Health
Men face higher cancer risk with this specific body fat measurement
Obesity has long been established as a risk factor for cancer, particularly when it’s stored in certain areas of the body.
Now, new research suggests that a larger waist circumference is a bigger risk factor than body mass index (BMI) for obesity-related cancers — but only for men, not for women.
The findings, which were published in the Journal of the National Cancer Institute, will be presented in May at the European Congress on Obesity in Malaga, Spain.
BMI IS WRONG WAY TO MEASURE OBESITY, RESEARCHERS SAY
The study was led by Dr. Ming Sun, Dr. Josef Fritz and Dr. Tanja Stocks from Lund University in Sweden.
New research suggests that a larger waist circumference is a bigger risk factor than body mass index for obesity-related cancers — but only for men, not for women. (iStock)
The researchers analyzed data from 340,000 Swedish people averaging 51 years of age whose BMI and waist circumference assessments were performed between 1981 and 2019, according to a press release.
They then compared those statistics to cancer diagnoses pulled from the Swedish Cancer Register.
‘HIDDEN’ FAT COULD PREDICT ALZHEIMER’S DISEASE UP TO 20 YEARS BEFORE SYMPTOMS, RESEARCH FINDS
Over a period of 14 years, there were 18,185 diagnoses of obesity-related cancers among the patients in the study.
For men, an increase in waist circumference of around 11 cm resulted in a 25% higher risk of obesity-related cancer.
This was a bigger risk factor than having an increased BMI, which increased the chances by 19%.
For men, an increase in waist circumference of around 11 cm resulted in a 25% higher risk of obesity-related cancer. (iStock)
For women, an increase of about 12 cm in waist circumference and an increase in BMI were both linked to a 13% greater cancer risk, the study found.
Obesity-related cancers include cancers of the oesophagus (adenocarcinoma), gastric (cardia), colon, rectum, liver/intrahepatic bile ducts, gallbladder, pancreas, breast (postmenopausal), endometrium, ovary, renal cell carcinoma, meningioma, thyroid and multiple myeloma, the release stated.
“BMI is a measure of body size, but does not provide information on fat distribution, whereas waist circumference is a proxy more closely related to abdominal adiposity.”
Overall, the researchers found waist circumference to be a more accurate cancer predictor than BMI.
“BMI is a measure of body size, but does not provide information on fat distribution, whereas waist circumference is a proxy more closely related to abdominal adiposity,” they wrote.
“This distinction is crucial because visceral fat, which accumulates around the abdominal organs, is more metabolically active and has been implicated in adverse health outcomes, including insulin resistance, inflammation and abnormal blood fat levels. Consequently, individuals with similar BMIs may have distinct cancer risks due to differences in fat distribution.”
Why the difference between men and women?
One potential reason for the gender discrepancy, according to the researchers, is that men are more likely to store fat viscerally (in the belly), while women generally accumulate more subcutaneous fat (under the skin) and peripheral fat (in the arms and legs).
ALZHEIMER’S AND PARKINSON’S RISK IS HIGHER FOR PEOPLE WITH BODY FAT IN TWO SPECIFIC AREAS
“Consequently, waist circumference is a more accurate measure of visceral fat in men than in women,” the researchers wrote.
“This may make waist circumference a stronger risk factor of cancer in men, and explain why waist circumference adds risk information beyond that conveyed by BMI in men, but not women.”
The researchers suggested that combining hip circumference with waist circumference in women could give a more accurate estimation of visceral fat. (iStock)
Excess body fat is also linked to higher insulin levels in men than in women, the researchers noted, which could be a factor in waist circumference being more strongly linked to men’s cancer risk.
“The divergence in how waist circumference and BMI relate to cancer risk between men and women underscores the complexity of the impact of adiposity (excess body fat) on cancer development,” the researchers wrote.
“It suggests that considering biological and physiological differences between the sexes might be helpful when assessing cancer risk. Further research is needed to explore these sex differences.”
They also suggested that combining hip circumference with waist circumference in women could give a more accurate estimation of visceral fat.
“Waist circumference is a more accurate measure of visceral fat in men than in women,” the researchers wrote. (iStock)
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Health and Fox News senior medical analyst, was not involved in the study, but reinforced that BMI is a “good indicator of obesity, but is not the only one.”
“Belly fat contains a lot of the inflammatory chemicals that act as carcinogens.”
