Annals of Internal Medicine

Obesity linked to higher cancer risk in young Korean adults

Ten-year cancer incidence was 1.84% at normal weight, 2.24% with class I obesity and 2.62% with class II obesity.

Study in peoplePopulations

Edited by Boris Djordjevic · AgingResearch.News

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An observational cohort study followed 6,313,338 Korean adults aged 20 to 39 without prior cancer who participated in national health screening. Researchers grouped participants by body mass index, a measure of weight relative to height, using Asian-specific cutoffs. During an average follow-up of 11.2 years, 151,893 cancer cases occurred.

Ten-year cancer incidence was 1.84% in the normal-weight group, 2.24% in class I obesity and 2.62% in class II obesity, the higher obesity category. Obesity was associated with higher early-onset cancer risk that persisted into midlife, with patterns varying by cancer type. It was not associated with higher risk of breast cancer diagnosed by age 50.

Why it matters

The study bears on whether weight management early in adulthood may matter for cancer prevention into midlife. The authors suggested early weight management may be important for prevention.

Caveats

This observational study cannot establish cause and effect, and unmeasured factors, including smoking burden, may have influenced the associations. The sample was limited to screening participants and was not representative of the wider population.