Evidence map›Paper›PMID 41806155›Full record

Observational studyInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026

Inverse association between obesity and intestinal endometriosis: Findings from a cross-sectional study.

Tereza Carolina Fonseca Corrêa, Marco Aurelio Pinho Oliveira

Abstract readObservational Study
In one paragraph

Observational study in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Tereza Carolina Fonseca CorrêaDepartment of Gynecology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0009-0007-2360-9694
Marco Aurelio Pinho OliveiraDepartment of Gynecology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-6159-6299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluates the association between obesity and the presence of bowel endometriosis in patients undergoing surgery.

methodsA retrospective cross-sectional observational study was conducted with patients treated between September 2023 and December 2024, at a specialized endometriosis outpatient clinic of a tertiary hospital in Rio de Janeiro, Brazil. Women who underwent surgery for histopathological confirmation of deep endometriosis were included. The outcome was bowel endometriosis, defined as a lesion >1 cm located in the rectosigmoid region. Preoperative weight and height were measured, and obesity was defined according to World Health Organization body mass index (BMI) criteria. The association between obesity and the outcome was assessed using multivariable logistic regression, adjusting for potential confounders. A P-value <0.05 was considered statistically significant.

resultsA total of 223 women with histologically confirmed deep endometriosis were included, of whom 24.2% had bowel involvement. In the multivariable logistic regression, after adjusting for age and number of cesarean deliveries, body weight was independently associated with a lower likelihood of bowel lesions (odds ratio [OR]: 0.97; 95% confidence interval [CI]: 0.94-0.99; P = 0.031). The number of cesarean deliveries was also inversely associated with the outcome (OR: 0.39; 95% CI: 0.21-0.71; P = 0.002).

conclusionAlthough higher body weight was associated with a lower chance of bowel involvement, these results should be interpreted cautiously given the cross-sectional nature of the study and the limitations of BMI and body weight as measures of adiposity. Future studies incorporating more precise anthropometric assessments (e.g., bioimpedance, body fat percentage, or abdominal circumference) are warranted.

Indexed as

EndometriosisIntestinal DiseasesObesityAdultBody Mass IndexBrazilCesarean SectionCross-Sectional StudiesFemaleHumansLogistic ModelsMiddle AgedRetrospective StudiesYoung Adultbody mass indexbody weightbowel endometriosisdeep endometriosisendometriosisintestinal endometriosisobesity

Identifiers

PMID41806155
PMCPMC13377329

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Registered trials

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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.