Evidence map›Paper›PMID 39658513›Full record

ArticleObesity (Silver Spring, Md.)2025

Overcoming underestimation of the share of colorectal cancer cases attributable to excess weight: a population-based study.

Marko Mandic, Fatemeh Safizadeh, Michael Hoffmeister, Hermann Brenner

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Marko MandicDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-7372-8284
Fatemeh SafizadehDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-3293-9499
Michael HoffmeisterDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany.
Hermann BrennerDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany.

Funding

German Federal Ministry of Education and Research 01ER0814German Federal Ministry of Education and Research 01ER0815German Federal Ministry of Education and Research 01GL1712German Federal Ministry of Education and Research 01KD2104AGerman Federal Ministry of Education and Research 01KH0404German Research Council BR 1704/17-1German Research Council BR 1704/6-1German Research Council BR 1704/6-3German Research Council BR 1704/6-4German Research Council BR 1704/6-6German Research Council CH 117/1-1German Research Council HO 5117/2-1
6 · The paper itself

Abstract

objectivePrevious research may have underestimated the relationship between overweight/obesity and colorectal cancer (CRC) risk by overlooking important potential sources of bias.

methodsWe used data from a large, population-based case-control study encompassing 7098 CRC cases and 5757 age- and sex-matched controls with comprehensive information on risk factors, including self-reported body weight. Multivariate logistic regression was used to assess the associations of BMI with CRC risk before and after considering prediagnostic weight loss, history of lower gastrointestinal endoscopy, and potentially increased CRC risk beneath the overweight threshold (BMI 25 kg/m

resultsIn the standard analysis evaluating the BMI-CRC association, in which none of the three aforementioned factors was considered, the fraction of CRC cases attributable to overweight and obesity was estimated to be 11.5%. This finding is consistent with estimates from previous studies, which mostly did not consider any of the three factors. However, when all three factors were considered in the analysis, a higher BMI was estimated to account for 23.4% of all CRC cases.

conclusionsCareful consideration of important sources of bias suggests that a substantially larger share of the CRC burden may be attributable to excess weight than previously thought.

Indexed as

Body Mass IndexColorectal NeoplasmsObesityOverweightAdultAgedCase-Control StudiesFemaleHumansLogistic ModelsMaleMiddle AgedRisk Factors

Identifiers

PMID39658513
PMCPMC11664302

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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.