Evidence map›Paper›PMID 26442154›Full record

ArticleBMC obesity2015

Excessive adiposity, metabolic health, and risks for genital human papillomavirus infection in adult women: a population-based cross-sectional study.

Su-Hsun Liu, Hsin-Jen Chen, Tsung-Han Hsieh, Jih-Chang Chen, Yhu-Chering Huang

Open access · hybridAbstract read
In one paragraph

Article in BMC obesity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 12 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

5 authors at 3 institutions in 1 country.

Su-Hsun LiuCollege of Medicine, Chang Gung University, Wen Hwa 1st Rd., Gueishan District, Taoyuan City, 333 Taiwan ; Department of Family Medicine, Chang Gung Memorial Hospital at Linkou, 5 Fuhsin Street, Gueishan District, Taoyuan City, 333 Taiwan.
Hsin-Jen ChenDepartment of Public Health, School of Medicine, National Yang Ming University, No.155, Sec.2, Li Nong Street, Taipei, 112 Taiwan.
Tsung-Han HsiehDepartment of Emergency Medicine, Chang Gung Memorial Hospital at Linkou, 5 Fuhsin Street, Gueishan District, Taoyuan City, 333 Taiwan.
Jih-Chang ChenDepartment of Emergency Medicine, Chang Gung Memorial Hospital at Linkou, 5 Fuhsin Street, Gueishan District, Taoyuan City, 333 Taiwan.
Yhu-Chering HuangCollege of Medicine, Chang Gung University, Wen Hwa 1st Rd., Gueishan District, Taoyuan City, 333 Taiwan ; Department of Pediatrics, Chang Gung Memorial Hospital at Linkou, 5 Fuhsin Street, Gueishan District, Taoyuan City, 333 Taiwan.
Chang Gung Memorial Hospital · TWChang Gung University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of excessive adiposity or its metabolic consequences in persistent HPV infection among general adult women remains unknown.

methodsUsing data from the National Health and Nutrition Examination Survey (NHANES) in 2003-2010, we compared adult women's likelihood for any- or high-risk (HR) type HPV infection by degrees of excessive adiposity and metabolic health status.

resultsAny-type (41.1 % vs. 44.9 %, P = 0.045) or HR-type HPV prevalence (21.9 % vs. 25.4 %, P = 0.055) was comparable in women aged 20-59 years with or without central obesity. After adjusting for age, socioeconomic indicators, and lifetime sexual risks, centrally-obese women barely showed a different likelihood for any-type (aPR [adjusted prevalence ratio] = 0.91, P = 0.03) or HR-HPV infection (aPR = 0.92, P = 0.279). However, obesity (aPR = 0.76, P = 0.017) or centrally-obesity (aPR = 0.72, P = 0.003) was negatively correlated with HR-HPV infection in women reporting an early sex debut (<16 years; P for interaction <0.05). In the fasting subpopulation, obesity (aPR = 0.77, P = 0.016) or metabolically unhealthy obesity (aPR = 0.69, P = 0.018) was significantly correlated with a 23 % or 31 % reduced prevalence of HR-HPV infection. DISCUSSION: In contrary to findings for the general population, HR-HPV prevalence was decreased in a subgroup of women with obesity or central obesity. Possible explanations for such heterogeneity included less risky sexual behaviors, an altered immune milieu that promoted viral clearance, and increased access to healthcare resources due to other obesity-related co-morbidities in this subpopulation.

conclusionsObesity or central obesity was not significantly associated with prevalent any-type or HR-type HPV infection among adult women in general. However, in certain subpopulations, excessive adiposity or its relevant metabolic dysfunction was negatively associated with HR-HPV infection.

Indexed as

Cervical cancerHuman papillomavirus infectionMetabolic healthObesity

Identifiers

PMID26442154
PMCPMC4591625
OpenAlexW2170905650

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.