Flicker">Leon Flicker</name><affiliation><nlm:affiliation>Centre for Medical Research, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Giles, Graham" sort="Giles, Graham" uniqKey="Giles G" first="Graham" last="Giles">Graham Giles</name><affiliation><nlm:affiliation>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Grant, Janet" sort="Grant, Janet" uniqKey="Grant J" first="Janet" last="Grant">Janet Grant</name><affiliation><nlm:affiliation>Population Research & Outcome Studies, The University of Adelaide, Adelaide, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Huxley, Rachel" sort="Huxley, Rachel" uniqKey="Huxley R" first="Rachel" last="Huxley">Rachel Huxley</name><affiliation><nlm:affiliation>School of Population Health, The University of Queensland, Brisbane, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Knuiman, Matthew" sort="Knuiman, Matthew" uniqKey="Knuiman M" first="Matthew" last="Knuiman">Matthew Knuiman</name><affiliation><nlm:affiliation>School of Population Health, The University of Western Australia, Crawley, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Luszcz, Mary" sort="Luszcz, Mary" uniqKey="Luszcz M" first="Mary" last="Luszcz">Mary Luszcz</name><affiliation><nlm:affiliation>Flinders Centre for Ageing Studies, Flinders University, Adelaide, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Macinnis, Robert J" sort="Macinnis, Robert J" uniqKey="Macinnis R" first="Robert J" last="Macinnis">Robert J. Macinnis</name><affiliation><nlm:affiliation>School of Population and Global Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Mitchell, Paul" sort="Mitchell, Paul" uniqKey="Mitchell P" first="Paul" last="Mitchell">Paul Mitchell</name><affiliation><nlm:affiliation>Westmead Millennium Institute, The University of Sydney, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Pasco, Julie A" sort="Pasco, Julie A" uniqKey="Pasco J" first="Julie A" last="Pasco">Julie A. Pasco</name><affiliation><nlm:affiliation>IMPACT Strategic Research Centre School of Medicine, Deakin University, Geelong, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Reid, Christopher" sort="Reid, Christopher" uniqKey="Reid C" first="Christopher" last="Reid">Christopher Reid</name><affiliation><nlm:affiliation>School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Simmons, David" sort="Simmons, David" uniqKey="Simmons D" first="David" last="Simmons">David Simmons</name><affiliation><nlm:affiliation>Institute of Metabolic Science, Cambridge University Hospitals NHS Foundation Trust, Cambridge, England.</nlm:affiliation></affiliation></author><author><name sortKey="Simons, Leon" sort="Simons, Leon" uniqKey="Simons L" first="Leon" last="Simons">Leon Simons</name><affiliation><nlm:affiliation>UNSW Australia Lipid Research Dept, St Vincent's Hospital, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Tonkin, Andrew" sort="Tonkin, Andrew" uniqKey="Tonkin A" first="Andrew" last="Tonkin">Andrew Tonkin</name><affiliation><nlm:affiliation>School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Woodward, Mark" sort="Woodward, Mark" uniqKey="Woodward M" first="Mark" last="Woodward">Mark Woodward</name><affiliation><nlm:affiliation>The George Institute for Global Health, The University of Sydney, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Peeters, Anna" sort="Peeters, Anna" uniqKey="Peeters A" first="Anna" last="Peeters">Anna Peeters</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Magliano, Dianna J" sort="Magliano, Dianna J" uniqKey="Magliano D" first="Dianna J" last="Magliano">Dianna J. Magliano</name><affiliation><nlm:affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</nlm:affiliation></affiliation></author></analytic><series><title level="j">International journal of cancer</title><idno type="eISSN">1097-0215</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adiposity</term><term>Aged</term><term>Anthropometry</term><term>Australia (epidemiology)</term><term>Body Mass Index</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neoplasms (epidemiology)</term><term>New Zealand (epidemiology)</term><term>Obesity (epidemiology)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Australia</term><term>New Zealand</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Neoplasms</term><term>Obesity</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adiposity</term><term>Aged</term><term>Anthropometry</term><term>Body Mass Index</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Obesity is a risk factor for cancer. However, it is not known if general adiposity, as measured by body mass index (BMI) or central adiposity [e.g., waist circumference (WC)] have stronger associations with cancer, or which anthropometric measure best predicts cancer risk. We included 79,458 men and women from the Australian and New Zealand Diabetes and Cancer Collaboration with complete data on anthropometry [BMI, WC, Hip Circumference (HC), WHR, waist to height ratio (WtHR), A Body Shape Index (ABSI)], linked to the Australian Cancer Database. Cox proportional hazards models assessed the association between each anthropometric