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Intentional weight loss and risk of lymphohematopoietic cancers
Journal article   Peer reviewed

Intentional weight loss and risk of lymphohematopoietic cancers

Anneclaire J. De Roos, Cornelia M. Ulrich, Roberta M. Ray, Yasmin Mossavar-Rahmani, Carol A. Rosenberg, Bette J. Caan, Cynthia A. Thomson, Anne McTiernan and Andrea Z. LaCroix
Cancer causes & control, v 21(2)
01 Feb 2010
PMID: 19851877

Abstract

Life Sciences & Biomedicine Oncology Public, Environmental & Occupational Health Science & Technology
We hypothesized that intentional weight loss may be associated with development of lymphohematopoietic cancers, based on observations of immune suppression following weight loss in short-term studies. At the baseline of the Women's Health Initiative Observational Study (1994-1998), participants reported information about intentional weight loss episodes in the past 20 years. We estimated hazard ratios (HRs) and 95% confidence intervals (CIs) among 81,219 women for associations between past intentional weight loss and risk of developing non-Hodgkin lymphoma (NHL), leukemia, and multiple myeloma during an average 9.9 years of follow-up. The risk of NHL was associated with having lost a large maximum amount of weight (a parts per thousand yen50 pounds, HR = 1.68, 95% CI 1.13-2.50). NHL risk also varied by the frequency of intentional weight loss; women had increased risk if they lost 50 pounds or more a parts per thousand yen3 times (HR = 1.97, 95% CI 0.93-4.16; p trend by frequency = 0.09) or 20-49 pounds a parts per thousand yen3 times (HR = 1.55, 95% CI 1.00-2.40; p trend = 0.05), but there was no risk associated with smaller amounts of weight loss (10-19 pounds a parts per thousand yen3 times, HR = 0.78, 95% CI 0.46-1.33). These associations persisted with adjustment for body mass index at different ages. We observed non-significant associations of similar magnitude for multiple myeloma, but past intentional weight loss episodes were not associated with leukemia. Further assessment of intentional weight loss as a possible risk factor for lymphomas may provide insight into the etiology of these cancers.

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Collaboration types
Domestic collaboration
Web of Science research areas
Oncology
Public, Environmental & Occupational Health
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