Association between obesity and cancer risk in HIV-infected Asians

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INTRODUCTION: This study aimed to investigate the association between obesity and cancer risk as well as site-specific cancer risks in adults with HIV using a nationwide health screening database in Korea.

METHODS: Of the 16,671 adults with a new diagnosis of HIV from 2004 to 2020, 456 incident cancer cases and 1,814 individually matched controls by sex, year of birth, year of HIV diagnosis, and follow-up duration (1:4 ratio) were included in this nested case-control study. The association between obesity (body mass index ≥25 kg/m2) and cancer risks was estimated and presented as odds ratios (ORs) and 95% confidence intervals (CIs).

RESULTS: Of the 456 cancer incident cases, there were 146 AIDS-defining cancer cases and 310 non-AIDS-defining cancer cases. Compared with non-obese adults with HIV, obese adults with HIV were at higher risk of non-AIDS-defining cancer (OR = 1.478, 95% CI = 1.118-1.955). Otherwise, the overall risk of AIDS-defining cancer (OR = 0.816, 95% CI = 0.520-1.279) and each type of AIDS-defining cancer (Kaposi sarcoma and non-Hodgkin's lymphoma) were not high in obese adults with HIV. Of the specific types of non-AIDS-defining cancers, obesity was associated with an increased risk of colorectal cancer (OR = 3.090, 95% CI = 1.110-8.604) and liver, bile duct, and pancreatic cancers (OR = 2.532, 95% CI = 1.141-5.617).

CONCLUSIONS: Obesity, which is one of the important health concerns in HIV management, was associated with an increased risk of non-AIDS-defining cancer but not AIDS-defining cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

AIDS (London, England) - (2024) vom: 10. Apr.

Sprache:

Englisch

Beteiligte Personen:

Jang, Yoonyoung [VerfasserIn]
Kim, Taehwa [VerfasserIn]
Choi, Yunsu [VerfasserIn]
Ahn, Kyoung Hwan [VerfasserIn]
Kim, Jung Ho [VerfasserIn]
Seong, Hye [VerfasserIn]
Kim, Youn Jeong [VerfasserIn]
Kim, Shin-Woo [VerfasserIn]
Choi, Jun Yong [VerfasserIn]
Kim, Hyo Youl [VerfasserIn]
Song, Joon Young [VerfasserIn]
Choi, Hee Jung [VerfasserIn]
Kim, Sang Il [VerfasserIn]
Sohn, Jang Wook [VerfasserIn]
Chin, BumSik [VerfasserIn]
Choi, Bo-Youl [VerfasserIn]
Park, Boyoung [VerfasserIn]

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Date Revised 10.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1097/QAD.0000000000003904

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370868471