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Relationship between BMI and chemotherapy-induced peripheral neuropathy in cancer patients: a dose-response meta-analysis
by
Hongbo, Zuo
, Zhi, Wang
, Yanbing, Li
, Zijun, Li
in
Analysis
/ Antineoplastic Agents - adverse effects
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ BMI
/ Body Mass Index
/ Body size
/ Body weight
/ Cancer
/ Cancer therapies
/ Chemotherapy
/ Chemotherapy-Induced Peripheral Neuropathy
/ Diabetes
/ Dose-Response Relationship
/ Dose-Response Relationship, Drug
/ Exercise
/ Health aspects
/ Humans
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Meta-analysis
/ Methods
/ Neoplasms - drug therapy
/ Neurophysiology
/ Neurotoxicity
/ Obesity
/ Observational studies
/ Overweight
/ Patient compliance
/ Patient outcomes
/ Peripheral Nervous System Diseases - chemically induced
/ Peripheral Nervous System Diseases - epidemiology
/ Peripheral neuropathy
/ Physical activity
/ Prognosis
/ Risk
/ Risk Factors
/ Sensitivity analysis
/ Subgroups
/ Surgical Oncology
/ Weight control
2025
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Relationship between BMI and chemotherapy-induced peripheral neuropathy in cancer patients: a dose-response meta-analysis
by
Hongbo, Zuo
, Zhi, Wang
, Yanbing, Li
, Zijun, Li
in
Analysis
/ Antineoplastic Agents - adverse effects
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ BMI
/ Body Mass Index
/ Body size
/ Body weight
/ Cancer
/ Cancer therapies
/ Chemotherapy
/ Chemotherapy-Induced Peripheral Neuropathy
/ Diabetes
/ Dose-Response Relationship
/ Dose-Response Relationship, Drug
/ Exercise
/ Health aspects
/ Humans
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Meta-analysis
/ Methods
/ Neoplasms - drug therapy
/ Neurophysiology
/ Neurotoxicity
/ Obesity
/ Observational studies
/ Overweight
/ Patient compliance
/ Patient outcomes
/ Peripheral Nervous System Diseases - chemically induced
/ Peripheral Nervous System Diseases - epidemiology
/ Peripheral neuropathy
/ Physical activity
/ Prognosis
/ Risk
/ Risk Factors
/ Sensitivity analysis
/ Subgroups
/ Surgical Oncology
/ Weight control
2025
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Relationship between BMI and chemotherapy-induced peripheral neuropathy in cancer patients: a dose-response meta-analysis
by
Hongbo, Zuo
, Zhi, Wang
, Yanbing, Li
, Zijun, Li
in
Analysis
/ Antineoplastic Agents - adverse effects
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ BMI
/ Body Mass Index
/ Body size
/ Body weight
/ Cancer
/ Cancer therapies
/ Chemotherapy
/ Chemotherapy-Induced Peripheral Neuropathy
/ Diabetes
/ Dose-Response Relationship
/ Dose-Response Relationship, Drug
/ Exercise
/ Health aspects
/ Humans
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Meta-analysis
/ Methods
/ Neoplasms - drug therapy
/ Neurophysiology
/ Neurotoxicity
/ Obesity
/ Observational studies
/ Overweight
/ Patient compliance
/ Patient outcomes
/ Peripheral Nervous System Diseases - chemically induced
/ Peripheral Nervous System Diseases - epidemiology
/ Peripheral neuropathy
/ Physical activity
/ Prognosis
/ Risk
/ Risk Factors
/ Sensitivity analysis
/ Subgroups
/ Surgical Oncology
/ Weight control
2025
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Relationship between BMI and chemotherapy-induced peripheral neuropathy in cancer patients: a dose-response meta-analysis
Journal Article
Relationship between BMI and chemotherapy-induced peripheral neuropathy in cancer patients: a dose-response meta-analysis
2025
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Overview
Objective
This meta-analysis aimed to evaluate the dose-response relationship between body mass index (BMI) and the risk of chemotherapy-induced peripheral neuropathy (CIPN) in cancer patients.
Methods
We conducted a dose-response meta-analysis of 10 studies involving 6,841 cancer patients. Studies reporting BMI and CIPN outcomes were selected. The relationship between BMI and CIPN was assessed using random-effects models and restricted cubic splines to model the dose-response association.
Results
Pooled analysis revealed a significant association between higher BMI and increased risk of CIPN, with an odds ratio (OR) of 1.55 (95% CI, 1.20–1.99). A dose-response analysis demonstrated a clear linear relationship between BMI and the risk of CIPN. For every 5 kg/m
2
increase in BMI, the relative risk of CIPN increased by approximately 15%. Subgroup analyses showed stronger associations in breast cancer patients and those treated with taxane or platinum-based regimens. Sensitivity analyses confirmed the robustness of the results, and mild publication bias was observed.
Conclusions
Higher BMI is significantly associated with an increased risk of CIPN, with a dose-dependent effect. Weight management interventions, such as dietary modifications and physical activity, may reduce CIPN risk, particularly in patients with elevated BMI undergoing chemotherapy with neurotoxic regimens.
Publisher
BioMed Central,BioMed Central Ltd,BMC
Subject
/ Antineoplastic Agents - adverse effects
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ BMI
/ Cancer
/ Chemotherapy-Induced Peripheral Neuropathy
/ Diabetes
/ Dose-Response Relationship, Drug
/ Exercise
/ Humans
/ Medicine
/ Methods
/ Obesity
/ Peripheral Nervous System Diseases - chemically induced
/ Peripheral Nervous System Diseases - epidemiology
/ Risk
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