Evidence map›Paper›PMID 34979597›Full record

ArticleJournal of breast cancer2021

Lipids, Anthropometric Measures, Smoking and Physical Activity Mediate the Causal Pathway From Education to Breast Cancer in Women: A Mendelian Randomization Study.

Hongkai Li, Lei Hou, Yuanyuan Yu, Xiaoru Sun, Xinhui Liu, Yifan Yu, Sijia Wu, Yina He, Yutong Wu, Li He and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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 at 1 institution in 1 country.

Hongkai Li *Department of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0003-1848-937X
Lei Hou *Department of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0002-5636-4028
Yuanyuan YuDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0001-6304-0817
Xiaoru SunDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0003-4435-4348
Xinhui LiuDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0002-7894-1172
Yifan YuDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0002-9741-0051
Sijia WuDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0002-9767-9966
Yina HeDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0002-8929-3692
Yutong WuDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0002-4258-2032
Li HeDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0003-4028-3191
Fuzhong XueDepartment of Epidemiology and Health Statistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.ORCID https://orcid.org/0000-0003-0378-7956
Shandong University · CN

Funding

National Natural Science Foundation of China 81773547National Natural Science Foundation of China 82003557Natural Science Foundation of Shandong Province ZR2019ZD02Shandong Province Major Science and Technology Innovation Project 2018CXGC1210
6 · The paper itself

Abstract

purposeWe aimed to investigate whether obtaining a higher level of education was causally associated with lower breast cancer risk and to identify the causal mechanism linking them.

methodsThe main data analysis used publicly available summary-level data from 2 large genome-wide association study consortia. Mendelian randomization (MR) analysis used 65 genetic variants derived from the Social Science Genetic Association Consortium as instrumental variables for years of schooling. The outcomes from the Breast Cancer Association Consortium (BCAC) were the overall breast cancer risk (122,977 cases/105,974 controls in women) and the two subtypes: estrogen receptor (ER)-positive breast cancer and ER-negative breast cancer. Fixed and random effects inverse variance weighted methods were used to estimate the causal effects, along with other additional MR methods for sensitivity analyses.

resultsResults showed that each additional standard deviation of 4.2 years of education was causally associated with a 27% lower risk of ER-negative breast cancer (odds ratio, 0.73; 95% confidence interval, 0.64-0.84;

conclusionA low level of education is a causal risk factor in the development of breast cancer as it is associated with poor lipid profile, obesity, smoking, and types of physical activity.

Indexed as

Breast NeoplasmsEducationMediation AnalysisMendelian Randomization AnalysisMeta-Analysis

Identifiers

PMID34979597
PMCPMC8724372
OpenAlexW4226203324

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.