“Obesity leads to inflammation, and inflammation correlates with many kinds of cancer, including breast and prostate and cancers of the gastrointestinal tract,” he told Fox News Digital.
“It is not surprising that waist circumference in men could be a more precise indicator if measured properly, because belly fat contains a lot of the inflammatory chemicals that act as carcinogens,” the doctor noted.
Obesity-related cancers include cancers of the oesophagus (adenocarcinoma), gastric (cardia), colon, rectum, liver/intrahepatic bile ducts, gallbladder, pancreas, breast (postmenopausal), endometrium, ovary, renal cell carcinoma, meningioma, thyroid and multiple myeloma. (American Cancer Society/Getty Images)
For women, where fat distribution is somewhat different, Siegel agrees that it “makes sense” to consider both waist and hip circumference, as the Swedish study suggests.
“The study looks at over 300,000 people and is an important new reference, but it is observational, so it shows an association, but not proof,” the doctor added.
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Dr. Brett Osborn, a Florida neurosurgeon and longevity expert, also detailed the different ways in which men and women store fat.
“While women accumulate more subcutaneous fat — on the hips, thighs and buttocks — men pack it around the waist, deep inside the abdomen,” Osborn, who was not involved in the study, told Fox News Digital.
“This is visceral fat, and it’s metabolically toxic. It’s not just sitting there. It’s active, like a gland, secreting inflammatory chemicals (cytokines), raising insulin levels, disrupting hormones and laying the groundwork for cancer cell growth.”
Strength training three times per week is ideal, one doctor advised, adding, “Resistance training reduces visceral fat and inflammation.” (iStock)
Osborn reiterated that BMI is limited in its ability to accurately measure excess fat.
“First, BMI doesn’t factor in muscle mass, so a short, stocky individual with a low body fat percentage may be categorized as overweight or obese, when in fact quite the opposite is true,” he said.
“Second, BMI doesn’t tell you where the body fat is, and as it turns out, that’s what’s critical — at least in men.”
Minimizing risk
To reduce cancer risk, Osborn recommends that men measure their waistlines to ensure they’re in a healthy range. People can also track their visceral fat score on a medical-grade anthropometry scale, he said.
“Understand that belly fat isn’t just cosmetic — it’s carcinogenic.”
“Anything above 40 inches (102 cm) is a red flag,” he told Fox News Digital.
Strength training three times per week is ideal, the doctor advised, adding, “Resistance training reduces visceral fat and inflammation.”
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Proper nutrition is also important, he said. “Eat like your life depends on it — because it does. Stop feeding your cancer risk.”
“Understand that belly fat isn’t just cosmetic — it’s carcinogenic,” Osborn added. “You may not feel it now, but the clock is ticking. Visceral fat is silent, aggressive and deadly — and it’s doing damage even if your BMI is ‘normal.’”
Health
Brain Health Challenge: Try a Brain Teaser
Welcome back! For Day 4 of the challenge, let’s do a short and fun activity based around a concept called cognitive reserve.
Decades of research show that people who have more years of education, more cognitively demanding jobs or more mentally stimulating hobbies all tend to have a reduced risk of cognitive impairment as they get older.
Experts think this is partly thanks to cognitive reserve: Basically, the more brain power you’ve built up over the years, the more you can stand to lose before you experience impairment. Researchers still don’t agree on how to measure cognitive reserve, but one theory is that better connections between different brain regions corresponds with more cognitive reserve.
To build up these connections, you need to stimulate your brain, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. To do that, try an activity that is “challenging enough that it requires some effort but not so challenging that you don’t want to do it anymore,” he said.
Speaking a second language has been shown to be good for cognition, as has playing a musical instrument, visiting a museum and doing handicrafts like knitting or quilting. Reading is considered a mentally stimulating hobby, and experts say you’ll get an even bigger benefit if you join a book club to make it social. Listen to a podcast to learn something new, or, better yet, attend a lecture in person at a local college or community center, said Dr. Zaldy Tan, the director of the Memory and Healthy Aging Program at Cedars-Sinai. That adds a social component, plus the extra challenge of having to navigate your way there, he said.
A few studies have found that playing board games like chess can be good for your brain; the same goes for doing crossword puzzles. It’s possible that other types of puzzles, like those you find in brain teaser books or from New York Times Games, can also offer a cognitive benefit.
