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- Original Article Comparison of Population Attributable Fractions of Cancer Incidence and Mortality Linked to Excess Body Weight in Korea from 2015 to 2030
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Youjin Hong1,2,3
, Jihye An4, Jeehi Jung5, Hyeon Sook Lee6, Soseul Sung1,3,7, Sungji Moon1,3,8, Inah Kim9, Jung Eun Lee10, Aesun Shin1,2,3,8, Sun Ha Jee11, Sun-Seog Kweon12, Min-Ho Shin12, Sangmin Park2,13, Seung-Ho Ryu14, Sun Young Yang15, Seung Ho Choi15, Jeongseon Kim16, Sang-Wook Yi17, Yoon-Jung Choi16, Sangjun Lee1,2,3, Woojin Lim1,3,7, Kyungsik Kim1,3, Sohee Park11, Jeong-Soo Im18, Hong Gwan Seo16,18, Kwang-Pil Ko1,19
, Sue K. Park1,2,3
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DOI: https://doi.org/10.3803/EnM.2024.2071 [Epub ahead of print]
Published online: November 28, 2024
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10Department of Food and Nutrition, Seoul National University, Seoul, Korea
11Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Korea
12Department of Preventive Medicine, Chonnam National University Medical School, Hwasun, Korea
13Department of Family Medicine, Seoul National University Hospital, Seoul, Korea
14Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
15Department of Internal Medicine, Healthcare Research Institute, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea
16Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea
17Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine, Gangneung, Korea
18Division of Cancer Registration and Surveillance, National Cancer Center, Goyang, Korea
19Clinical Preventive Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea
2Integrated Major in Innovative Medical Science, Seoul National University Graduate School, Seoul, Korea
3Cancer Research Institute, Seoul National University, Seoul, Korea
4Department of Epidemic Intelligence Service, Incheon Communicable Diseases Center, Incheon, Korea
5Department of Biomedicine & Health Science, The Catholic University of Korea, Seoul, Korea
6Incheon Public Health Policy Institute, Incheon, Korea
7Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, Korea
8Interdisciplinary Program in Cancer Biology, Seoul National University College of Medicine, Seoul, Korea
9Department of Occupational and Environmental Medicine, Hanyang University College of Medicine, Seoul, Korea
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Corresponding author:
Kwang-Pil Ko, Tel: +82-31-787-3987, Fax: +82-31-787-4077,
Email: kokp1@snu.ac.kr
Sue K. Park, Tel: +82-2-740-8338, Fax: +82-2-747-4830,
Email: suepark@snu.ac.kr
Abstract
Background
The increasing rate of excess body weight (EBW) in the global population has led to growing health concerns, including cancer-related EBW. We aimed to estimate the population attributable fraction (PAF) of cancer incidence and deaths linked to EBW in Korean individuals from 2015 to 2030 and to compare its value with various body mass index cutoffs.
Methods
Levin’s formula was used to calculate the PAF; the prevalence rates were computed using the Korean National Health and Nutrition Examination Survey data, while the relative risks of specific cancers related to EBW were estimated based on the results of Korean cohort studies. To account for the 15-year latency period when estimating the PAF in 2020, the prevalence rates from 2015 and attributable cases or deaths from 2020 were used.
Results
The PAF attributed to EBW was similar for both cancer incidence and deaths using either the World Health Organization (WHO) Asian-Pacific region standard or a modified Asian standard, with the WHO standard yielding the lowest values. In the Korean population, the PAFs of EBW for cancer incidence were 2.96% in men and 3.61% in women, while those for cancer deaths were 0.67% in men and 3.06% in women in 2020. Additionally, PAFs showed a gradual increase in both sexes until 2030.
Conclusion
The EBW continues to have a significant impact on cancer incidence and deaths in Korea. Effective prevention strategies targeting the reduction of this modifiable risk factor can substantially decrease the cancer burden.
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