Post-diagnosis adiposity, physical activity, sedentary behaviour, dietary factors, supplement use and colorectal cancer prognosis: Global Cancer Update Programme (CUP Global) summary of evidence grading

被引：10

作者：

Tsilidis, Konstantinos K. ^{[1
,2
]}

Markozannes, Georgios ^{[1
,2
]}

Becerra-Tomas, Nerea ^{[1
]}

Cariolou, Margarita ^{[1
]}

Balducci, Katia ^{[1
]}

Vieira, Rita ^{[1
]}

Kiss, Sonia ^{[1
]}

Aune, Dagfinn ^{[1
,3
,4
]}

Greenwood, Darren C. ^{[5
]}

Dossus, Laure ^{[6
]}

Gonzalez-Gil, Esther M. ^{[6
]}

Gunter, Marc J. ^{[1
,6
]}

Allen, Kate ^{[7
]}

Brockton, Nigel T. ^{[8
]}

Croker, Helen ^{[7
]}

Gordon-Dseagu, Vanessa L. ^{[7
]}

Mitrou, Panagiota ^{[7
]}

Musuwo, Nicole ^{[7
]}

Wiseman, Martin J. ^{[7
]}

Copson, Ellen ^{[9
]}

Renehan, Andrew G. ^{[10
]}

Bours, Martijn ^{[11
]}

Demark-Wahnefried, Wendy ^{[12
]}

Hudson, Melissa M. ^{[13
]}

May, Anne M. ^{[14
]}

Odedina, Folakemi T. ^{[15
]}

Skinner, Roderick ^{[16
,17
,18
]}

Steindorf, Karen ^{[19
,20
]}

Tjonneland, Anne ^{[21
,22
]}

Velikova, Galina ^{[23
]}

Baskin, Monica L. ^{[24
]}

Chowdhury, Rajiv ^{[25
]}

Hill, Lynette ^{[7
]}

Lewis, Sarah J. ^{[26
]}

Seidell, Jaap ^{[27
]}

Weijenberg, Matty P. ^{[11
]}

Krebs, John ^{[28
]}

Cross, Amanda J. ^{[1
]}

Chan, Doris S. M. ^{[1
]}

机构：

[1] Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, St Marys Campus,Norfolk Pl, London W2 1PG, England

[2] Univ Ioannina, Dept Hyg & Epidemiol, Med Sch, Ioannina, Greece

[3] Oslo New Univ Coll, Dept Nutr, Oslo, Norway

[4] Canc Registry Norway, Dept Res, Oslo, Norway

[5] Univ Leeds, Leeds Inst Data Analyt, Fac Med & Hlth, Leeds, England

[6] WHO, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France

[7] World Canc Res Fund Int, London, England

[8] Amer Inst Canc Res, Washington, DC USA

[9] Univ Southampton, Fac Med, Canc Sci Acad Unit, Southampton, England

[10] Univ Manchester, Christie NHS Fdn Trust, Manchester Canc Res Ctr, Fac Biol,Sch Med Sci,Div Canc Sci,NIHR Manchester, Manchester, England

[11] Maastricht Univ, GROW Sch Oncol & Reprod, Dept Epidemiol, Maastricht, Netherlands

[12] Univ Alabama Birmingham, ONeal Comprehens Canc Ctr, Birmingham, AL USA

[13] St Jude Childrens Res Hosp, Dept Oncol, Memphis, TN USA

[14] Univ Utrecht, Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands

[15] Mayo Clin, Comprehens Canc Ctr, Jacksonville, FL USA

[16] Newcastle Univ, Dept Paediat & Adolescent Haematol Oncol, Great North Childrens Hosp, Newcastle Upon Tyne, England

[17] Newcastle Univ, Translat & Clin Res Inst, Newcastle Upon Tyne, England

[18] Newcastle Univ, Ctr Canc, Newcastle Upon Tyne, England

[19] German Canc Res Ctr, Div Phys Act Prevent & Canc, Heidelberg, Germany

[20] Natl Ctr Tumor Dis NCT, Heidelberg, Germany

[21] Danish Canc Soc Res Ctr, Diet Canc & Hlth, Copenhagen, Denmark

[22] Univ Copenhagen, Dept Publ Hlth, Copenhagen, Denmark

[23] Univ Leeds, Fac Med & Hlth, Sch Med, Leeds, England

[24] UPMC Hillman Canc Ctr, Pittsburgh, PA USA

[25] Florida Int Univ, Robert Stempel Coll Publ Hlth & Social Work, Dept Global Hlth, Miami, FL USA

[26] Univ Bristol, Bristol Med Sch, Dept Populat Hlth Sci, Bristol, England

[27] Vrije Univ Amsterdam, Fac Sci, Dept Hlth Sci, Amsterdam, Netherlands

[28] Univ Oxford, Dept Biol, Oxford, England

来源：

INTERNATIONAL JOURNAL OF CANCER | 2024年 / 155卷 / 03期

关键词：

adiposity; colorectal cancer; diet; evidence grading; physical activity; prognosis; sedentary behaviour; survival; systematic review; METAANALYSIS; SURVIVAL;

D O I：

10.1002/ijc.34904

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Based on the World Cancer Research Fund Global Cancer Update Programme, we performed systematic reviews and meta-analyses to investigate the association of post-diagnosis adiposity, physical activity, sedentary behaviour, and dietary factors with colorectal cancer prognosis. We searched PubMed and Embase until 28th February, 2022. An independent expert committee and expert panel graded the quality of evidence. A total of 167 unique publications were reviewed, and all but five were observational studies. The quality of the evidence was graded conservatively due to the high risk of several biases. There was evidence of non-linearity in the associations between body mass index and colorectal cancer prognosis. The associations appeared reverse J-shaped, and the quality of this evidence was graded as limited (likelihood of causality: limited-no conclusion). The evidence on recreational physical activity and lower risk of all-cause mortality (relative risk [RR] highest vs. lowest: 0.69, 95% confidence interval [CI]: 0.62-0.77) and recurrence/disease-free survival (RR: 0.80, 95% CI: 0.70-0.92) was graded as limited-suggestive. There was limited-suggestive evidence for the associations between healthy dietary and/or lifestyle patterns (including diets that comprised plant-based foods), intake of whole grains and coffee with lower risk of all-cause mortality, and between unhealthy dietary patterns and intake of sugary drinks with higher risk of all-cause mortality. The evidence for other exposures on colorectal cancer outcomes was sparse and graded as limited-no conclusion. Analyses were conducted excluding cancer patients with metastases without substantial changes in the findings. Well-designed intervention and cohort studies are needed to support the development of lifestyle recommendations for colorectal cancer patients.

引用

页码：471 / 485

页数：15

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