Evidence map›Paper›PMID 40496310›Full record

ArticleEcancermedicalscience2025

High body mass index increases the risk for prostate cancer and high Gleason score in northern Tanzania: data from prostate cancer screening.

Bartholomeo Nicholaus Ngowi, Alex Mremi, Mshangama Seif, Frank Bright, Godrule Lyimo, Innocent Uggh, Modesta Paschal Mitao, Obadia Nyongole, Orgeness Jasper Mbwambo, Harcharan Gill and 3 more

Abstract read
In one paragraph

Article in Ecancermedicalscience, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Bartholomeo Nicholaus NgowiFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.
Alex MremiFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.
Mshangama SeifFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.
Frank BrightFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.
Godrule LyimoKilimanjaro Clinical Research Institute, PO Box 2236, Moshi, Tanzania.
Innocent UgghKilimanjaro Clinical Research Institute, PO Box 2236, Moshi, Tanzania.
Modesta Paschal MitaoKilimanjaro Clinical Research Institute, PO Box 2236, Moshi, Tanzania.
Obadia NyongoleDepartment of Surgery, Muhimbili University of Health and Allied Sciences, PO Box 64001, Dar es Salaam, Tanzania.
Orgeness Jasper MbwamboFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.
Harcharan GillDepartment of Urology and Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Mramba NyindoFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.
Kien Alfred MtetaFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.
Blandina Theophil MmbagaFaculty of Medicine, Kilimanjaro Christian Medical University College, PO Box 2240, Moshi, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The association between body mass index (BMI) and prostate cancer (Pca) remains a controversial subject. Despite Pca being common in Tanzania, there is a scarcity of data on the role of BMI on Pca risk. This study aimed to assess the association between Pca and BMI among African men in Tanzania. Methods: This analysis included Tanzanian men aged ≥40 years who underwent prostate biopsy for the elevated prostate-specific antigen of >4 ng/mL during community-based Pca screening. Gleason scores of all Pca cases were determined by an experienced pathologist. BMI was calculated by dividing weight in kilograms by height in metre square. Participants were categorised into four BMI categories as follows: underweight (<18.5 kg/m Results: A total of 572 men underwent prostate biopsy after being found to have an elevated prostate-specific antigen of >4 ng/mL during screening. Of these, normal BMI accounted for 233 (40.7%), while overweight and obesity accounted for 153 (26.7%) and 141 (24.7%), respectively. In multivariate analysis, overweight men had significantly higher odds of being diagnosed with Pca (OR 6.95, 95% CI; 3.43-14.06) as compared to their normal-weight counterparts. The strength of the association became stronger among obese participants (OR 23.65, 95%CI; 11.45-48.87). Similarly, there was a significant increase in the odds of being diagnosed with high Gleason score Pca among obese men (OR 3.63, 95%CI; 1.52-8.70). Conclusion: Tanzanian men with elevated prostate-specific antigen and a high BMI have a significant risk of being diagnosed with Pca, mostly with a high Gleason score. Normal BMI maintenance might help in reducing the risk of developing Pca.

Indexed as

body mass indexhigh Gleason Scoreprostate cancerTanzania

Identifiers

PMID40496310
PMCPMC12149228

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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.