Evidence map›Paper›PMID 26632325›Full record

ArticleCancer medicine2016

Serum leptin, C-reactive protein, and cancer mortality in the NHANES III.

Wahyu Wulaningsih, Lars Holmberg, Tony Ng, Sabine Rohrmann, Mieke Van Hemelrijck

Open access · goldAbstract readHistorical Article
In one paragraph

Article in Cancer medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

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  17. Low energy density diet, weight loss maintenance, and risk of cardiovascular disease following a recent weight reduction program: A randomized control trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2016
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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 4 institutions in 4 countries.

Wahyu WulaningsihCancer Epidemiology Group, Division of Cancer Studies, School of Medicine, King's College London, London, United Kingdom.
Lars HolmbergDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Tony NgRandall Division and Division of Cancer Studies, Richard Dimbleby Department of Cancer Research, School of Medicine, King's College London, London, United Kingdom.
Sabine RohrmannDivision of Chronic Disease Epidemiology, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Mieke Van HemelrijckCancer Epidemiology Group, Division of Cancer Studies, School of Medicine, King's College London, London, United Kingdom.
London Cancer · GBKing's College London · GBPrevention Institute · USRegional Research Council in Uppsala-Örebro Region · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adipokines, such as leptin, may affect cancer through its link with inflammation and obesity. We investigated the association between leptin, C-reactive protein, and risk of cancer death while accounting general and abdominal obesity. From the Third National Health and Examination Survey (NHANES III), we selected 5957 adult men and women with baseline measurements of serum leptin and CRP. Multivariable Cox regression was used to assess leptin and CRP levels (low, moderate, high) in relation to risk of cancer death. Stratification analyses were performed for obesity as defined by body mass index (BMI) and waist circumference. Fine and Gray regression was performed to account for death from cardiovascular disease and other causes as competing events. A total of 385 participants died of cancer during a mean follow-up of 18 years. After adjusting for BMI and waist circumference, an inverse association with log-transformed leptin was found for women, with a hazard ratio (HR) of 0.81 (95% confidence interval [CI]: 0.51-1.30) and 0.40 (95% CI: 0.24-0.68) for moderate and high compared to low levels of leptin, respectively; P(trend) = 0.0007). No association for leptin was observed in men, but higher CRP corresponded to increased risk of dying from cancer (HR: 2.98; 95% CI: 1.57-5.64 for the highest vs. lowest categories of CRP). Similar associations were observed with competing risk analysis also adjusted for BMI and waist circumference. Contrasting associations of serum leptin and CRP with cancer mortality may indicate sex-specific biological or environmental pathways linking obesity and cancer in men and women which warrant mechanistic investigations.

Indexed as

C-Reactive ProteinFemaleHistory, 20th CenturyHumansLeptinMaleNeoplasmsPopulation SurveillanceProportional Hazards ModelsRisk FactorsUnited StatesC-Reactive ProteinLeptinCancerC-reactive proteinleptinmortalityprospective study

Identifiers

PMID26632325
PMCPMC4708908
OpenAlexW2184017553

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.