RT Journal Article T1 Predicted basal metabolic rate and cancer risk in the European Prospective Investigation into Cancer and Nutrition. A1 Kliemann, Nathalie A1 Murphy, Neil A1 Viallon, Vivian A1 Freisling, Heinz A1 Tsilidis, Konstantinos K A1 Rinaldi, Sabina A1 Mancini, Francesca R A1 Fagherazzi, Guy A1 Boutron-Ruault, Marie-Christine A1 Boeing, Heiner A1 Schulze, Matthias B A1 Masala, Giovanna A1 Krogh, Vittorio A1 Sacerdote, Carlotta A1 de Magistris, Maria S A1 Bueno-de-Mesquita, Bas A1 Weiderpass, Elisabete A1 Kühn, Tilman A1 Kaaks, Rudolf A1 Jakszyn, Paula A1 Redondo-Sanchez, Daniel A1 Amiano, Pilar A1 Chirlaque, Maria-Dolores A1 Gurrea, Aurelio B A1 Ericson, Ulrica A1 Drake, Isabel A1 Nøst, Therese H A1 Aune, Dagfinn A1 May, Anne M A1 Tjønneland, Anne A1 Dahm, Christina C A1 Overvad, Kim A1 Tumino, Rosario A1 Quiros, Jose R A1 Trichopoulou, Antonia A1 Karakatsani, Anna A1 La Vecchia, Carlo A1 Nilsson, Lena M A1 Riboli, Elio A1 Huybrechts, Inge A1 Gunter, Marc J K1 basal metabolic rate K1 cancer K1 metabolic disorder K1 obesity AB Emerging evidence suggests that a metabolic profile associated with obesity may be a more relevant risk factor for some cancers than adiposity per se. Basal metabolic rate (BMR) is an indicator of overall body metabolism and may be a proxy for the impact of a specific metabolic profile on cancer risk. Therefore, we investigated the association of predicted BMR with incidence of 13 obesity-related cancers in the European Prospective Investigation into Cancer and Nutrition (EPIC). BMR at baseline was calculated using the WHO/FAO/UNU equations and the relationships between BMR and cancer risk were investigated using multivariable Cox proportional hazards regression models. A total of 141,295 men and 317,613 women, with a mean follow-up of 14 years were included in the analysis. Overall, higher BMR was associated with a greater risk for most cancers that have been linked with obesity. However, among normal weight participants, higher BMR was associated with elevated risks of esophageal adenocarcinoma (hazard ratio per 1-standard deviation change in BMR [HR1-SD ]: 2.46; 95% CI 1.20; 5.03) and distal colon cancer (HR1-SD : 1.33; 95% CI 1.001; 1.77) among men and with proximal colon (HR1-SD : 1.16; 95% CI 1.01; 1.35), pancreatic (HR1-SD : 1.37; 95% CI 1.13; 1.66), thyroid (HR1-SD : 1.65; 95% CI 1.33; 2.05), postmenopausal breast (HR1-SD : 1.17; 95% CI 1.11; 1.22) and endometrial (HR1-SD : 1.20; 95% CI 1.03; 1.40) cancers in women. These results indicate that higher BMR may be an indicator of a metabolic phenotype associated with risk of certain cancer types, and may be a useful predictor of cancer risk independent of body fatness. PB John Wiley & Sons, Inc. YR 2019 FD 2019-10-07 LK http://hdl.handle.net/10668/15333 UL http://hdl.handle.net/10668/15333 LA en NO Kliemann N, Murphy N, Viallon V, Freisling H, Tsilidis KK, Rinaldi S, et al. Predicted basal metabolic rate and cancer risk in the European Prospective Investigation into Cancer and Nutrition. Int J Cancer. 2020 Aug 1;147(3):648-661. DS RISalud RD Apr 8, 2025