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Obesity,
Inactivity May Up
Pancreatic Cancer Risk
NEW YORK (Reuters Health) - Obesity
and physical inactivity contribute to the risk of cancer of the
pancreas, researchers from Canada report.
The body becomes less sensitive to the glucose-lowering effects
of insulin with obesity and inactivity, and diminished sensitivity
to insulin leads to higher blood levels of insulin. According
to Dr. Anthony J. G. Hanley from Mt. Sinai Hospital in Toronto
and associates, higher levels of insulin are thought to increase
the risk of cancer of the pancreas.
But previous attempts to link inactivity and obesity with pancreatic
cancer brought inconsistent results. Hanley and colleagues, therefore,
used the Canadian National Enhanced Cancer Surveillance System
to explore the relationship between these factors and cancer of
the pancreas in 312 pancreatic cancer patients and a comparison
group of more than 2,900 healthy individuals.
The investigators used body mass index (BMI), a measure of weight
in relation to height, to determine whether or not patients were
obese. Men and women with high BMI faced a pancreatic cancer risk
1.5 to 2 times higher than those with low BMI, the authors report.
Dieting, however, apparently lowered the risk, the report indicates,
as both men and women who reported a 10% to 12.5% decrease from
their maximum lifetime weight had only about half the risk of
cancer of the pancreas faced by others.
Exercise, at least for men, lowered the risk. The researchers
note that men who exercised strenuously at least 8 hours a month
had only 59% of the pancreatic cancer risk of men who exercised
less.
``The results of the present study support previous findings
suggesting that obesity is associated with risk of pancreatic
cancer,'' Hanley and colleagues write.
``Additionally, we have presented evidence indicating a protective
role of physical activity in the (development) of pancreatic cancer,''
they report.
The researchers conclude that ``these results lend further support
to the hypothesis that insulin resistance is important in the
(development) of pancreatic cancer.''
SOURCE: International Journal of Cancer 2001;94:140-147.
Reference
Source 89
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