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Epidemiologic Relationship Between Obesity and Ovarian Cancer

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Focus on Gynecologic Malignancies

Part of the book series: Energy Balance and Cancer ((EBAC,volume 13))

Abstract

Ovarian cancer is the seventh most common cancer in women worldwide. Several systematic reviews and meta-analyses have shown a positive association between obesity and ovarian cancer, and the American Institute for Cancer Research and World Cancer Research Fund recently concluded that body fatness (marked by body mass index) is a probable risk factor for ovarian cancer. The positive relation of body fatness to ovarian cancer appears to be more evident among non-users of hormone therapy. Furthermore, compared to normal weight, obesity is associated with poorer ovarian cancer survival. Possible biological mechanisms linking obesity with ovarian cancer risk and progression include insulin resistance and hyperinsulinaemia, increased levels of circulating growth factors, chronic inflammation, and altered levels of sex hormones. Thus, obesity, as a modifiable risk factor, should be targeted for preventing ovarian cancer and for improving ovarian cancer survival.

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References

  1. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359–86.

    Article  CAS  PubMed  Google Scholar 

  2. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet (London, England). 2015;386(9995):743–800.

    Google Scholar 

  3. De Angelis R, Sant M, Coleman MP, Francisci S, Baili P, Pierannunzio D, et al. Cancer survival in Europe 1999-2007 by country and age: results of EUROCARE--5-a population-based study. Lancet Oncol. 2014;15(1):23–34.

    Article  PubMed  Google Scholar 

  4. Prat J. Ovarian carcinomas: five distinct diseases with different origins, genetic alterations, and clinicopathological features. Virchows Arch. 2012;460(3):237–49.

    Article  PubMed  Google Scholar 

  5. Beral V, Doll R, Hermon C, Peto R, Reeves G. Ovarian cancer and oral contraceptives: collaborative reanalysis of data from 45 epidemiological studies including 23,257 women with ovarian cancer and 87,303 controls. Lancet (London, England). 2008;371(9609):303–14.

    Google Scholar 

  6. Tworoger SS, Fairfield KM, Colditz GA, Rosner BA, Hankinson SE. Association of oral contraceptive use, other contraceptive methods, and infertility with ovarian cancer risk. Am J Epidemiol. 2007;166(8):894–901.

    Article  PubMed  Google Scholar 

  7. Jordan SJ, Cushing-Haugen KL, Wicklund KG, Doherty JA, Rossing MA. Breast-feeding and risk of epithelial ovarian cancer. Cancer Causes Control. 2012;23(6):919–27.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Rodriguez C, Patel AV, Calle EE, Jacob EJ, Thun MJ. Estrogen replacement therapy and ovarian cancer mortality in a large prospective study of US women. JAMA. 2001;285(11):1460–5.

    Article  CAS  PubMed  Google Scholar 

  9. Beral V, Gaitskell K, Hermon C, Moser K, Reeves G, Peto R. Menopausal hormone use and ovarian cancer risk: individual participant meta-analysis of 52 epidemiological studies. Lancet (London, England). 2015;385(9980):1835–42.

    Google Scholar 

  10. Chittenden BG, Fullerton G, Maheshwari A, Bhattacharya S. Polycystic ovary syndrome and the risk of gynaecological cancer: a systematic review. Reprod Biomed Online. 2009;19(3):398–405.

    Article  CAS  PubMed  Google Scholar 

  11. Barry JA, Azizia MM, Hardiman PJ. Risk of endometrial, ovarian and breast cancer in women with polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod Update. 2014;20(5):748–58.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Pearce CL, Templeman C, Rossing MA, Lee A, Near AM, Webb PM, et al. Association between endometriosis and risk of histological subtypes of ovarian cancer: a pooled analysis of case-control studies. Lancet Oncol. 2012;13(4):385–94.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Collaborative Group on Epidemiological Studies of Ovarian C. Ovarian cancer and body size: individual participant meta-analysis including 25,157 women with ovarian cancer from 47 Epidemiological Studies. PLoS Med. 2012;9(4):e1001200.

