The relationship between obesity and cancer mortality in type 2 diabetes: a ten-year follow-up study (ZODIAC-21).

Abstract:

BACKGROUND:Patients with type 2 diabetes mellitus (T2DM) as well as patients with obesity have increased cancer mortality. In a previous paper we suggested that there was a trend for decreased mortality in obese individuals with T2DM. The aim of the new analyses was to investigate the same relationship after increasing our sample size and extending our follow-up period. PATIENTS AND METHODS:1353 patients were followed prospectively as part of the ZODIAC study. The cancer mortality rate was evaluated using standardized mortality ratio (SMR) and its association with BMI (kg/m(2)) and obesity (>30 kg/m(2)) with Cox proportional hazard analysis. RESULTS:After a median follow-up time of 9.8 years, 570 patients had died, of whom 122 died from malignancy. The SMR for cancer mortality was 1.47 (95%CI 1.22-1.76). BMI and obesity were not associated with cancer death. CONCLUSION:The trend towards an inverse relationship between obesity and cancer mortality as reported previously disappeared after increasing sample size and follow-up to 9.6 years.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Landman GW,Van Hateren KJ,Kleefstra N,Bilo HJ

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

681-2

issue

2

eissn

0250-7005

issn

1791-7530

pii

30/2/681

journal_volume

30

pub_type

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