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Cancer prevention through weight control—where are we in 2020?

Anderson, Annie S.; Renehan, Andrew G.; Saxton, John M.; Bell, Joshua; Cade, Janet; Cross, Amanda J.; King, Angela; Riboli, Elio; Sniehotta, Falko; Treweek, Shaun; Martin, Richard M.

Authors

Annie S. Anderson

Andrew G. Renehan

Profile image of John Saxton

Professor John Saxton John.Saxton@hull.ac.uk
Professor in Clinical Exercise Physiology and Head of the School of Sport, Exercise & Rehabilitation Sciences

Joshua Bell

Janet Cade

Amanda J. Cross

Angela King

Elio Riboli

Falko Sniehotta

Shaun Treweek

Richard M. Martin



Abstract

Growing data from epidemiological studies highlight the association between excess body fat and cancer incidence, but good indicative evidence demonstrates that intentional weight loss, as well as increasing physical activity, offers much promise as a cost-effective approach for reducing the cancer burden. However, clear gaps remain in our understanding of how changes in body fat or levels of physical activity are mechanistically linked to cancer, and the magnitude of their impact on cancer risk. It is important to investigate the causal link between programmes that successfully achieve short-term modest weight loss followed by weight-loss maintenance and cancer incidence. The longer-term impact of weight loss and duration of overweight and obesity on risk reduction also need to be fully considered in trial design. These gaps in knowledge need to be urgently addressed to expedite the development and implementation of future cancer-control strategies. Comprehensive approaches to trial design, Mendelian randomisation studies and data-linkage opportunities offer real possibilities to tackle current research gaps. In this paper, we set out the case for why non-pharmacological weight-management trials are urgently needed to support cancer-risk reduction and help control the growing global burden of cancer.

Citation

Anderson, A. S., Renehan, A. G., Saxton, J. M., Bell, J., Cade, J., Cross, A. J., King, A., Riboli, E., Sniehotta, F., Treweek, S., & Martin, R. M. (2021). Cancer prevention through weight control—where are we in 2020?. The British Journal of Cancer, 124(6), 1049-1056. https://doi.org/10.1038/s41416-020-01154-3

Journal Article Type Review
Acceptance Date Oct 22, 2020
Online Publication Date Nov 25, 2020
Publication Date Mar 16, 2021
Deposit Date Aug 30, 2023
Publicly Available Date Sep 8, 2023
Journal British Journal of Cancer
Print ISSN 0007-0920
Electronic ISSN 1532-1827
Publisher Nature Publishing Group
Peer Reviewed Peer Reviewed
Volume 124
Issue 6
Pages 1049-1056
DOI https://doi.org/10.1038/s41416-020-01154-3
Keywords Cancer prevention; Lifestyle modification; Public health
Public URL https://hull-repository.worktribe.com/output/4372120

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http://creativecommons.org/licenses/by/4.0

Copyright Statement
© Cancer Research UK 2020.
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.




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