    Google Scholar 

  14. World Cancer Research Fund and American Institute for Cancer Research. Continuous update project: ovarian cancer 2014 report: food, nutrition, physical activity, and the prevention of ovarian cancer. 2014.

    Google Scholar 

  15. Pennington KP, Swisher EM. Hereditary ovarian cancer: beyond the usual suspects. Gynecol Oncol. 2012;124(2):347–53.

    Article  CAS  PubMed  Google Scholar 

  16. Chen S, Parmigiani G. Meta-analysis of BRCA1 and BRCA2 penetrance. J Clin Oncol. 2007;25(11):1329–33.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Koornstra JJ, Mourits MJ, Sijmons RH, Leliveld AM, Hollema H, Kleibeuker JH. Management of extracolonic tumours in patients with Lynch syndrome. Lancet Oncol. 2009;10(4):400–8.

    Article  CAS  PubMed  Google Scholar 

  18. World Cancer Research Fund & American Institute for Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Washington DC: AICR; 2007.

    Google Scholar 

  19. Liu Z, Zhang TT, Zhao JJ, Qi SF, Du P, Liu DW, et al. The association between overweight, obesity and ovarian cancer: a meta-analysis. Jpn J Clin Oncol. 2015;45(12):1107–15.

    PubMed  Google Scholar 

  20. Leitzmann MF, Koebnick C, Danforth KN, Brinton LA, Moore SC, Hollenbeck AR, et al. Body mass index and risk of ovarian cancer. Cancer. 2009;115(4):812–22.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Dixon SC, Nagle CM, Thrift AP, Pharoah PD, Pearce CL, Zheng W, et al. Adult body mass index and risk of ovarian cancer by subtype: a Mendelian randomization study. Int J Epidemiol. 2016;45(3):884–95.

    Article  PubMed  Google Scholar 

  22. Keum N, Greenwood DC, Lee DH, Kim R, Aune D, Ju W, et al. Adult weight gain and adiposity-related cancers: a dose-response meta-analysis of prospective observational studies. J Natl Cancer Inst. 2015;107(2)

    Google Scholar 

  23. Bae HS, Kim HJ, Hong JH, Lee JK, Lee NW, Song JY. Obesity and epithelial ovarian cancer survival: a systematic review and meta-analysis. J Ovarian Res. 2014;7:41.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Protani MM, Nagle CM, Webb PM. Obesity and ovarian cancer survival: a systematic review and meta-analysis. Cancer Prev Res (Phila). 2012;5(7):901–10.

    Article  Google Scholar 

  25. Nagle CM, Dixon SC, Jensen A, Kjaer SK, Modugno F, de Fazio A, et al. Obesity and survival among women with ovarian cancer: results from the Ovarian Cancer Association Consortium. Br J Cancer. 2015;113(5):817–26.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Smits A, Lopes A, Das N, Kumar A, Cliby W, Smits E, et al. Surgical morbidity and clinical outcomes in ovarian cancer - the role of obesity. BJOG. 2016;123(2):300–8.

    Article  CAS  PubMed  Google Scholar 

  27. Bhaskaran K, Douglas I, Forbes H, dos-Santos-Silva I, Leon DA, Smeeth L. Body-mass index and risk of 22 specific cancers: a population-based cohort study of 5.24 million UK adults. Lancet (London, England). 2014;384(9945):755–65.

    Article  Google Scholar 

  28. Allott EH, Hursting SD. Obesity and cancer: mechanistic insights from transdisciplinary studies. Endocr Relat Cancer. 2015;22(6):R365–86.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. International Agency for Research on Cancer. GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012 2012. http://globocan.iarc.fr/Pages/Map.aspx. Accessed13 Sept 2016.

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Correspondence to Michael Leitzmann .

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Jochem, C., Schlecht, I., Leitzmann, M. (2018). Epidemiologic Relationship Between Obesity and Ovarian Cancer. In: Berger, N., Klopp, A., Lu, K. (eds) Focus on Gynecologic Malignancies. Energy Balance and Cancer, vol 13. Springer, Cham. https://doi.org/10.1007/978-3-319-63483-8_2

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  • DOI: https://doi.org/10.1007/978-3-319-63483-8_2

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