RT Journal Article T1 Body shape phenotypes of multiple anthropometric traits and cancer risk: a multi-national cohort study A1 Sedlmeier, Anja M. M. A1 Viallon, Vivian A1 Ferrari, Pietro A1 Peruchet-Noray, Laia A1 Fontvieille, Emma A1 Amadou, Amina A1 Seyed Khoei, Nazlisadat A1 Weber, Andrea A1 Baurecht, Hansjoerg A1 Heath, Alicia K. K. A1 Tsilidis, Kostas A1 Kaaks, Rudolf A1 Katzke, Verena A1 Inan-Eroglu, Elif A1 Schulze, Matthias B. B. A1 Overvad, Kim A1 Bonet, Catalina A1 Ubago-Guisado, Esther A1 Chirlaque, Maria-Dolores A1 Ardanaz, Eva A1 Perez-Cornago, Aurora A1 Pala, Valeria A1 Tumino, Rosario A1 Sacerdote, Carlotta A1 Pasanisi, Fabrizio A1 Borch, Kristin B. B. A1 Rylander, Charlotta A1 Weiderpass, Elisabete A1 Gunter, Marc J. J. A1 Fervers, Beatrice A1 Leitzmann, Michael F. F. A1 Freisling, Heinz K1 Physical-activity K1 Height K1 Obesity K1 Esophageal K1 Nutrition K1 Adenocarcinoma K1 Metaanalysis K1 Validity K1 Weight K1 Fat AB Background: Classical anthropometric traits may fail to fully represent the relationship of weight, adiposity, and height with cancer risk. We investigated the associations of body shape phenotypes with the risk of overall and site-specific cancers. Methods: We derived four distinct body shape phenotypes from principal component (PC) analysis on height, weight, body mass index (BMI), waist (WC) and hip circumferences (HC), and waist-to-hip ratio (WHR). The study included 340,152 men and women from 9 European countries, aged mostly 35-65 years at recruitment (1990-2000) in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Cox proportional hazards regression was used to estimate multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs). Results: After a median follow-up of 15.3 years, 47,110 incident cancer cases were recorded. PC1 (overall adiposity) was positively associated with the risk of overall cancer, with a HR per 1 standard deviation (SD) increment equal to 1.07 (95% confidence interval 1.05 to 1.08). Positive associations were observed with 10 cancer types, with HRs (per 1 SD) ranging from 1.36 (1.30-1.42) for endometrial cancer to 1.08 (1.03-1.13) for rectal cancer. PC2 (tall stature with low WHR) was positively associated with the risk of overall cancer (1.03; 1.02-1.04) and five cancer types which were not associated with PC1. PC3 (tall stature with high WHR) was positively associated with the risk of overall cancer (1.04; 1.03-1.05) and 12 cancer types. PC4 (high BMI and weight with low WC and HC) was not associated with overall risk of cancer (1.00; 0.99-1.01). Conclusions: In this multi-national study, distinct body shape phenotypes were positively associated with the incidence of 17 different cancers and overall cancer. PB Nature Publishing Group SN 0007-0920 YR 2022 FD 2022-11-14 LK http://hdl.handle.net/10668/19524 UL http://hdl.handle.net/10668/19524 LA en NO Sedlmeier AM, Viallon V, Ferrari P, Peruchet-Noray L, Fontvieille E, Amadou A, et al. Body shape phenotypes of multiple anthropometric traits and cancer risk: a multi-national cohort study. Br J Cancer. 2023 Feb;128(4):594-605. DS RISalud RD Apr 7, 2025