Evidence map›Paper›PMID 40323366›Full record

ArticleInternational journal of colorectal disease2025

The burden of colorectal cancer attributable to high body mass index in China: findings from 1990 to 2021 and prediction to 2035.

Peizhu Wang, Zhaolei Zheng, Kui Wang, Jianhua Gu, Yanqing Li

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Article in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Peizhu WangDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Zhaolei ZhengDepartment of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, China.
Kui WangDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Jianhua GuDepartment of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, China. jianhuagu@yeah.net.
Yanqing LiDepartment of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China. liyanqing@sdu.edu.cn.

Funding

National Natural Science Foundation of China 82270580The Shandong Provincial Natural Science Foundation ZR2023QH381
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) incidence and mortality are rising in China, with high body mass index (BMI) established as a significant risk factor. However, comprehensive evidence regarding the BMI-attributable CRC burden in the Chinese population remains limited.

objectiveThis study aims to analyze the trend of CRC burden attributable to high BMI (BMI ≥ 25 kg/m

methodsWe analyzed data from the Global Burden of Disease Study 2021 (GBD 2021) to assess the BMI-attributable CRC burden in China from 1990 to 2021. Temporal trends were analyzed using Joinpoint regression models. Future projections through 2035 were generated using Bayesian age-period-cohort (BAPC) modeling. The Das Gupta method was used to explore the contribution of population growth, aging, and epidemiologic factors to these burden changes.

resultsFrom 1990 to 2021, China's BMI-attributable CRC burden increased substantially, with ASMR and ASDR rising at annual rates of 2.393% (95% CI 2.306-2.481) and 2.305% (95% CI 2.188-2.422), respectively. The mortality and disability-adjusted life years (DALYs) rate both increased with age. Males showed higher burden rates in most age groups. Projections indicate continued increases in ASMR (2.43% annually) and ASDR (2.44% annually) through 2035. Epidemiological factors were the primary drivers, contributing 99.73% to mortality changes and 44.81% to DALYs changes.

conclusionsThe BMI-attributable CRC burden in China shows a concerning upward trajectory that is predicted to continue, with epidemiologic factors playing a major role. Urgent public health interventions targeting obesity prevention, lifestyle modification, and expanded CRC screening are needed to mitigate this growing burden.

Indexed as

Body Mass IndexColorectal NeoplasmsCost of IllnessAdultAgedBayes TheoremChinaFemaleHumansIncidenceMaleMiddle AgedObesityRisk FactorsBayesian age-period-cohortColorectal cancerGlobal Burden of Disease StudyHigh body mass index

Identifiers

PMID40323366
PMCPMC12052793

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.