Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review
Identifieur interne : 000021 ( Main/Exploration ); précédent : 000020; suivant : 000022Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review
Auteurs : Sarah E. Jackson ; Malgorzata Heinrich ; Rebecca J. Beeken ; Jane WardleSource :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
Excess adiposity is a risk factor for poorer cancer survival, but there is uncertainty over whether losing weight reduces the risk. We conducted a critical review of the literature examining weight loss and mortality in overweight or obese cancer survivors.
We systematically searched PubMed and EMBASE for articles reporting associations between weight loss and mortality (cancer-specific or all-cause) in overweight/obese patients with obesity-related cancers. Where available, data from the same studies on non-overweight patients were compared.
Five articles describing observational studies in breast cancer survivors were included. Four studies reported a positive association between weight loss and mortality in overweight/obese survivors, and the remaining study observed no significant association. Results were similar for non-overweight survivors. Quality assessment indicated high risk of bias across studies.
There is currently a lack of observational evidence that weight loss improves survival for overweight and obese cancer survivors. However, the potential for bias in these studies is considerable and the results likely reflect the consequences of disease-related rather than intentional weight loss. There is a need for stronger study designs, incorporating measures of intentionality of weight loss, and extended to other cancers.
Url:
DOI: 10.1371/journal.pone.0169173
PubMed: 28060948
PubMed Central: 5218508
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review</title><author><name sortKey="Jackson, Sarah E" sort="Jackson, Sarah E" uniqKey="Jackson S" first="Sarah E." last="Jackson">Sarah E. Jackson</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Heinrich, Malgorzata" sort="Heinrich, Malgorzata" uniqKey="Heinrich M" first="Malgorzata" last="Heinrich">Malgorzata Heinrich</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Beeken, Rebecca J" sort="Beeken, Rebecca J" uniqKey="Beeken R" first="Rebecca J." last="Beeken">Rebecca J. Beeken</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Wardle, Jane" sort="Wardle, Jane" uniqKey="Wardle J" first="Jane" last="Wardle">Jane Wardle</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28060948</idno><idno type="pmc">5218508</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218508</idno><idno type="RBID">PMC:5218508</idno><idno type="doi">10.1371/journal.pone.0169173</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">004412</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004412</idno><idno type="wicri:Area/Pmc/Curation">004411</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004411</idno><idno type="wicri:Area/Pmc/Checkpoint">000004</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000004</idno><idno type="wicri:Area/Ncbi/Merge">008B90</idno><idno type="wicri:Area/Ncbi/Curation">008B90</idno><idno type="wicri:Area/Ncbi/Checkpoint">008B90</idno><idno type="wicri:Area/Main/Merge">000021</idno><idno type="wicri:Area/Main/Curation">000021</idno><idno type="wicri:Area/Main/Exploration">000021</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review</title><author><name sortKey="Jackson, Sarah E" sort="Jackson, Sarah E" uniqKey="Jackson S" first="Sarah E." last="Jackson">Sarah E. Jackson</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Heinrich, Malgorzata" sort="Heinrich, Malgorzata" uniqKey="Heinrich M" first="Malgorzata" last="Heinrich">Malgorzata Heinrich</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Beeken, Rebecca J" sort="Beeken, Rebecca J" uniqKey="Beeken R" first="Rebecca J." last="Beeken">Rebecca J. Beeken</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Wardle, Jane" sort="Wardle, Jane" uniqKey="Wardle J" first="Jane" last="Wardle">Jane Wardle</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Excess adiposity is a risk factor for poorer cancer survival, but there is uncertainty over whether losing weight reduces the risk. We conducted a critical review of the literature examining weight loss and mortality in overweight or obese cancer survivors.</p></sec><sec id="sec002"><title>Methods</title><p>We systematically searched PubMed and EMBASE for articles reporting associations between weight loss and mortality (cancer-specific or all-cause) in overweight/obese patients with obesity-related cancers. Where available, data from the same studies on non-overweight patients were compared.</p></sec><sec id="sec003"><title>Results</title><p>Five articles describing observational studies in breast cancer survivors were included. Four studies reported a positive association between weight loss and mortality in overweight/obese survivors, and the remaining study observed no significant association. Results were similar for non-overweight survivors. Quality assessment indicated high risk of bias across studies.</p></sec><sec id="sec004"><title>Conclusions</title><p>There is currently a lack of observational evidence that weight loss improves survival for overweight and obese cancer survivors. However, the potential for bias in these studies is considerable and the results likely reflect the consequences of disease-related rather than intentional weight loss. There is a need for stronger study designs, incorporating measures of intentionality of weight loss, and extended to other cancers.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Finucane, Mm" uniqKey="Finucane M">MM Finucane</name></author><author><name sortKey="Stevens, Ga" uniqKey="Stevens G">GA Stevens</name></author><author><name sortKey="Cowan, Mj" uniqKey="Cowan M">MJ Cowan</name></author><author><name sortKey="Danaei, G" uniqKey="Danaei G">G Danaei</name></author><author><name sortKey="Lin, Jk" uniqKey="Lin J">JK Lin</name></author><author><name sortKey="Paciorek, Cj" uniqKey="Paciorek C">CJ Paciorek</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Renehan, Ag" uniqKey="Renehan A">AG Renehan</name></author><author><name sortKey="Tyson, M" uniqKey="Tyson M">M Tyson</name></author><author><name sortKey="Egger, M" uniqKey="Egger M">M 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Djuric</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Befort, Ca" uniqKey="Befort C">CA Befort</name></author><author><name sortKey="Klemp, J" uniqKey="Klemp J">J Klemp</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Demicheli, R" uniqKey="Demicheli R">R Demicheli</name></author><author><name sortKey="Bonadonna, G" uniqKey="Bonadonna G">G Bonadonna</name></author><author><name sortKey="Hrushesky, Wj" uniqKey="Hrushesky W">WJ Hrushesky</name></author><author><name sortKey="Retsky, Mw" uniqKey="Retsky M">MW Retsky</name></author><author><name sortKey="Valagussa, P" uniqKey="Valagussa P">P Valagussa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Flegal, Km" uniqKey="Flegal K">KM Flegal</name></author><author><name sortKey="Kit, Bk" uniqKey="Kit B">BK Kit</name></author><author><name sortKey="Orpana, H" uniqKey="Orpana H">H Orpana</name></author><author><name sortKey="Graubard, Bi" uniqKey="Graubard B">BI Graubard</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Beeken, Rebecca J" sort="Beeken, Rebecca J" uniqKey="Beeken R" first="Rebecca J." last="Beeken">Rebecca J. Beeken</name><name sortKey="Heinrich, Malgorzata" sort="Heinrich, Malgorzata" uniqKey="Heinrich M" first="Malgorzata" last="Heinrich">Malgorzata Heinrich</name><name sortKey="Jackson, Sarah E" sort="Jackson, Sarah E" uniqKey="Jackson S" first="Sarah E." last="Jackson">Sarah E. Jackson</name><name sortKey="Wardle, Jane" sort="Wardle, Jane" uniqKey="Wardle J" first="Jane" last="Wardle">Jane Wardle</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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