Evidence map›Paper›PMID 25487996›Full record

ArticleBMC cancer2014

The impact of a cancer diagnosis on weight change: findings from prospective, population-based cohorts in the UK and the US.

Sarah E Jackson, Kate Williams, Andrew Steptoe, Jane Wardle

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Sarah E Jackson
Kate Williams
Andrew Steptoe
Jane WardleHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK. j.wardle@ucl.ac.uk.
University College London · GB

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
British Heart FoundationCancer Research UK 14133NIA NIH HHS 2R01AG017644NIA NIH HHS 2R01AG7644-01A1NIA NIH HHS R01 AG017644NIA NIH HHS U01 AG009740NIA NIH HHS U01AG009740
6 · The paper itself

Abstract

backgroundObesity is a risk factor for cancer incidence and survival, but data on patterns of weight change in cancer survivors are scarce and few stratify by pre-diagnosis weight status. In two population-based cohorts of older adults, we examined weight change in cancer survivors and cancer-free controls in relation to baseline weight status.

methodsIn the English Longitudinal Study of Ageing (ELSA) and the Health and Retirement Study (HRS), we identified participants diagnosed with cancer who had pre- and post-diagnosis BMI data (ELSA n=264; HRS n=2553), and cancer-free controls (ELSA n=1538; HRS n=4946). Repeated-measures ANOVAs tested three-way interactions by group (cancer/control), time (pre-/post-diagnosis), and pre-diagnosis weight status (normal-weight/overweight/obese).

resultsMean BMI change was -0.07 (SD=2.22) in cancer survivors vs. +0.14 (SD=1.11) in cancer-free controls in ELSA, and -0.20 (SD=2.84) vs. +0.11 (SD=0.93) respectively in HRS. Three-way interactions were significant in both cohorts (ELSA p=.015; HRS p<.001). In ELSA, mean BMI change in normal-weight cancer survivors was +0.19 (SD=1.53) compared with -0.33 (SD=3.04) in obese survivors. In ELSA controls, the respective figures were +0.09 (SD=0.81) and +0.16 (SD=1.50). In HRS, mean change in normal-weight cancer survivors was +0.07 (SD=2.30) compared with -0.72 (SD=3.53) in obese survivors. In HRS controls, the respective figures were +0.003 (SD=0.66) and +0.27 (SD=1.27).

conclusionOver a four-year period, in two cohorts of older adults, cancer survivors lost weight relative to cancer-free controls. However, cancer survivors who were obese pre-diagnosis were more likely to lose weight than healthy-weight survivors or obese adults without a cancer diagnosis. Whether this was due to differences in clinical status or deliberate lifestyle change triggered by the cancer diagnosis is not known. Further research is needed to establish why weight loss occurs more frequently in cancer survivors who were obese at diagnosis, and whether this has favourable effects on mortality.

Indexed as

Body Mass IndexWeight GainWeight LossAgedAnalysis of VarianceCase-Control StudiesFemaleHumansIdeal Body WeightLongitudinal StudiesMaleMiddle AgedNeoplasmsObesitySurvivorsTime Factors

Identifiers

PMID25487996
PMCPMC4265482
OpenAlexW2025840124

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.