Evidence map›Paper›PMID 28826845›Full record

ArticleJournal of the Academy of Nutrition and Dietetics2018

Association between Dietary Energy Density and Obesity-Associated Cancer: Results from the Women's Health Initiative.

Cynthia A Thomson, Tracy E Crane, David O Garcia, Betsy C Wertheim, Melanie Hingle, Linda Snetselaar, Mridul Datta, Thomas Rohan, Erin LeBlanc, Rowan T Chlebowski and 1 more

Abstract read
In one paragraph

Article in Journal of the Academy of Nutrition and Dietetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-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

12 citing papers in PubMed, 20 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

11 authors.

Cynthia A Thomson
Tracy E Crane
David O Garcia
Betsy C Wertheim
Melanie Hingle
Linda Snetselaar
Mridul Datta
Thomas Rohan
Erin LeBlanc
Rowan T Chlebowski
Lihong Qi

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Teri L Bankhead · 1985 to 2026
$110.2M
VANGUARD CENTER FOR WOMEN'S HEALTH INITIATIVEN01WH032115 · WH · UNIVERSITY OF ARIZONA · PI BASSFORD, TAMSEN E · 1993 to 2000
$196k
NCI NIH HHS P30 CA023074NHLBI NIH HHS HHSN268201100046CNIA NIH HHS HHSN271201100004CWHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004CWHI NIH HHS N01 WH032115
6 · The paper itself

Abstract

backgroundDietary energy density (DED) is the ratio of energy (kilocalories or kilojoules) intake to food weight (grams) and is a measure of diet quality. Consumption of foods high in DED has been associated with weight gain in adults.

objectiveTo investigate the association between baseline DED and incident obesity-associated cancers in the Women's Health Initiative.

designProspective cohort study of clinical trial and observational study participants. PARTICIPANTS/

settingPostmenopausal women aged 50 to 79 years (N=92,295) enrolled in the observational study or the calcium and vitamin D trial and hormone replacement therapy trials of the Women's Health Initiative.

main outcome measuresIncident, medical record-adjudicated, obesity-related cancers during follow-up. Exposure variable was DED (kilocalories per gram for the total diet) from self-reported dietary intake at baseline using a food frequency questionnaire. STATISTICAL ANALYSES: The associations between DED and each incident cancer, or any obesity-related cancer, were examined using competing-risks regression models, with death as a competing risk. Body mass index-stratified models were generated to investigate body mass index as a potential modifying factor.

resultsDED was associated with higher body mass index (28.9±6.0 vs 26.3±4.9) and waist circumference (89.3±14.2 vs 82.4±12.4 cm) for DED quintiles 5 vs 1, respectively. DED was associated with a 10% increased risk of any obesity-related cancer (subhazard ratio

conclusionsHigher DED may be a contributing factor for obesity-related cancers, especially among normal-weight postmenopausal women and, as such, could serve as a modifiable behavior for dietary interventions to reduce obesity-associated cancer risk.

Indexed as

Energy IntakeAgedBody Mass IndexClinical Trials as TopicDietFemaleHumansMiddle AgedNeoplasmsObesityObservational Studies as TopicPostmenopauseProspective StudiesRisk FactorsWaist CircumferenceWeight GainCancerEnergy densityObesityPostmenopausal women

Identifiers

PMID28826845
PMCPMC5803487
OpenAlexW2746634095

What OpenQuestion holds

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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.