icon fsr

文献詳細

雑誌文献

臨床外科69巻1号

2014年01月発行

文献概要

臨床の疑問に答える「ドクターAのミニレクチャー」・20

体格とがん―肥満は死亡率が高いか

著者: 安達洋祐1

所属機関: 1久留米大学医学部外科

ページ範囲:P.92 - P.95

文献購入ページに移動
素朴な疑問

 2008年度から職場にメタボ健診が導入され,腹囲が大きい人や肥満指数(body mass index:BMI)が高い人は保健指導の候補である.肥満は生活習慣病と関連があり,心臓病や脳卒中による死亡が多いが,がんによる死亡も多いのだろうか.肥満が影響するのはどのようながんであろうか.がんの手術で肥満は術後合併症や手術死亡に影響するのだろうか.

参考文献

1)Calle EE(USA):Overweight, obesity, and mortality from cancer in a prospective studied cohort of U.S. adults. N Engl J Med 348:1625-1638, 2003
2)Reeves GK(UK):Cancer incidence and mortality in relation to body mass index in the Million Women Studt:cohort study. BMJ 335:1134-1144, 2007
3)Parr CL(Norway):Body-mass index and cancer mortality in the Asia-Pacific Cohort Studies Collaboration:pooled analyses of 424, 519 participants. Lancet Oncol 11:741-752, 2010
4)Li D(USA):Body mass index and risk, age of onset, and survival in patients with pancreatic cancer. JAMA 301:2553-2562, 2009
5)Arslan AA(USA):Anthropometric measures, body mass index, and pancreatic cancer:a pooled analysis from the Pancreatic Cancer Cohort Consortium(PanScan). Arch Intern Med 170:791-802, 2010
6)Dai Z(China):Obesity and colorectal cancer risk:a meta-analysis of cohort studies. World J Gastroenterol 13:4199-4206, 2007
7)Larsson SC(Sweden):Obesity and colon and rectal cancer risk:a meta-analysis of prospective studies. Am J Clin Nutr 86:556-565, 2007
8)Renehan AG(UK):Body-mass index and incidence of cancer:a systematic review and meta-analysis of prospective observational studies. Lancet 371:569-578, 2008
9)Ojima T(Japan):Influence of overweight on patients with gastric cancer after undergoing curative gastrectomy:an analysis of 689 consecutive cases managed by a single center. Arch Surg 144:351-358, 2009
10)Tsujinaka T(Japan):Influence of overweight on surgical complications for gastric cancer:results from a randomized controlled trial comparing D2 and extended para-aortic D3 lymphadenectomy(JCOG9501). Ann Surg Oncol 14:355-361, 2007
11)Wick EC(USA):Surgical site infections and cost in obese patients undergoing colorectal surgery. Arch Surg 146:1068-1072, 2011
12)Merkow RP(USA):Effect of body mass index on short-term outcomes after colectomy for cancer. J Am Coll Surg 208:53-61, 2009
13)Kilic A(USA):Impact of obesity on perioperative outcomes of minimally invasive esophagectomy. Ann Thorac Surg 87:412-415, 2009
14)Bhayani NH(USA):Effect of metabolic syndrome on perioperative outcomes after liver surgery:a National Surgical Quality Improvement Program(NSQIP)analysis. Surgery 152:218-226, 2012
15)McWilliams RR(USA):Obesity adversely affects survival in pancreatic cancer patients. Cancer 116:5054-5082, 2010
16)Pausch T(Germany):Cachexia but not obesity worsens the postoperative outcome after pancreatoduodenectomy in pancreatic cancer. Surgery 152:S81-88, 2012
17)Al-Refaie WB(USA):Body mass index and major cancer surgery outcomes:lack of association or nedd for alternative measurements of obesity? Ann Surg Oncol 17:2264-2273, 2010
18)Mullen JT(USA):Impact of body mass index on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery. Ann Surg Oncol 15:2164-2172, 2008
19)Mullen JT(USA):The obesity paradox:body mass index and outcomes in patients undergoing nonbariatric general surgery. Ann Surg 250:166-172, 2009
20)Berrington de Gonzalez A(USA):Body-mass index and mortality among 1.46 million white adults. N Engl J Med 363:2211-2219, 2010
21)Gu D(China):Body weight and mortality among men and women in China. JAMA 295:776-783, 2006
22)Jee SH(Korea):Body-mass index and mortality in Korean men and women. N Engl J Med 355:779-787, 2006
23)Shimazu T(Japan):Increase in body mass index category since age 20 years and all-cause mortality:a prospective cohort study(the Ohsaki Study). Int J Obes 33:490-496, 2009
24)Nanri A(Japan):Weight change and all-cause, cancer and cardiovascular disease mortality in Japanese men and women:the Japan Public Health Center-Based Prospective Study. Int J Obes 34:348-356, 2010

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?