marker, per standard deviation and the risk of overall, colorectal, post-menopausal (PM) breast, prostate and obesity-related cancers. We assessed the discriminative ability of models using Harrell's c-statistic. All anthropometric markers were associated with overall, colorectal and obesity-related cancers. BMI, WC and HC were associated with PM breast cancer and no significant associations were seen for prostate cancer. Strongest associations were observed for WC across all outcomes, excluding PM breast cancer for which HC was strongest. WC had greater discrimination compared to BMI for overall and colorectal cancer in men and women with c-statistics ranging from 0.70 to 0.71. We show all anthropometric measures are associated with the overall, colorectal, PM breast and obesity-related cancer in men and women, but not prostate cancer. WC discriminated marginally better than BMI. However, all anthropometric measures were similarly moderately predictive of cancer risk. We do not recommend one anthropometric marker over another for assessing an individuals' risk of cancer.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25810218</PMID><DateCreated><Year>2015</Year><Month>07</Month><Day>16</Day></DateCreated><DateCompleted><Year>2015</Year><Month>10</Month><Day>06</Day></DateCompleted><DateRevised><Year>2016</Year><Month>03</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-0215</ISSN><JournalIssue CitedMedium="Internet"><Volume>137</Volume><Issue>7</Issue><PubDate><Year>2015</Year><Month>Oct</Month><Day>01</Day></PubDate></JournalIssue><Title>International journal of cancer</Title><ISOAbbreviation>Int. J. Cancer</ISOAbbreviation></Journal><ArticleTitle>Comparison of anthropometric measures as predictors of cancer incidence: A pooled collaborative analysis of 11 Australian cohorts.</ArticleTitle><Pagination><MedlinePgn>1699-708</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/ijc.29529</ELocationID><Abstract><AbstractText>Obesity is a risk factor for cancer. However, it is not known if general adiposity, as measured by body mass index (BMI) or central adiposity [e.g., waist circumference (WC)] have stronger associations with cancer, or which anthropometric measure best predicts cancer risk. We included 79,458 men and women from the Australian and New Zealand Diabetes and Cancer Collaboration with complete data on anthropometry [BMI, WC, Hip Circumference (HC), WHR, waist to height ratio (WtHR), A Body Shape Index (ABSI)], linked to the Australian Cancer Database. Cox proportional hazards models assessed the association between each anthropometric marker, per standard deviation and the risk of overall, colorectal, post-menopausal (PM) breast, prostate and obesity-related cancers. We assessed the discriminative ability of models using Harrell's c-statistic. All anthropometric markers were associated with overall, colorectal and obesity-related cancers. BMI, WC and HC were associated with PM breast cancer and no significant associations were seen for prostate cancer. Strongest associations were observed for WC across all outcomes, excluding PM breast cancer for which HC was strongest. WC had greater discrimination compared to BMI for overall and colorectal cancer in men and women with c-statistics ranging from 0.70 to 0.71. We show all anthropometric measures are associated with the overall, colorectal, PM breast and obesity-related cancer in men and women, but not prostate cancer. WC discriminated marginally better than BMI. However, all anthropometric measures were similarly moderately predictive of cancer risk. We do not recommend one anthropometric marker over another for assessing an individuals' risk of cancer.</AbstractText><CopyrightInformation>© 2015 UICC.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Harding</LastName><ForeName>Jessica L</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shaw</LastName><ForeName>Jonathan E</ForeName><Initials>JE</Initials><AffiliationInfo><Affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anstey</LastName><ForeName>Kaarin J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Research School of Population Health, The Australian National University, Canberra, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adams</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>The Health Observatory Discipline of Medicine, The University of Adelaide, Adelaide, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Balkau</LastName><ForeName>Beverley</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Centre for Research in Epidemiology and Population Health, INSERM, U018, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brennan-Olsen</LastName><ForeName>Sharon L</ForeName><Initials>SL</Initials><AffiliationInfo><Affiliation>IMPACT Strategic Research Centre School of Medicine, Deakin University, Geelong, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Medicine, NorthWest Academic Centre, The University of Melbourne, St Albans, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Briffa</LastName><ForeName>Tom</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>School