Evidence map›Paper›PMID 26030767›Full record

Trial reportPloS one2015

Metabolic syndrome and breast cancer risk: a case-cohort study nested in a multicentre italian cohort.

Claudia Agnoli, Sara Grioni, Sabina Sieri, Carlotta Sacerdote, Fulvio Ricceri, Rosario Tumino, Graziella Frasca, Valeria Pala, Amalia Mattiello, Paolo Chiodini and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 6 pooled it
3.4field-weighted citation impact, top 6% 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

44 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Metabolic syndrome and breast cancer risk.Journal of the Egyptian National Cancer Institute · 2023
    Article
  16. Review
  17. Effect of Ginger on Inflammatory Diseases.Molecules (Basel, Switzerland) · 2022
    Review
  18. Article
  19. Article
  20. Article
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

14 authors at 7 institutions in 1 country.

Claudia AgnoliEpidemiology and Prevention Unit, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy.
Sara GrioniEpidemiology and Prevention Unit, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy.
Sabina SieriEpidemiology and Prevention Unit, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy.
Carlotta SacerdoteHuman Genetics Foundation, Turin, Italy; Piemonte Centre for Cancer Prevention, Turin, Italy.
Fulvio RicceriHuman Genetics Foundation, Turin, Italy; Piemonte Centre for Cancer Prevention, Turin, Italy.
Rosario TuminoCancer Registry, ASP 7 Ragusa, Italy.
Graziella FrascaCancer Registry, ASP 7 Ragusa, Italy.
Valeria PalaEpidemiology and Prevention Unit, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy.
Amalia MattielloDepartment of Clinical and Experimental Medicine, University of Naples Federico II, Naples, Italy.
Paolo ChiodiniDepartment of Mental and Physical Health and Preventive Medicine, Second University of Naples, Naples, Italy.
Licia IacovielloLaboratory of Molecular and Nutritional Epidemiology, Department of Epidemiology and prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, Pozzilli (IS), Italy.
Amalia De CurtisLaboratory of Molecular and Nutritional Epidemiology, Department of Epidemiology and prevention, IRCCS Istituto Neurologico Mediterraneo Neuromed, Pozzilli (IS), Italy.
Salvatore PanicoDepartment of Clinical and Experimental Medicine, University of Naples Federico II, Naples, Italy.
Vittorio KroghEpidemiology and Prevention Unit, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy.
Fondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Neurologico Mediterraneo · ITUniversity of Naples Federico II · ITUniversity of Ragusa · ITItalian institute for Genomic Medicine · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic syndrome (defined as at least three among abdominal obesity, high blood triglycerides, low high-density lipoprotein cholesterol, high blood glucose, and high blood pressure) is emerging as a risk factor for breast cancer; however few studies - most confined to postmenopausal women - have investigated associations between breast cancer risk and metabolic syndrome. The purpose of this study was to examine the association between metabolic syndrome and its components, and risk of breast cancer in postmenopausal and premenopausal women.

methodsWe performed a case-cohort study on 22,494 women recruited in 1993-1998 to four Italian centres (Turin, Varese, Naples, Ragusa) of the European Prospective Investigation into Cancer and Nutrition (EPIC) and followed-up for up to 15 years. A random subcohort of 565 women was obtained and 593 breast cancer cases were diagnosed. Hazard ratios (HR) with 95% confidence intervals (CI), adjusted for potential confounders, were estimated by Prentice-weighted Cox proportional hazards models.

resultsPresence of metabolic syndrome was associated with significantly increased breast cancer risk in all women (HR 1.52, 95%CI 1.14-2.02). When the analyses were repeated separately for menopausal status, the association was limited to postmenopausal women (HR 1.80, 95%CI 1.22-2.65) and absent in premenopausal women (HR 0.71, 95%CI 0.43-1.16); P for interaction between metabolic syndrome and menopausal status was 0.001. Of metabolic syndrome components, only high blood glucose was significantly associated with increased breast cancer risk in all women (HR 1.47, 95%CI 1.13-1.91) and postmenopausal women (HR 1.89, 95%CI 1.29-2.77), but not premenopausal women (HR 0.80, 95%CI 0.52-1.22; P interaction=0.004).

conclusionsThese findings support previous data indicating that metabolic syndrome is an important risk factor for breast cancer in postmenopausal women, but not in premenopausal women, and suggest that prevention of metabolic syndrome through lifestyle changes could confer protection against breast cancer.

Indexed as

Blood GlucoseBreast NeoplasmsCase-Control StudiesFemaleHumansHypertensionItalyLife StyleMetabolic SyndromePostmenopausePremenopauseProspective StudiesRisk FactorsWhite PeopleBlood Glucose

Identifiers

PMID26030767
PMCPMC4452341
OpenAlexW646343780

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.