Evidence map›Paper›PMID 40653615›Full record

SynthesisObesity (Silver Spring, Md.)2025

Adiposity associations with risk of colorectal cancer: a systematic review.

Shelby G Ziller, Carrie S Standage-Beier, Uzoamaka E Okwor, D Jean McClelland, Bahar Bakhshi, Dawn K Coletta, Jennifer W Bea

Abstract readSystematic Review
In one paragraph

Synthesis 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Dual-energy X-ray Absorptiometry-Derived Adiposity and Colorectal Cancer Incidence and Mortality in Postmenopausal Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    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

7 authors.

Shelby G ZillerDepartment of Epidemiology and Biostatistics, University of Arizona, Tucson, Arizona, USA.ORCID https://orcid.org/0000-0001-5958-2015
Carrie S Standage-BeierSchool of Nutritional Sciences and Wellness, University of Arizona, Tucson, Arizona, USA.
Uzoamaka E OkworDepartment of Epidemiology and Biostatistics, University of Arizona, Tucson, Arizona, USA.
D Jean McClellandHealth Sciences Library, University of Arizona, Tucson, Arizona, USA.
Bahar BakhshiBoston University School of Medicine, Boston, Massachusetts, USA.
Dawn K ColettaDepartment of Medicine, University of Arizona, Tucson, Arizona, USA.
Jennifer W BeaDepartment of Health Promotion Sciences, University of Arizona, Tucson, Arizona, USA.

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
Social Stress, Adiposity, and Breast CancerR01CA253302 · NCI · UNIVERSITY OF ARIZONA · PI BEA, JENNIFER WRIGHT · 2020 to 2022
$1.4M
NCI NIH HHS P30 CA023074NCI NIH HHS P30CA023074NCI NIH HHS R01 CA253302NCI NIH HHS R01CA253302
6 · The paper itself

Abstract

objectiveThis systematic review evaluates the relationship between adiposity and incident colorectal cancer (CRC) risk.

methodsMEDLINE, Scopus, Embase, CINAHL, and CENTRAL were searched for articles that met the following criteria: 1) assessed adiposity measures; 2) included incident data for any diagnosed malignant stage of CRC, colon cancer, or rectal cancer; and 3) studied adults aged older than 18 years. Articles were assessed for bias using the National Institutes of Health study quality assessment tools.

resultsFifteen articles across ten studies met the inclusion criteria. Three significant associations were positive, one was negative, and eleven were nonsignificant and positive. Measures varied based on the tool, and these four tools were used to gather body composition measures: bioelectrical impedance, computerized tomography, dual-energy x-ray absorptiometry, and ultrasound. The most used were total body fat mass and percent fat, along with abdominal visceral and subcutaneous adipose tissues. Overall, higher levels of adipose were positively associated with an increased risk of CRC. The strength of associations and significance varied by body composition variable, measurement technique, tumor location, and sex.

conclusionsStandardization is needed to better elucidate the relation between CRC and adiposity to allow for comparisons across papers. Additionally, a balance among precision, accessibility, and cost of measurements must be struck.

Indexed as

AdiposityColorectal NeoplasmsObesityBody CompositionHumansRisk Factors

Identifiers

PMID40653615
PMCPMC12316386

What OpenQuestion holds

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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.