Obesity and Cancer Death in White and Black Adults: A Prospective Cohort Study
Objective: This study aimed to determine whether race modifies the association between obesity and cancer death. Methods: The Pennington Center Longitudinal Study included 18,296 adults; 35.0% were male and 34.3% were Black. The primary end point was death from cancer. Results: During a follow-up of 14.3 years, 346 cancer deaths occurred. Among men, race modified the association of BMI and cancer death (pinteraction = 0.045); compared with a BMI of 22 kg/m2, a BMI of 35 in White men was associated with a hazard ratio of 1.74 (95% CI: 1.38-2.21), and in Black men, the hazard ratio was 0.64 (95% CI: 0.45-0.90). Among women, race did not modify the association of BMI and cancer death (pinteraction=0.43); however, compared with a BMI of 22, a BMI of 35 in White women was associated with a hazard ratio of 1.42 (95% CI: 1.18-1.70) and in Black women, the hazard ratio was 0.99 (95% CI: 0.82-1.20). Conclusions: In this diverse cohort of adults, having obesity was associated with an increased risk of cancer death in White men and women. In contrast, having obesity was associated with a reduced risk of cancer death in Black men and did not influence risk in Black women.
Brown, Justin C.; Yang, Shengping; Mire, Emily F.; Wu, Xiaocheng; Miele, Lucio; Ochoa, Augusto; Zabaleta, Jovanny; and Katzmarzyk, Peter T., "Obesity and Cancer Death in White and Black Adults: A Prospective Cohort Study" (2021). School of Medicine Faculty Publications. 48.