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30 November 2016 : Original article  

Body Mass Index Can Increase the Risk of Gallbladder Cancer: A Meta-Analysis of 14 Cohort Studies

Hao Liu1ABCDEF, Yong Zhang1ADF, Min Ai2CDF, Jun Wang1ADF, Bo Jin3ADF, Zhaowei Teng4ABCDEF, Yansheng Wang1BCD*, Li Li1ADF

DOI: 10.12659/MSMBR.901651

Med Sci Monit Basic Res 2016; 22:146-155

Abstract

BACKGROUND: This study sought to appraise the association between raised body mass index (BMI) and the risk of gallbladder cancer (GBC) by performing a meta-analysis of 14 cohort studies.

MATERIAL AND METHODS: Eligible cohort studies were selected by searching PubMed and EMBASE from their inception to May 26, 2016, and the reference lists of retrieved articles were also consulted. The information was screened by two authors separately. We used a fixed-effects model to calculate the overall pooled risk estimates. A random-effects model was used to identify heterogeneity.

RESULTS: The meta-analysis incorporated 14 cohort studies. Nine papers were deemed to be of high quality based on the Newcastle-Ottawa Scale (NOS). Compared with normal weight (BMI 18.5–24.9 kg/m²), the overall pooled relative risks (RR) of GBC was 1.45 (95% CI 1.30–1.61) for excess body weight individuals (BMI ≥25 kg/m²); 1.10 (95% CI 1.02–1.18) for overweight persons (BMI 25–29.9 kg/m²) and 1.69(95% CI 1.54–1.86) for obese folks (BMI ≥30 kg/m²). A higher risk of GBC was presented in obese women (women: RR 1.78, 95% CI 1.59–1.99; men: RR 1.50, 95% CI 1.25–1.79). And a positive relationship between overweight and GBC risk was also displayed in female (RR 1.25, 95% CI 1.11–1.40), but not in male (RR 1.01, 95% CI 0.93–1.11). The sensitivity analysis indicated stable results, and no publication bias was observed.

CONCLUSIONS: This meta-analysis of 14 cohort studies demonstrated that raised BMI has a dramatic association with risk of GBC, especially in women. But, no association between overweight and GBC in men was found.

Keywords: Body Mass Index, Cohort Studies

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Medical Science Monitor Basic Research eISSN: 2325-4416
Medical Science Monitor Basic Research eISSN: 2325-4416