Evidence map›Paper›PMID 36867866›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2023

Linking Physical Activity to Breast Cancer via Inflammation, Part 2: The Effect of Inflammation on Breast Cancer Risk.

Makayla W C Lou, Ann E Drummond, Christopher T V Swain, Roger L Milne, Dallas R English, Kristy A Brown, Eline H van Roekel, Tina L Skinner, Melissa M Moore, Tom R Gaunt and 3 more

Open access · hybridAbstract readEditorialComment
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Neutrophil-to-lymphocyte ratio is associated with accelerometer-measured physical activity levels in breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  5. Article
  6. Article
  7. International Pooled Analysis of Leisure-Time Physical Activity and Premenopausal Breast Cancer in Women From 19 Cohorts.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  8. Linking Physical Activity to Breast Cancer Risk via Inflammation, Part 1: The Effect of Physical Activity on Inflammation.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Observational
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 4 countries.

Makayla W C LouCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0002-4518-5219
Ann E DrummondCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0002-2183-6013
Christopher T V SwainCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0002-0158-2511
Roger L MilneCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0001-5764-7268
Dallas R EnglishCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0001-7828-8188
Kristy A BrownDepartment of Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-3382-5546
Eline H van RoekelDepartment of Epidemiology, GROW School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands.ORCID 0000-0002-9402-2029
Tina L SkinnerSchool of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Australia.ORCID 0000-0002-5704-2741
Melissa M MooreMedical Oncology, St Vincent's Hospital, Melbourne, Australia.ORCID 0000-0002-3869-1949
Tom R GauntBristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-0924-3247
Richard M MartinBristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-7992-7719
Sarah J LewisBristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-4311-6890
Brigid M LynchCancer Epidemiology Division, Cancer Council Victoria, Victoria, Australia.ORCID 0000-0001-8060-547X
The University of Melbourne · AUCancer Council Victoria · AUUniversity of Bristol · GBBaker Heart and Diabetes Institute · AUCornell University · USMaastricht University · NLThe University of Queensland · AUUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Obesity Increases Breast Cancer Penetrance in BRCA Mutation Carriers: A Role for Local and Systemic FactorsR01CA215797 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI BROWN, KRISTY A. · 2017 to 2021
$2.6M
Cancer Research UK 29019Department of Health NIHR202411NCI NIH HHS R01 CA215797
6 · The paper itself

Abstract

This review synthesized and appraised the evidence for an effect of inflammation on breast cancer risk. Systematic searches identified prospective cohort and Mendelian randomization studies relevant to this review. Meta-analysis of 13 biomarkers of inflammation were conducted to appraise the evidence for an effect breast cancer risk; we examined the dose-response of these associations. Risk of bias was evaluated using the ROBINS-E tool and the quality of evidence was appraised with Grading of Recommendations Assessment, Development, and Evaluation. Thirty-four observational studies and three Mendelian randomization studies were included. Meta-analysis suggested that women with the highest levels of C-reactive protein (CRP) had a higher risk of developing breast cancer [risk ratio (RR) = 1.13; 95% confidence interval (CI), 1.01-1.26] compared with women with the lowest levels. Women with highest levels of adipokines, particularly adiponectin (RR = 0.76; 95% CI, 0.61-0.91) had a reduced breast cancer risk, although this finding was not supported by Mendelian randomization analysis. There was little evidence of an effect of cytokines, including TNFα and IL6, on breast cancer risk. The quality of evidence for each biomarker ranged from very low to moderate. Beyond CRP, the published data do not clearly support the role of inflammation in the development of breast cancer.

Indexed as

Breast NeoplasmsC-Reactive ProteinExerciseFemaleHumansInflammationProspective StudiesRiskC-Reactive Protein

Identifiers

PMID36867866
PMCPMC10150245
OpenAlexW4323034113

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.