Overgewicht
gerelateerd aan verschillende soorten kanker.*
Er bestaat en directe relatie
tussen overgewicht en bepaalde type’s kanker te weten; darm-, borst-,
baarmoeder-, nier-, slokdarm-, pancreas-, galblaas-, en maagkanker.
Wel is er verschil tussen
mannen en vrouwen en blijken vrouwen gevoeliger voor overgewicht en het ontstaan
van kanker. Het blijkt dat 20% van alle doden door allerlei soorten kanker te
wijten zijn aan overgewicht.
OBESITY LINKED TO NINE
TYPES OF CANCER
Excess Weight May Contribute to 20% of Cancer Deaths
Among the myriad health
risks raised by obesity, heart disease and diabetes are usually the first to
come to mind. But as a paper published in last month's Nature Reviews
makes clear, fat also increases the risk of developing cancers of the colon,
breast, uterus, kidney, esophagus, pancreas, gallbladder and stomach. Among its
conclusions, the review of more than 200 epidemiological sources suggests
overeating may be the biggest avoidable cause of cancer in nonsmokers.
The extent to which
weight makes a difference varies by the type of cancer and also by gender. Being
overweight can mean up to two times the risk of developing colon cancer for men,
while women's risk is increased 20% to 50%. But the largest obesity-related
cancer only affects women: A heavy woman has twice the risk -- and an obese
woman up to five times the risk -- of developing uterine cancer than a lean
woman.
Just how fat cells spur
cancer growth is something scientists are only now beginning to figure out.
"Fat cells are not just static storage depots," observes American
Cancer Society epidemiologist Eugenia Calle, co-author of the review.
Complicating the picture is the fact that different kinds of fat cells spur
tumor growth in different ways. The suspected mechanisms range from
adipose-induced inflammation to overproduction of certain hormones to insulin
regulation.
The good news is that
unlike factors beyond our control -- genetic predispositions to certain cancers,
for example -- obesity is largely preventable. A low-fat, complex-carbohydrate
diet rich in fruits and vegetables has proven to be the most reliable and safest
way to maintain a healthy weight over time. What's more, the antioxidants
contained in fruits and vegetables are key to neutralizing cancer-causing free
radicals, while fiber and other nutrients also play anti-carcinogenic supporting
roles.
International
Journal of Obesity (2005) 29, 1267−1274. doi: 10.1038/sj.ijo.0803020; Obesity and
overweight in relation to organ-specific cancer mortality in London (UK):
findings from the original Whitehall study
G
D Batty1,2, M J Shipley3, R J Jarrett4,
E Breeze3, M G Marmot3 and G Davey Smith5
1MRC
Social and Public Health Sciences Unit, University of Glasgow, 4 Lilybank
Gardens, Glasgow, UK
2Department
of Psychology, University of Edinburgh, UK
3Department
of Epidemiology and Public Health, University College London, London, UK
4Bishopsthorpe
Road, London, UK
5Department
of Social Medicine, University of Bristol, Bristol, UK
Correspondence:
Dr GD Batty, MRC Social and Public Health Sciences Unit, University of Glasgow,
4 Lilybank Gardens, Glasgow G12 8RZE, UK. E-mail: david-b@msoc.mrc.gla.ac.uk
Abstract
OBJECTIVE:
To
examine the relation of obesity and overweight with organ-specific cancer
mortality.
METHODS:
In
the Whitehall prospective cohort study of London-based government employees, 18 403
middle-age men participated in a medical examination between 1967 and 1970.
Subjects were followed up for cause-specific mortality for up to 35 y (median:
interquartile range (25th−75th centile); 28.1 y: 18.6−33.8).
RESULTS:
There
were over 3000 cancer deaths in this cohort. There was a raised risk of
mortality from carcinoma of the rectum, bladder, colon, and liver, and for
lymphoma in obese or overweight men following adjustment for range of covariates,
which included socioeconomic position and physical activity. These relationships
held after exclusion of deaths occurring in the first 20 y of follow-up.
CONCLUSION:
Avoidance of obesity and overweight in adult life may reduce the risk of developing some cancers.( Okt. 2005)