Evidence map›Paper›PMID 27573429›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2016

Central obesity increases risk of breast cancer irrespective of menopausal and hormonal receptor status in women of South Asian Ethnicity.

R Nagrani, S Mhatre, P Rajaraman, I Soerjomataram, P Boffetta, S Gupta, V Parmar, R Badwe, R Dikshit

Abstract read
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Systematic Review and Meta-Analysis of Lifestyle and Reproductive Factors Associated with Risk of Breast Cancer in Asian Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
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  8. Adiposity throughout Adulthood and Risk of Young-Onset Breast Cancer Tumor Subtypes in the Young Women's Health History Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
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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

9 authors.

R NagraniCentre for Cancer Epidemiology, Tata Memorial Centre, Mumbai, 400 012, India.
S MhatreCentre for Cancer Epidemiology, Tata Memorial Centre, Mumbai, 400 012, India.
P RajaramanCenter for Global Health, U.S. National Cancer Institute, 9609 Medical Center Drive, Rockville, MD 20892-9760, USA.
I SoerjomataramSection of Cancer Surveillance, International Agency for Research on Cancer, 150 Cours Albert Thomas, 69372, Lyon CEDEX, France.
P BoffettaInstitute For Translational Epidemiology, Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
S GuptaAdvanced Centre for Treatment, Research and Education in Cancer, Navi Mumbai, Maharashtra 400 012, India.
V ParmarDepartment of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra 400 012, India.
R BadweDepartment of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra 400 012, India.
R DikshitCentre for Cancer Epidemiology, Tata Memorial Centre, Mumbai, 400 012, India. Electronic address: dixr24@hotmail.com.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundCurrent evidence suggests that the relationship between obesity and breast cancer (BC) risk may vary between ethnic groups.

methodsA total of 1633 BC cases and 1504 controls were enrolled in hospital-based case-control study in Mumbai, India, from 2009 to 2013. Along with detailed questionnaire, we collected anthropometric measurements on all participants. We used unconditional logistic regression models to estimate odds ratios (ORs) and 95% confidence interval (CI) for BC risk associated with anthropometry measurements, stratified on tumour subtype and menopausal status.

resultsWaist-to-hip ratio (WHR) of ≥0.95 was strongly associated with risk of BC compared to WHR ≤0.84 in both premenopausal (OR = 4.3; 95% CI: 2.9-6.3) and postmenopausal women (OR = 3.4; 95% CI: 2.4-4.8) after adjustment for body mass index (BMI). Premenopausal women with a BMI ≥30 were at lower risk compared to women with normal BMI (OR = 0.5; 95% CI: 0.4-0.8). A similar protective effect was observed in women who were postmenopausal for <10 years (OR = 0.6; 95% CI: 0.4-0.9) but not in women who were postmenopausal for ≥10 years (OR = 1.8; 95% CI: 1.1-3.3). Overweight and obese women (BMI: 25-29.9 and ≥ 30 kg/m(2), respectively) were at increased BC risk irrespective of menopausal status if their WHR ≥0.95. Central obesity (measured in terms of WC and WHR) increased the risk of both premenopausal and postmenopausal BCs irrespective of hormone receptor (HR) status.

conclusionsCentral obesity appears to be a key risk factor for BC irrespective of menopausal or HR status in Indian women with no history of hormone replacement therapy.

Indexed as

AdultAgedBody Mass IndexBreast NeoplasmsCase-Control StudiesErb-b2 Receptor Tyrosine KinasesFemaleHumansIndiaMenopauseMiddle AgedObesity, AbdominalReceptors, EstrogenReceptors, ProgesteroneRisk FactorsWaist CircumferenceErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneBreast cancerCentral obesityHormone receptor statusMenopausal statusSouth Asian

Identifiers

PMID27573429
PMCPMC5040194

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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.