title: A population-based study of childhood cancer survivors' body mass index.
abstract: Background. Population-based studies are needed to estimate the prevalence of underweight or overweight/obese childhood cancer survivors. Procedure. Adult survivors (diagnosed ≤20 years) were identified from the linked Utah Cancer Registry and Utah Population Database. We included survivors currently aged ≥20 years and ≥5 years from diagnosis (N = 1060), and a comparison cohort selected on birth year and sex (N = 5410). BMI was calculated from driver license data available from 2000 to 2010. Multivariable generalized linear regression models were used to calculate prevalence relative risks (RR) and 95% confidence intervals (95% CI) of BMI outcomes for survivors and the comparison cohort. Results. Average time since diagnosis was 18.5 years (SD = 7.8), and mean age at BMI for both groups was 30.5 (survivors SD = 7.7, comparison SD = 8.0). Considering all diagnoses, survivors were not at higher risk for being underweight or overweight/obese than the comparison. Male central nervous system tumor survivors were overweight (RR = 1.12, 95% CI 1.01-1.23) more often than the comparison. Female survivors, who were diagnosed at age 10 and under, had a 10% higher risk of being obese than survivors diagnosed at ages 16-20 (P < 0.05). Conclusion. While certain groups of childhood cancer survivors are at risk for being overweight/obese, in general they do not differ from population estimates.
authors: Cancer Control and Population Sciences Research Program, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA.
authors: Echo L
authors: EL
authors: Warner
authors: Cancer Control and Population Sciences Research Program, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA ; Department of Pediatrics, University of Utah School of Medicine, 30 N. 1900 E, Salt Lake City, UT 84132, USA ; Center for Children's Cancer Research, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA.
authors: Mark
authors: M
authors: Fluchel
authors: Department of Pediatrics, University of Utah School of Medicine, 30 N. 1900 E, Salt Lake City, UT 84132, USA ; Center for Children's Cancer Research, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA.
authors: Jennifer
authors: J
authors: Wright
authors: Cancer Control and Population Sciences Research Program, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA ; Department of Internal Medicine, Division of Epidemiology, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84132, USA.
authors: Carol
authors: C
authors: Sweeney
authors: Department of Oncological Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA.
authors: Kenneth M
authors: KM
authors: Boucher
authors: Pedigree and Population Resource (Utah Population Database), Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA.
authors: Alison
authors: A
authors: Fraser
authors: Cancer Control and Population Sciences Research Program, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA ; Pedigree and Population Resource (Utah Population Database), Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA ; Department of Family and Consumer Studies, University of Utah, 225 S. 1400 E. Alfred Emery BLDG 228, Salt Lake City, UT 84112, USA.
authors: Ken R
authors: KR
authors: Smith
authors: Department of Epidemiology, Rutgers University and Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, NJ 089036-2681, USA.
authors: Antoinette M
authors: AM
authors: Stroup
authors: Department of Internal Medicine and University of New Mexico Cancer Center, University of New Mexico, 1 University Boulevard NE, Albuquerque, NM 87131, USA.
authors: Anita Y
authors: AY
authors: Kinney
authors: Cancer Control and Population Sciences Research Program, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA ; Department of Pediatrics, University of Utah School of Medicine, 30 N. 1900 E, Salt Lake City, UT 84132, USA ; Center for Children's Cancer Research, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112, USA.
authors: Anne C
authors: AC
authors: Kirchhoff