Abstract
Being overweight is a risk factor for colorectal cancer; patients' adequate perception of their risk may lead to better involvement in management. The purpose of this study was to measure perception of risk for colorectal cancer in overweight and obese patients. A consecutive sample of overweight adult patients (n = 195) attending to nutritional counseling was submitted to clinical questionnaire addressing personal and family data, awareness about colorectal cancer risk factors, health status, and estimates of their own risk. Only 32% identified obesity among CCR risk factors. For 57% of participants, their own current BMI status did not confer any increased risk for CRC. Also, for half (46%) of the patients, their BMI status will not lead to an increased risk during lifetime. For 36%, an increased risk was accurately estimated as two or more. Accurate estimates tend to be made by older patients (p = 0.033), those with GI complaints (p = 0.040), or with familial history (p = 0.016). Even among patients attending to a nutritional consultation, only a third of patients seem to adequately consider their own overweight as a potential risk for colorectal cancer during lifetime. Practice implications: health education programs concerning obesity must include colorectal cancer as a potential outcome for overweight patients.
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Bianchini F, Kaaks R, Vainio H (2002) Overweight, obesity, and cancer risk. Lancet Oncol 3:565–574
Formiguera X, Catón A (2004) Obesity: epidemiology and clinical aspects. Best Pract Res Clin Gastroenterol 8:1125–1146
Mellon S, Gold R, Janisse J, Cichon M, Tainsky MA, Simon MS, Korczak J (2008) Risk perception and cancer worries in families at increased risk of familial brast/ovarian cancer. Psycho-Oncology 17:756–766
Carmichael AR (1999) Current concepts: treatment for morbid obesity. Postgrad Med J 75:7–12
Adami HO, Trichopoulos D (2003) Obesity and mortality from Cancer. N Engl J Med 348:1623–1624
IARC (2002) IARC handbooks of cancer prevention: weight control and physical activity, vol 6. International Agency for Research on Cancer, Lyon France
Wolk A, Gridley G, Svensson M, Nyrén O, McLaughlin JK, Farumeni JF, Adami HO (2001) A prospective study of obesity and cancer risk. Cancer Causes Control 12:13–21
Neovius M, Sundstrom J, Rasmussen F (2009) Combined effects of overweight and smoking in late adolescence on subsequent mortality: nationwide cohort study. BMJ 338:b496
Samanic C, Chow W-H, Gridley G, Jarvholm B, Fraumeni JF Jr (2006) Relation of body mass index to cancer risk in 362552 Swedish men. Cancer Causes Control 17:901–909
Larsson SC, Wolk A (2007) Obesity and colon and rectal cancer risk: a meta-analysis of prospective studies. Am J Clin Nutr 86:556–565
The EuroQol® Group (1990) EuroQol®—a new facility for the measurement of health-related quality of life. Health Policy 16:199–208
Brooks R, EuroQol Group (1996) EuroQol: the current state of play. Health Policy 37:53–72
van der Weijden T, van Steenkiste B, Stoffers HEJH, Timmermans DRM, Grol R (2007) Primary prevention of cardiovascular diseases in general practice: mismath between cardiovascular risk and patients'risk perceptions. Med Decis Mak 27:754–761
Kwak MS, Choi KS, Park S, Park EC (2009) Perceived risk for gastric cancer among the general Korean population: a population-based survey. Psychooncology 18:708–715
Klein WMP, Stefanek ME (2007) Cancer risk elicitation and communication: lesson from the psychology of risk perception. CA Cancer J Clin 57:147–167
Trumbo CW, McComas KA, Besley JC (2008) Individual- and community-level effects on risk perception in cancer cluster investigations. Risk Anal 28:161–178
Robb KA, Miles A, Wardle J (2004) Demographic and psycosocial factors associates with perceived risk for colorectal cancer. Cancer Epidemiol Biomark Prev 13:366–372
Siegel EM, Ulrich CM, Poole EM, Holmes RS, Jacobsen PB, Shibata D (2010) The effects of obesity and obesity-related conditions on colorectal cancer prognosis. Cancer Control 17:52–57
Percik R, Stumvoll M (2009) Obesity and cancer. Exp Clin Endocrinol Diabetes 117:563–566
Tsilidis KK, Helzlsouer KJ, Smith MW, Grinberg V, Hoffman-Bolton J, Clipp SL, Visvanathan K, Platz EA (2009) Association of common polymorphisms in IL10, and in other genes related to inflammatory response and obesity with colorectal cancer. Cancer Causes Control 20:1739–1751
Anderson AS (2000) How to implement dietary changes to prevent the development of metabolic syndrome. Br J Nutr 83(Suppl 1):S165–S168
Federman DG, Kravetz JD, Ma F, Kirsner RS (2008) Patient gender affects skin cancer screening practices and attitudes among veterans. South Med J 101:513–518
Chung ML, Moser DK, Lennie TA, Worrall-Carter L, Bentley B, Trupp R, Armentano DS (2006) Gender differences in adherence to the sodium-restricted diet in patients with heart failure. J Card Fail 12:628–634
Gottlieb NH, Lloyd LE, Bernstein VR (1987) Sex and age differences in lifestyle risk: implications for health promotion programming. Am J Prev Med 3:192–199
Vernon SW, Myers RE, Tilley BC, Li S (2001) Factors associated with perceived risk in automotive employees at increased risk of colorectal cancer. Cancer Epidemiol Biomark Prev 10:35–43
Katapodi MC, Lee KA, Facione NC, Dodd MJ (2004) Predictors of perceived breast cancer risk and breast cancer screening: a meta-analytic review. Prev Med 38:388–402
Slovic P (1999) Trust, emotion, sex, politics and science: surveying the risk assessment battlefield. Risk Anal 19(4):689–701
Absetz P, Aro AR, Rehnberg G, Sutton SR (1993) Comparative optimism in breast câncer risk perception: effects of experience and risk factor knowledge. Breast Cancer Res Treat 28:137–144
Aiken LS, Fenaughty AM, West SG, Johnson JJ, Luckett TL (1995) Perceived determinants of risk for breast cancer and the relations among objective risk, perceived risk and screening behavior over time. Womens Health 1:27–50
Lipkus IM, Rimer BK, Lyna PR, Pradhan AA, Conaway M, Woods-Powell CT (1996) Colorectal screening patterns and perception of risk among African- American users oh a community health center. J Community Health 21:409–427
Colditz GA, Atwood KA, Emmons K, Monson RR, Willet WC, Trichopoulos D, Hunter DJ (2000) Harvard report on cancer prevention. Harvard cancer risk index. Cancer Causes Control 11:477–488
Giovannucci E (2002) Modifiable risk factors for colon cancer. Gastroenterol Clin North Am 31(4):925–943, Review
McQuenn A, Vernon SW, Meissner HI, Rakowski W (2008) Risk perceptions and worry about cancer: does gender make a difference? J Health Commun 13:56–79
Ford JS, Coups EJ, Hay JL (2006) Knowledge of colon cancer screening in a national probability sample in the United States. J Health Commun 11(suppl):51–69
Van Cauwenberghe E, Maes L, Spittaels H, van Lenthe FJ, Brug J, Oppert JM, De Bourdeaudhuij I (2010) Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and 'grey' literature. Br J Nutr 14:1–17
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Leite-Pereira, F., Medeiros, R. & Dinis-Ribeiro, M. Overweight and Obese Patients Do not Seem to Adequately Recognize their Own Risk for Colorectal Cancer. J Canc Educ 26, 767–773 (2011). https://doi.org/10.1007/s13187-011-0231-1
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DOI: https://doi.org/10.1007/s13187-011-0231-1