Obesity and cancer third most important risk factor for cancer in the United States, just behind tobacco and diet (see Figure). Obesity is the source of about 15% of all preventable cancers. In 2018, Chinese researchers performed a systematic review and comprehensive quantitative meta‐analysis of cohort studies reporting body mass index (BMI) and the risk of 23 cancer types, providing epidemiological evidence supporting the association between BMI and cancer risk. The strongest positive association between BMI and cancer risk was found among patients in North America. The mechanisms by which obesity may increase the risk of cancer are not well understood, but it
Macadamia tetraphylla have not done well in the pure tropics, with no fully successful plantations less than 15 degrees from the equator. Major plantations in Costa Rica, at 10 degrees north, are said to produce much less than in Hawaii at 19 to 22 degrees north, in one case 20% the production. Plantations in Guatemala at 15 degrees north are successful. However, individual seedling trees have produced well in the pure tropics and need to be selected. One grower noted that the integrifolia flowers in Costa Rica have no aroma, leading to low and erratic pollination. Macadamia tetraphylla has a higher sugar