The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019

Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe

Genomic Approaches for Climate Resilience Breeding in Oats

Editors: Chittaranjan Kole.Oat (Avena sativa L.), ranking sixth in world cereal production, is primarily produced as a multipurpose crop for grain, pasture, and forage or as a rotation crop in many parts of the world. Recent research has elevated its potential dietary value for human nutrition and health care. Oats are well adapted to a wide range of soil types and can perform on acid soils. World oat production is concentrated between latitudes 35–65º N, and 20–46º S. Avena genomes are large and complex, in the range of 4.12–12.6 Gb. Oat productivity is affected by many diseases, although crown rust (Puccinia coronate f. sp. avenae) and stem rust (Puccinia graminis f. sp. avenae) are the key diseases worldwide. The focus of this chapter is to review the major developments and their impacts on oat breeding, especially on the challenges posed by climate or environmental changes (biotic and abiotic stresses mainly) for oat cultivation. Next-generation breeding tools will help to develop approaches to genetically improve and manipulate oat which would aid significantly in oat enhancement efforts. Although, oat biotechnology has been advanced at a similar pace as the rest of cereals, it lags still behind. More genomic tools, from genomic assisted breeding to genome editing tools are needed to improve the resources to improve oats under climate change in the next few decades