ArticleBMC cancer2015
Body mass index and participation in organized mammographic screening: a prospective cohort study.
Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Determinants of Non-Participation in Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis.Frontiers in oncology · 2022Pooled it
- Patient and physician characteristics affect adherence to screening mammography: A population-based cohort study.PloS one · 2018Trial
- Adherence to breast and cervical cancer screening guidelines according to obesity status: a French cross-sectional multicenter survey.Preventive medicine reports · 2026Article
- Article
- Determinants of cancer screening participation in Türkiye: a nationwide study of demographic, socioeconomic, and lifestyle factors.BMC public health · 2025Article
- The multifactorial effect of obesity on the effectiveness and outcomes of cancer therapies.Nature reviews. Endocrinology · 2024Review
- The impact of height and weight on rescreening rates within a population-based breast screening program.Cancer medicine · 2024Article
- A systematic review of obesity as a barrier to accessing cancer screening services.Obesity science & practice · 2022Review
- Chronic Comorbidities and Receipt of Breast Cancer Screening in United States and Foreign-Born Women: Data from the National Health Interview Survey.Journal of women's health (2002) · 2019Article
- Double Discourse: Qualitative Perspectives on Breast Screening Participation among Obese Women and Their Health Care Providers.International journal of environmental research and public health · 2019Article
- Immunosuppressive agents are associated with peptic ulcer bleeding.Experimental and therapeutic medicine · 2017Article
- Diabetes and Breast Cancer Subtypes.PloS one · 2017Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreast cancer is the leading cancer among women, and early diagnosis is essential for future prognosis. Evidence from mainly cross-sectional US studies with self-reported exposure and outcome found positive association of body mass index (BMI) with non-participation in mammographic screening, but hardly addressed the influence of potential effect-modifiers. We studied the association between objective measures of BMI and participation in mammographic screening in a Danish prospective cohort, and explored the influence of menopausal status, hormone therapy (HT), previous screening participation, and morbidities on this relationship.
methodsA total of 5,134 women from the Diet, Cancer, and Health cohort who were invited to population based mammographic screening in Copenhagen were included in analysis. Women were 50-64 years old at inclusion (1993-97) when their height and weight were measured and covariates collected via questionnaire. Odds ratios (OR) and 95% confidence intervals (CI) for the association between BMI and mammographic screening participation were estimated by logistic regression, adjusted for other breast cancer risk factors and morbidities. Effect modification was evaluated by an interaction term and tested by Wald test.
resultsUnderweight (BMI < 18.5 kg/m(2), OR: 95% CI; 2.24: 1.27-3.96) and obese women of class II (BMI 35-40 kg/m(2), 1.54: 0.99-2.39) and III (BMI ≥ 40 kg/m(2), 1.81: 0.95-3.44) had significantly higher odds of non-participation than women with normal weight. This association was limited to postmenopausal women (Wald test p = 0.08), with enhanced non-participation in underweight (2.83: 1.52-5.27) and obese women of class II and III (1.84: 1.15-2.95; 2.47: 1.20-5.06) as compared to normal weight postmenopausal women. There was no effect modification by HT, previous screening participation, or morbidities, besides suggestive evidence of enhanced non-participation in diabetic overweight and obese women.
conclusionsUnderweight and very obese postmenopausal women were significantly less likely to participate in mammographic screening than women with normal weight, while BMI was not related to screening in premenopausal women. Effect of BMI on mammographic screening participation was not significantly modified by HT, previous screening participation, or morbidities.
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