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At least 13 cancers are linked to obesity. We analyse time\u2010to\u2010event data using Sensitive Period Analysis to explore whether associations between body mass index (BMI) and cancer incidence vary throughout adulthood to inform cancer prevention strategies, policy and weight management trials of optimal intervention ages. Using the European Prospective Investigation into Cancer and Nutrition cohort, Atherosclerosis Risk in Communities study, Women's Health Initiative, Prostate, Lung, Colorectal, Ovarian Cancer Screening Trial, NIH\u2010AARP Diet and Health, we predicted BMI throughout adulthood. We landmarked to predefined ages of interest (AOI), ages 30 to 65 (5\u2010yearly). Super\u2010landmarking and a two\u2010stage IPD meta\u2010analysis were used. A single stratified Cox proportional hazards model with interaction terms between BMI and AOIs was fitted to analyse associations between per 5\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    BMI at AOIs and cancer incidence and identify sensitive age periods. 720,210 participants were followed up over 9.85\u2009years in men and 10.80\u2009years in women. Positive associations were found per 5\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    BMI across ages 30\u201365 for obesity\u2010related cancers. Some evidence suggests BMI in the 40s\u201350s raises cancer risk more than baseline. Interactions by age were found in women at ages 35 and 40 for obesity\u2010related cancers with HRs per 5\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    of 1.04 (95% CI: 1.01, 1.07,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    :0%) and 1.05 (95% CI: 1.01, 1.09,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    :50%), respectively, and at ages 35\u201365 for postmenopausal breast cancer. Higher BMI increased obesity\u2010related cancer risk across ages 30\u201365. Similar associations across adulthood suggest adiposity at any age increases cancer risk. Policymakers should prevent excess adiposity accumulation in early life to minimise cancer risk.\n                  <\/jats:p>","DOI":"10.1002\/ijc.70464","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T04:21:39Z","timestamp":1775708499000},"page":"960-972","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sensitive Period Analysis of Adulthood\n                    <scp>BMI<\/scp>\n                    and Cancer Risk: An Individual Participant Data Meta\u2010Analysis of Over 720,000 Participants in the\n                    <scp>ABACus<\/scp>\n                    2 Consortium"],"prefix":"10.1002","volume":"159","author":[{"given":"Nadin K.","family":"Hawwash","sequence":"first","affiliation":[{"name":"Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health University of Manchester  Manchester UK"},{"name":"Cancer Research UK Manchester 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