Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Obesity and Screening Compliance for Breast and Cervical Cancer in Korean Women

  • Park, Jin Kyun (Department of Internal Medicine, Seoul National University Hospital) ;
  • Park, Hyun Ah (Department of Family Medicine, Inje University College of Medicine) ;
  • Park, Jin Joo (Department of Internal Medicine, Seoul National University Hospital) ;
  • Cho, Young Gyu (Department of Family Medicine, Inje University College of Medicine)
  • Published : 2012.07.31
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Abstract

Purpose : This study was performed to assess whether the weight status is associated with screening rates of breast and cervical cancer in Korean women. Methods: Study participants included women aged between 30 and 80 years from the 4th Korea National Health and Nutrition Examination Survey from 2007 to 2009. Body mass index was classified into ${\sim}18.4kg/m^2$ (underweight), $18.5{\sim}22.9kg/m^2$ (normal), $23{\sim}24.9kg/m^2$ (overweight), $25.0{\sim}29.9kg/m^2$ (moderate obesity) and $30.0kg/m^2$~ (severe obesity) according to the Asia Pacific Standards of WHO recommended definition of obesity. Screening rates of breast and cervical cancer were estimated by the recommendation of the National Cancer Screening Program of the National Cancer Center, Korea. Results : The overall screening rates for breast and cervical cancer were 51.3% and 50.1%, respectively. After covariate adjustment, the screening rates for breast cancer (adjusted odds ratio, 0.70; 95% confidence interval, 0.51 to 0.97) and cervical cancer (adjusted odds ratio, 0.71; 95% confidence interval, 0.53 to 0.94) were significantly lower in the women with severe obesity. Conclusion: Obesity is associated with lower compliance with breast and cervical cancer screening guidelines in Korean women.

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References

  1. Aldrich T, Hackley B (2010). The impact of obesity on gynecologic cancer screening: an integrative literature review. J Midwifery Womens Health, 55, 344-56. https://doi.org/10.1016/j.jmwh.2009.10.001
  2. Calle EE, Rodriguez C, Walker-Thurmond K, et al (2003). Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med, 348, 1625-38. https://doi.org/10.1056/NEJMoa021423
  3. Cohen SS, Palmieri RT, Nyante SJ, et al (2008). Obesity and screening for breast, cervical, and colorectal cancer in women: a review. Cancer, 112, 1892-904. https://doi.org/10.1002/cncr.23408
  4. Dowling EC, Klabunde C, Patnick J, et al (2010). Breast and cervical cancer screening programme implementation in 16 countries. J Med Screen, 17, 139-46. https://doi.org/10.1258/jms.2010.010033
  5. Fagan HB, Wender R, Myers RE, Petrelli N (2011). Obesity and cancer screening according to race and gender. J Obes, doi: 10.1155/2011/218250.
  6. Ferrante JM, Chen PH, Crabtree BF, et al (2007). Cancer screening in women: body mass index and adherence to physician recommendations. Am J Prev Med, 32, 525-31. https://doi.org/10.1016/j.amepre.2007.02.004
  7. Fitzgibbon ML, Blackman LR, Avellone ME (2000). The relationship between body image discrepancy and body mass index across ethnic groups. Obes Res, 8, 582-9. https://doi.org/10.1038/oby.2000.75
  8. Howard M, Agarwal G, Lytwyn A (2009). Accuracy of self-reports of Pap and mammography screening compared to medical record: a meta-analysis. Cancer Causes Control, 20, 1-13. https://doi.org/10.1007/s10552-008-9228-4
  9. Jee SH, Yun JE, Park EJ, et al (2008). Body mass index and cancer risk in Korean men and women. Int J Cancer, 123, 1892-6. https://doi.org/10.1002/ijc.23719
  10. Jeong IS, Ju HO, Bae ES (2004). Related factors to screening or repeat screening for cervical and breast cancer among women. Korean J Women Health Nurs, 10, 150-61.
  11. Kim CS, Jeong TH, Kim MC, Park JW (2004). Factors associated with distorted self-perception of body weight in Korean adults. J Korean Acad Fam Med, 25, 462-8.
  12. Lee EH, Lee HY, Choi KS, et al (2011). Trends in cancer screening rates among Korean men and women: Results from the Korean National Cancer Screening Survey (KNCSS), 2004-2010. Cancer Res Treat, 43, 141-7. https://doi.org/10.4143/crt.2011.43.3.141
  13. Maruthur NM, Bolen SD, Brancati FL, Clark JM (2009). The association of obesity and cervical cancer screening: a systematic review and meta-analysis. Obesity, 17, 375-81. https://doi.org/10.1038/oby.2008.480
  14. Messina CR, Lane DS, Anderson JC (2012). Body mass index and screening for colorectal cancer: Gender and attitudinal factors. Cancer Epidemiology, 36, 400-408. https://doi.org/10.1016/j.canep.2012.02.002
  15. National Center for Health Statistics (2010). Health, United States, 2009: With Special Feature on Medical Technology, Hyattsville, MD.
  16. Park JH, Yoon SJ, Lee H, et al (2006). Burden of disease attributable to obesity and overweight in Korea. Int J Obes, 30, 1661-9. https://doi.org/10.1038/sj.ijo.0803321
  17. World Health Organization, International Obesity Task Force, International Association for the Study of Obesity. (2000) WHO/IOTF/IASO The Asia-Pacific perspective: Redefining Obesity and its Treatment, Hong Kong.

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