Adiposity and Endometrial Cancer Risk in Postmenopausal Women: A Sequential Causal Mediation Analysis

S. Ghazaleh Dashti; Dallas R. English; Julie A. Simpson; Amalia Karahalios; Margarita Moreno-Betancur; Carine Biessy; Sabina Rinaldi; Pietro Ferrari; Anne Tjønneland; Jytte Halkjær; Christina C. Dahm; Helene Tilma Vistisen; Florence Menegaux; Vittorio Perduca; Gianluca Severi; Krasimira Aleksandrova; Matthias B. Schulze; Giovanna Masala; Sabina Sieri; Rosario Tumino; Alessandra Macciotta; Salvatore Panico; Anouk E. Hiensch; Anne M. May; J. Ramón Quirós; Antonio Agudo; Maria-Jose Sánchez; Pilar Amiano; Sandra Colorado-Yohar; Eva Ardanaz; Naomi E. Allen; Elisabete Weiderpass; Renée Turzanski Fortner; Sofia Christakoudi; Konstantinos K. Tsilidis; Elio Riboli; Rudolf Kaaks; Marc J. Gunter; Vivian Viallon; Laure Dossus

doi:10.1158/1055-9965.EPI-20-0965

Research Articles

Adiposity and Endometrial Cancer Risk in Postmenopausal Women: A Sequential Causal Mediation Analysis

S. Ghazaleh Dashti, Dallas R. English, Julie A. Simpson, Amalia Karahalios, Margarita Moreno-Betancur, Carine Biessy, Sabina Rinaldi, Pietro Ferrari, Anne Tjønneland, Jytte Halkjær, Christina C. Dahm, Helene Tilma Vistisen, Florence Menegaux, Vittorio Perduca, Gianluca Severi, Krasimira Aleksandrova, Matthias B. Schulze, Giovanna Masala, Sabina Sieri, Rosario Tumino, Alessandra Macciotta, Salvatore Panico, Anouk E. Hiensch, Anne M. May, J. Ramón Quirós, Antonio Agudo, Maria-Jose Sánchez, Pilar Amiano, Sandra Colorado-Yohar, Eva Ardanaz, Naomi E. Allen, Elisabete Weiderpass, Renée Turzanski Fortner, Sofia Christakoudi, Konstantinos K. Tsilidis, Elio Riboli, Rudolf Kaaks, Marc J. Gunter, Vivian Viallon and Laure Dossus

S. Ghazaleh Dashti

1Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

3Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Melbourne, Australia.

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For correspondence: ghazaleh.dashti@mcri.edu.au

Dallas R. English

1Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

4Cancer Epidemiology and Intelligence Division, Cancer Council Victoria, Melbourne, Victoria, Australia.

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ORCID record for Dallas R. English

Julie A. Simpson

1Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

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Amalia Karahalios

1Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

5School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

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Margarita Moreno-Betancur

3Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Melbourne, Australia.

6Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.

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Carine Biessy

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

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Sabina Rinaldi

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

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Pietro Ferrari

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

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Anne Tjønneland

7Danish Cancer Society Research Center, Copenhagen, Denmark.

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Jytte Halkjær

7Danish Cancer Society Research Center, Copenhagen, Denmark.

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Christina C. Dahm

8Department of Public Health, Aarhus University, Aarhus, Denmark.

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Helene Tilma Vistisen

8Department of Public Health, Aarhus University, Aarhus, Denmark.

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Florence Menegaux

9Université Paris-Saclay, UVSQ, CESP U1018 INSERM, Villejuif, France.

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Vittorio Perduca

10Laboratoire de Mathématiques Appliquées à Paris 5—MAP5 (UMR CNRS 8145), Université Paris Descartes, Université de Paris, Paris, France.

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Gianluca Severi

9Université Paris-Saclay, UVSQ, CESP U1018 INSERM, Villejuif, France.

11Gustave Roussy, Villejuif, France.

12Department of Statistics, Computer Science, Applications “G. Parenti,” University of Florence, Florence, Italy.

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Krasimira Aleksandrova

13Nutrition, Immunity and Metabolism Senior Scientist Group, Department of Nutrition and Gerontology, German Institute of Human Nutrition, Potsdam-Rehbruecke (DIfE), Nuthetal, Germany.

14Institute of Nutritional Science, University of Potsdam, Potsdam, Germany.

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Matthias B. Schulze

14Institute of Nutritional Science, University of Potsdam, Potsdam, Germany.

15Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.

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Giovanna Masala

16Cancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network - ISPRO, Florence, Italy.

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Sabina Sieri

17Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

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Rosario Tumino

18Cancer Registry and Histopathology Department, Provincial Health Authority (ASP) Ragusa, Ragusa, Italy.

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Alessandra Macciotta

19Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.

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Salvatore Panico

20Dipoartimento Di Medicina Clinica E Chirurgia, Federico II University, Naples, Italy.

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Anouk E. Hiensch

21Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

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Anne M. May

21Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

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J. Ramón Quirós

22Public Health Directorate, Asturias, Spain.

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Antonio Agudo

23Unit of Nutrition and Cancer, Catalan Institute of Oncology - ICO, Nutrition and Cancer Group, Bellvitge Biomedical Research Institute - IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.

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Maria-Jose Sánchez

24Escuela Andaluza de Salud Pública (EASP), Granada, Spain.

25Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.

26Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

27Universidad de Granada, Granada, Spain.

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Pilar Amiano

26Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

28Ministry of Health of the Basque Government, Public Health Division of Gipuzkoa, Biodonostia Health Research Institute, Donostia-San Sebastian, Spain.

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Sandra Colorado-Yohar

26Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

29Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain.

30Research Group on Demography and Health, National Faculty of Public Health, University of Antioquia, Medellín, Colombia.

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Eva Ardanaz

26Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

31Navarra Public Health Institute, Pamplona, Spain.

32IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.

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Naomi E. Allen

33Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.

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Elisabete Weiderpass

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

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Renée Turzanski Fortner

34Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

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Sofia Christakoudi

35Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

36MRC Centre for Transplantation, King's College London, London, United Kingdom.

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Konstantinos K. Tsilidis

35Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

37Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece.

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Elio Riboli

35Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.

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Rudolf Kaaks

34Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

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Marc J. Gunter

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

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Vivian Viallon

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

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Laure Dossus

2Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC), Lyon, France.

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DOI: 10.1158/1055-9965.EPI-20-0965 Published January 2021

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Cancer Epidemiology Biomarkers & Prevention: 30 (1)

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Adiposity and Endometrial Cancer Risk in Postmenopausal Women: A Sequential Causal Mediation Analysis

Cancer Epidemiol Biomarkers Prev January 1 2021 (30) (1) 104-113; DOI: 10.1158/1055-9965.EPI-20-0965

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Adiposity and Endometrial Cancer Risk in Postmenopausal Women: A Sequential Causal Mediation Analysis

Cancer Epidemiol Biomarkers Prev January 1 2021 (30) (1) 104-113; DOI: 10.1158/1055-9965.EPI-20-0965

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