Evidence map›Paper›PMID 28983748›Full record

Observational studyDigestive diseases and sciences2017

Changes in Adult BMI and Waist Circumference Are Associated with Increased Risk of Advanced Colorectal Neoplasia.

Wambui G Gathirua-Mwangi, Patrick Monahan, Yiqing Song, Terrell W Zollinger, Victoria L Champion, Timothy E Stump, Thomas F Imperiale

Abstract readObservational Study
In one paragraph

Observational study in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. [Obesity and Colorectal Cancer].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2023
    Review
  3. Article
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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

7 authors at 4 institutions in 1 country.

Wambui G Gathirua-MwangiDepartment of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA. ggathiru@iu.edu.ORCID 0000-0003-3688-2466
Patrick MonahanDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Yiqing SongDepartment of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA.
Terrell W ZollingerDepartment of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA.
Victoria L ChampionCenter for Nursing Research, School of Nursing, Indiana University, 600 Barnhill Dr. NU 317C, Indianapolis, IN, 46202, USA.
Timothy E StumpDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Thomas F ImperialeDivision of Gastroenterology and Hepatology, Departments of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineRegenstrief Institute · USRichard M. Fairbanks Foundation · US

Funding

Training in Research for Behavioral Oncology and Cancer Control ProgramR25CA117865 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2006 to 2015
$4.1M
Comparative Effectiveness of Interventions to Improve Screening Among Rural WomenR01CA196243 · NCI · OHIO STATE UNIVERSITY · PI CHAMPION, VICTORIA LEE, PASKETT, ELECTRA D. · 2015 to 2019
$3.4M
Research and Training for Behavioral Oncology InterventionsK05CA175048 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2014 to 2018
$484k
NCI NIH HHS K05 CA175048NCI NIH HHS R01 CA196243NCI NIH HHS R25 CA117865
6 · The paper itself

Abstract

backgroundWaist circumference (WC) is a stronger predictor of colon cancer (CRC) risk than body mass index (BMI). However, how well change in either WC or BMI predicts risk of advanced colorectal neoplasia (AN) is unclear.

aimsTo determine the relationship between change in BMI and WC from early adulthood to later age and the risk of AN and which change measure is a stronger predictor.

methodsIn 4500 adults, ages 50-80, with no previous neoplasia and undergoing screening colonoscopy, BMI and WC at age 21 and at time of screening were reported. Changes in BMI and WC were defined using universal risk cutoffs. Known CRC risk factors were controlled in the logistic models.

resultsOverall, model statistics showed WC change (omnibus test χ

conclusionsMaintaining an unhealthy BMI and WC throughout adult life may increase risk of AN. WC change may be a better predictor of AN than BMI change.

Indexed as

Body Mass IndexWaist CircumferenceAdiposityAgedChi-Square DistributionColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleHumansLogistic ModelsMaleMiddle AgedObesityOdds RatioPredictive Value of TestsBMI changeCancerColorectal neoplasiaObesityPrecancerous polypsWaist circumference change

Identifiers

PMID28983748
PMCPMC5653429
OpenAlexW2762294287

What OpenQuestion holds

Textmetadata
LicenceTDM
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.