Body Mass Index and subjective cognitive decline among cancer survivors in the US: a cross-sectional analysis of a nationally representative survey.

IF 2.2 4区医学 Q3 ONCOLOGY

Cancer Causes & Control Pub Date : 2025-03-22 DOI:10.1007/s10552-025-01990-9

Godfred O Antwi

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引用次数: 0

Abstract

Objective: Despite the strong evidence suggesting significant relationships between Body Mass Index (BMI) and cognitive functioning in the general population, there is a dearth of research on this potential association in the cancer survivor sub-population. Therefore, utilizing a nationally representative sample, the current study seeks to examine the cross-sectional association between BMI and subjective cognitive decline (SCD) in adult cancer survivors in the US.

Methods: The 2020, 2021, and 2022 Behavioral Risk Factor Surveillance System (BRFSS) surveys were used for the analysis. Logistic regression was performed to examine the odds of SCD in a sample of 20,739 cancer survivors, controlling for age, sex, race/ethnicity, marital status, level of education, employment status, general health status, and cigarette smoking status. All analyses were weighted to account for the complex study design and to produce nationally representative population estimates.

Results: The prevalence of SCD among cancer survivors in this study was approximately 15%. Significant associations between BMI and SCD were found; compared to cancer survivors with normal weight, the odds of experiencing SCD were significantly greater for those with overweight (adjusted odds ratio [AOR] 1.22, 95% confidence interval [CI] 1.01-1.49) and obesity (AOR 1.24, 95%CI 1.02-1.51).

Conclusion: Among cancer survivors in this study, unhealthy weight is associated with a higher risk of subjective cognitive decline. Underscoring the need for evidence-based interventions that support the cognitive health of adult cancer survivors, with a focus on those with unhealthy weight.

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来源期刊

Cancer Causes & Control 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.90

自引率

4.30%

发文量

130

审稿时长

6.6 months

期刊介绍： Cancer Causes & Control is an international refereed journal that both reports and stimulates new avenues of investigation into the causes, control, and subsequent prevention of cancer. By drawing together related information published currently in a diverse range of biological and medical journals, it has a multidisciplinary and multinational approach. The scope of the journal includes: variation in cancer distribution within and between populations; factors associated with cancer risk; preventive and therapeutic interventions on a population scale; economic, demographic, and health-policy implications of cancer; and related methodological issues. The emphasis is on speed of publication. The journal will normally publish within 30 to 60 days of acceptance of manuscripts. Cancer Causes & Control publishes Original Articles, Reviews, Commentaries, Opinions, Short Communications and Letters to the Editor which will have direct relevance to researchers and practitioners working in epidemiology, medical statistics, cancer biology, health education, medical economics and related fields. The journal also contains significant information for government agencies concerned with cancer research, control and policy.