But there’s a catch: To get the best brain workout, the activity should not only be challenging but also new. If you do “Wordle every day, it’s like well, then you’re very, very good at Wordle, and the Wordle part of your brain has grown to be fantastic,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School. “But the rest of your mind might still need work.”
So play a game you’re not used to playing, Dr. Selwa said. “The novelty seems to be what’s driving brain remodeling and growth.”
Today, we want you to push yourself out of your cognitive comfort zone. Check out an online lecture or visit a museum with your challenge partner. Or try your hand at a new game, below. Share what novel thing you did today in the comments, and I’ll see you tomorrow for Day 5.
Health
Popular intermittent fasting diets may not deliver the health benefits many expect
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Time-restricted eating has gained popularity in recent years, but a recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits.
The small German study found that participants who were placed on two different time-restricted eating schedules lost weight, but experienced no improvement in blood glucose, blood pressure, cholesterol or other key cardiometabolic markers.
The participants included 31 overweight or obese women. One group ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake, according to a press release.
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The findings, which were published in the journal Science Translational Medicine, suggest that the widely touted cardiometabolic benefits of intermittent fasting may be a result of eating fewer calories rather than meal timing, the researchers say.
The participants also showed a shift in their circadian rhythms (sleep/wake cycles) when they were placed on the time-restricted eating schedules, but the associated health impacts are not known.
A recent study suggests that intermittent fasting — while effective for weight loss — might not live up to the hype in terms of wider benefits. (iStock)
The study did have some limitations. Some researchers have cast doubt on the significance of the study due to its small size.
“It is severely underpowered to detect any difference, considering how gentle the intervention is,” Dr. Dr. Jason Fung, a Canadian physician, author and researcher, told Fox News Digital. He also noted that the participants were fasting for 16 hours a day instead of the normal 12 to 14 hours.
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Lauren Harris-Pincus, a registered dietitian nutritionist in New Jersey, agreed that the findings could be due to the fact that there was no intentional caloric restriction, and reiterated that the sample size is “quite small.”
“As a registered dietitian, I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day,” Harris-Pincus, who was not involved in the study, told Fox News Digital.
One group in the study ate between 8 a.m. and 4 p.m. and the other group ate between 1 p.m. and 9 p.m. for a two-week period, while maintaining their typical caloric intake. (iStock)
“Only one in 10 Americans consumes the recommended number of fruits and veggies, and 93% miss the mark on fiber goals. Restricting an eating window necessitates more careful meal planning to ensure adequate intake of macro- and micronutrients.”
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The expert also cautioned that skipping breakfast to enable a later eating window may result in lower intake of the “nutrients of concern” in the American diet, including calcium, potassium, fiber and vitamin D.
Looking ahead, the researchers said more studies are needed to explore the effects of time-restricted eating over longer time periods. It also remains to be seen how the combination of caloric restriction and time-restricted eating may affect outcomes. Future research could also explore how different populations may respond.
“I only recommend time-restricted eating when it is carefully planned and shifted earlier within the day.”
Dr. Daryl Gioffre, a gut health specialist and celebrity nutritionist in New York, noted that the study didn’t account for critical factors like chronic stress, sleep quality, medications, hormone status and baseline metabolic health.
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“All of these can significantly blunt fat loss and cardiometabolic improvements,” Gioffre, who also was not involved in the research, told Fox News Digital.
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“Cortisol, the body’s primary stress hormone, is naturally highest in the morning, which overlaps with one of the fasting windows studied,” he went on. “If stress is elevated, cortisol alone can block fat burning, disrupt blood sugar regulation, and mask cardiovascular improvements, regardless of calorie intake or eating window.”
Growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health, an expert said. (iStock)
Gioffre did agree, however, that growing research shows intermittent fasting — when done correctly and sustained over time — can improve insulin regulation, reduce inflammation, support fat loss and contribute to better cardiovascular health.
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“These are outcomes that simply cannot be captured in a short, stress-blind study like this,” he added.
Fox News Digital reached out to the researchers for comment.
Health
Brain Health Challenge: Workouts to Strengthen Your Brain
Today, you’re going to do perhaps the single best thing for your brain.
When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.
“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.
Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.
Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.
Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.
All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.
The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.
The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.
Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.
Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.
If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”
For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.
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