of Population Health, The University of Western Australia, Crawley, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davis</LastName><ForeName>Timothy M E</ForeName><Initials>TM</Initials><AffiliationInfo><Affiliation>School of Medicine and Pharmacology, The University of Western Australia, Crawley, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davis</LastName><ForeName>Wendy A</ForeName><Initials>WA</Initials><AffiliationInfo><Affiliation>School of Medicine and Pharmacology, The University of Western Australia, Crawley, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dobson</LastName><ForeName>Annette</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>School of Population Health, The University of Queensland, Brisbane, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flicker</LastName><ForeName>Leon</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Centre for Medical Research, The University of Western Australia, Crawley, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giles</LastName><ForeName>Graham</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Cancer Epidemiology Centre, Cancer Council Victoria, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grant</LastName><ForeName>Janet</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Population Research & Outcome Studies, The University of Adelaide, Adelaide, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huxley</LastName><ForeName>Rachel</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>School of Population Health, The University of Queensland, Brisbane, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Knuiman</LastName><ForeName>Matthew</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>School of Population Health, The University of Western Australia, Crawley, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Luszcz</LastName><ForeName>Mary</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Flinders Centre for Ageing Studies, Flinders University, Adelaide, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>MacInnis</LastName><ForeName>Robert J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>School of Population and Global Health, The University of Melbourne, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mitchell</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Westmead Millennium Institute, The University of Sydney, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pasco</LastName><ForeName>Julie A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>IMPACT Strategic Research Centre School of Medicine, Deakin University, Geelong, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Medicine, NorthWest Academic Centre, The University of Melbourne, St Albans, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reid</LastName><ForeName>Christopher</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simmons</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Institute of Metabolic Science, Cambridge University Hospitals NHS Foundation Trust, Cambridge, England.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Rural Health, The University of Melbourne, Shepparton, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simons</LastName><ForeName>Leon</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>UNSW Australia Lipid Research Dept, St Vincent's Hospital, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tonkin</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Woodward</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>The George Institute for Global Health, The University of Sydney, Sydney, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>The George Institute for Global Health, Nuffield Department of Population Health, University of Oxford, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peeters</LastName><ForeName>Anna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Magliano</LastName><ForeName>Dianna J</ForeName><Initials>DJ</Initials><AffiliationInfo><Affiliation>Department of Clinical Diabetes and Epidemiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>04</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int J Cancer</MedlineTA><NlmUniqueID>0042124</NlmUniqueID><ISSNLinking>0020-7136</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D050154" MajorTopicYN="N">Adiposity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000886" MajorTopicYN="N">Anthropometry</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N" Type="Geographic">Australia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009520" MajorTopicYN="N" Type="Geographic">New Zealand</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>02</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>03</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>3</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>3</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>10</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25810218</ArticleId><ArticleId IdType="doi">10.1002/ijc.29529</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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