Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study.

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_2179178F088B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Overweight in childhood cancer survivors: the Swiss Childhood Cancer Survivor Study.
Journal
The American journal of clinical nutrition
Author(s)
Belle F.N., Weiss A., Schindler M., Goutaki M., Bochud M., Zimmermann K., von der Weid N., Ammann R.A., Kuehni C.E.
ISSN
1938-3207 (Electronic)
ISSN-L
0002-9165
Publication state
Published
Issued date
01/01/2018
Peer-reviewed
Oui
Volume
107
Number
1
Pages
3-11
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
An increased risk of becoming overweight has been reported for childhood cancer survivors (CCSs), in particular leukemia survivors, although the evidence is inconclusive.
We assessed the prevalence of overweight in CCSs, with a focus on leukemia survivors, compared it with their peers, and determined potential risk factors.
As part of the Swiss Childhood Cancer Survivor Study, we sent a questionnaire between 2007 and 2013 to all Swiss resident CCSs aged <21 y at diagnosis who had survived ≥5 y. We calculated body mass index (BMI) from medical records at diagnosis and self-reported heights and weights at survey. We calculated BMI z scores by using Swiss references for children and compared overweight prevalence in CCSs, their siblings, and the general population with the use of the Swiss Health Survey (SHS) and assessed risk factors for being overweight by using multivariable logistic regression.
The study included 2365 CCSs, 819 siblings, and 9591 SHS participants. At survey, at an average of 15 y after diagnosis, the prevalence of overweight in CCSs overall (26%) and in leukemia survivors (26%) was similar to that in siblings (22%) and the general population (25%). Risk factors for being overweight in CCSs were male sex (OR: 1.8; 95% CI: 1.5, 2.1), both young (OR for ages 5-14 y: 1.6; 95% CI: 1.2, 2.3) and older (range-OR for ages 25-29 y: 1.7; 95% CI: 1.2, 2.4; OR for ages 40-45 y: 4.0; 95% CI: 2.5, 6.5) age at study, lower education (OR: 1.4; 95% CI: 1.1, 1.8), migration background (OR: 1.3; 95% CI: 1.1, 1.7), and no sports participation (OR: 1.4; 95% CI: 1.1, 1.7). Risk factors for overweight were similar in peers. CCSs treated with cranial radiotherapy (≥20 Gy) were more likely to be overweight than their peers (OR: 1.6; 95% CI: 1.2, 2.2).
The prevalence of and risk factors for being overweight are similar in long-term CCSs and their peers. This suggests that prevention methods can be the same as in the general population. An important exception is CCSs treated with cranial radiotherapy ≥20 Gy who may need extra attention during follow-up care. This study was registered at clinicaltrials.gov as NCT03297034.
Keywords
Adolescent, Adult, Body Mass Index, Cancer Survivors, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Leukemia/diagnosis, Leukemia/radiotherapy, Logistic Models, Male, Medical Records, Middle Aged, Overweight/epidemiology, Prevalence, Retrospective Studies, Risk Factors, Socioeconomic Factors, Surveys and Questionnaires, Switzerland/epidemiology, Young Adult, Europe, Swiss Childhood Cancer Registry, childhood cancer survivors, late effects, leukemia, obesity, overweight
Pubmed
Web of science
Open Access
Yes
Create date
01/02/2018 17:44
Last modification date
20/08/2019 12:58
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