Evidence map›Paper›PMID 39189606›Full record

ArticleJournal of the American Heart Association2024

Association Between Obesity and Risk of Total and Obesity-Related Cancer in People With Incident Cardiovascular Disease.

Sarah Malik, Avirup Guha, Xiaoling Wang, Neal L Weintraub, Ryan Harris, Biplab Datta, Justin Moore, Priyanshu Nain, Sagar A Patel, Steven Coughlin and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
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

18 authors.

Sarah MalikMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0009-0003-3185-0358
Avirup GuhaMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0000-0003-0253-1174
Xiaoling WangMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0000-0001-9290-7926
Neal L WeintraubMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0000-0002-5138-3705
Ryan HarrisMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0000-0002-8826-681X
Biplab DattaMedical College of Georgia at Augusta University Augusta GA USA.
Justin MooreMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0000-0002-5496-752X
Priyanshu NainMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0000-0003-0008-0779
Sagar A PatelEmory University Atlanta GA USA.ORCID 0000-0001-5174-2096
Steven CoughlinMedical College of Georgia at Augusta University Augusta GA USA.ORCID 0000-0003-1704-0466
Elizabeth PolterUniversity of Minnesota Minneapolis MN USA.ORCID 0000-0001-7336-3492
Anna PrizmentUniversity of Minnesota Minneapolis MN USA.ORCID 0000-0001-5924-6871
Anne BlaesUniversity of Minnesota Minneapolis MN USA.ORCID 0000-0002-5433-4810
Roberta FloridoUniversity of Utah Salt Lake City UT USA.ORCID 0000-0002-5660-4888
Shelby KuttyDepartment of Medicine Johns Hopkins University Baltimore MD USA.ORCID 0000-0001-9428-0979
Alvaro AlonsoEmory University Atlanta GA USA.ORCID 0000-0002-2225-8323
Corinne E JoshuBloomberg School of Public Health Johns Hopkins University Baltimore MD USA.ORCID 0000-0002-5100-172X
Elizabeth A PlatzBloomberg School of Public Health Johns Hopkins University Baltimore MD USA.ORCID 0000-0003-3676-8954

Funding

THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - COORDINATING CENTER - TASK AREA B.2 AND B.375N92022D00001 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID · 2022 to 2025
$13.7M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00003 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUTSEY, PAMELA L. · 2022 to 2025
$5.1M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00005 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WAGENKNECHT, LYNNE E · 2022 to 2025
$5.0M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00004 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI WINDHAM, BEVERLY GWEN · 2022 to 2025
$4.8M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00002 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ARGANI, PEDRAM · 2022 to 2025
$4.7M
Enhancing ARIC Infrastructure to Yield a New Cancer Epidemiology CohortU01CA164975 · NCI · JOHNS HOPKINS UNIVERSITY · PI PLATZ, ELIZABETH A. · 2012 to 2018
$3.8M
NCI NIH HHS U01 CA164975NHLBI NIH HHS 75N92022D00001NHLBI NIH HHS 75N92022D00002NHLBI NIH HHS 75N92022D00003NHLBI NIH HHS 75N92022D00004NHLBI NIH HHS 75N92022D00005
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) and cancer frequently co-occur due to shared risk factors such as obesity, which is linked to CVD and 14 cancer types. This study explores whether CVD pathophysiologies, combined with obesity, increase cancer risk, impacting clinical management. METHODS AND

resultsData from the ARIC (Atherosclerosis Risk in Communities) study, spanning 28 years, were analyzed. The cohort included 5127 participants with incident CVD (myocardial infarction, stroke, heart failure, coronary heart disease), of whom 1511 developed a first primary cancer. Follow-up began at CVD diagnosis after Visit 1. Obesity was assessed using body mass index, waist circumference, and waist-to-hip ratio. Incidence rate differences between obesity groups were adjusted for age, sex, and center, whereas the obesity-cancer association was estimated using Fine-Gray regression adjusted for shared risk factors including smoking. Cancer incidence in obese individuals with CVD (body mass index: rate differences=226.6/100 000 person-years) was higher than in those with normal weight. Although obesity was not linked to overall cancer after adjusting for shared risk factors, it was nominally associated with obesity-related cancers. Specifically, women with CVD and obesity had increased obesity-related cancer risk (body mass index: hazard ratio, 1.67 [95% CI, 1.17-2.31]). No significant associations were found in men, even after excluding prostate cancer.

conclusionsThis study suggests that obesity is linked to higher obesity-related cancer risk in women with incident CVD, independent of shared risk factors. Further research is needed to eliminate residual confounding, understand sex differences, and explore how CVD pathophysiologies and obesity together influence cancer risk.

Indexed as

Body Mass IndexCardiovascular DiseasesNeoplasmsObesityAgedFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRisk AssessmentRisk FactorsUnited StatesWaist CircumferenceWaist-Hip Ratiocardio‐oncologycardiovascular diseaseepidemiologyobesitypopulation science

Identifiers

PMID39189606
PMCPMC11646530

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.