Evidence map›Paper›PMID 36600297›Full record

SynthesisBMC medicine2023

Separating the effects of early and later life adiposity on colorectal cancer risk: a Mendelian randomization study.

Nikos Papadimitriou, Caroline J Bull, Mazda Jenab, David J Hughes, Joshua A Bell, Eleanor Sanderson, Nicholas J Timpson, George Davey Smith, Demetrius Albanes, Peter T Campbell and 15 more

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02328677 (ColoCare Transdisciplinary Research in Colorectal Cancer Prognosis), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
9.1field-weighted citation impact, top 2% of its field
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.

NCT02328677 recruitingnot on this map

ColoCare Transdisciplinary Research in Colorectal Cancer Prognosis

TypeobservationalSponsorUniversity of UtahRan2007 to 2030Enrolled5,000ConditionsColorectal Cancer
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Is Adipose Tissue Inflammation the Culprit of Obesity-Associated Comorbidities?Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Epidemiology of colorectal cancer: A review with special emphasis on India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Advancing precision public health for obesity in children.Reviews in endocrine & metabolic disorders · 2023
    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

25 authors at 14 institutions in 6 countries.

Nikos Papadimitriou *Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France. papadimitrioun@iarc.who.int.ORCID 0000-0001-8294-7262
Caroline J Bull *MRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
Mazda JenabNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.
David J HughesCancer Biology and Therapeutics Group, UCD Conway Institute, School of Biomolecular and Biomedical Science, University College Dublin, Dublin, Ireland.
Joshua A BellMRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
Eleanor SandersonMRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
Nicholas J TimpsonMRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
George Davey SmithMRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
Demetrius AlbanesDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institute of Health, Bethesda, MD, USA.
Peter T CampbellDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Sébastien KüryService de Génétique Médicale, Centre Hospitalier Universitaire (CHU) Nantes, Nantes, France.
Loic Le MarchandUniversity of Hawaii Cancer Center, Honolulu, HI, USA.
Cornelia M UlrichHuntsman Cancer Institute and Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA.
Kala VisvanathanDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Jane C FigueiredoDepartment of Medicine, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Polly A NewcombPublic Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Rish K PaiDepartment of Laboratory Medicine and Pathology, Mayo Clinic Arizona, Scottsdale, AZ, USA.
Ulrike PetersPublic Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Kostas K TsilidisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Jolanda M A BoerNational Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Emma E VincentMRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
Daniela MariosaSection of Genomic Epidemiology, International Agency for Research on Cancer, 150 Cours Albert Thomas, 69008, Lyon, France.
Marc J GunterNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.
Tom G Richardson *MRC Integrative Epidemiology Unit (IEU), University of Bristol, Bristol, UK.
Neil Murphy *Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.
University of Bristol · GBCentre international de recherche sur le cancer · FRUniversity of Washington · USAmerican Cancer Society · USCedars-Sinai Medical Center · USCentre Hospitalier Universitaire de Nantes · FRJohns Hopkins University · USMayo Clinic in Arizona · USNational Cancer Institute · USNational Institute for Public Health and the Environment · NLUniversity College Dublin · IEUniversity of Hawaiʻi at Mānoa · USUniversity of Ioannina · GRUniversity of Utah · US

Funding

University of Hawaii Cancer Center CCSGP30CA071789 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI Pallav Pokhrel · 1996 to 2026
$56.2M
Data sharing: the Colon Cancer Family Registry CohortU01CA167551 · NCI · UNIVERSITY OF MELBOURNE · PI Daniel David BUCHANAN, Steven Gallinger · 2018 to 2026
$16.8M
PCPT and SELECT Cohorts: Core Infrastructure Support for Cancer ResearchU01CA182883 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI TANGEN, CATHERINE M., THOMPSON, IAN M. · 2019 to 2023
$5.4M
Ceramides as novel drivers of metabolic dysfunction and colorectal cancerU01CA272529 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Mary Christine Playdon, SCOTT A SUMMERS · 2022 to 2026
$4.7M
Advancing equity in colorectal cancer genetic risk prediction through expansion of racial/ethnic minority representationR01CA244588 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI PETERS, ULRIKE · 2020 to 2024
$3.5M
Cancer Research UK C18281/A29019Cancer Research UK PPRCPJT\100005Diabetes UK 17/0005587Medical Research Council MC_PC_17228Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00032/1Medical Research Council MC_UU_12013/3Medical Research Council MR/S003886/1NCI NIH HHS P30 CA071789NCI NIH HHS R01 CA244588NCI NIH HHS U01 CA167551NCI NIH HHS U01 CA182883NCI NIH HHS U01 CA272529Wellcome Trust 202802/Z/16/ZWorld Health Organization 001
6 · The paper itself

Abstract

backgroundObservational studies have linked childhood obesity with elevated risk of colorectal cancer; however, it is unclear if this association is causal or independent from the effects of obesity in adulthood on colorectal cancer risk.

methodsWe conducted Mendelian randomization (MR) analyses to investigate potential causal relationships between self-perceived body size (thinner, plumper, or about average) in early life (age 10) and measured body mass index in adulthood (mean age 56.5) with risk of colorectal cancer. The total and independent effects of body size exposures were estimated using univariable and multivariable MR, respectively. Summary data were obtained from a genome-wide association study of 453,169 participants in UK Biobank for body size and from a genome-wide association study meta-analysis of three colorectal cancer consortia of 125,478 participants.

resultsGenetically predicted early life body size was estimated to increase odds of colorectal cancer (odds ratio [OR] per category change: 1.12, 95% confidence interval [CI]: 0.98-1.27), with stronger results for colon cancer (OR: 1.16, 95% CI: 1.00-1.35), and distal colon cancer (OR: 1.25, 95% CI: 1.04-1.51). After accounting for adult body size using multivariable MR, effect estimates for early life body size were attenuated towards the null for colorectal cancer (OR: 0.97, 95% CI: 0.77-1.22) and colon cancer (OR: 0.97, 95% CI: 0.76-1.25), while the estimate for distal colon cancer was of similar magnitude but more imprecise (OR: 1.27, 95% CI: 0.90-1.77). Genetically predicted adult life body size was estimated to increase odds of colorectal (OR: 1.27, 95% CI: 1.03, 1.57), colon (OR: 1.32, 95% CI: 1.05, 1.67), and proximal colon (OR: 1.57, 95% CI: 1.21, 2.05).

conclusionsOur findings suggest that the positive association between early life body size and colorectal cancer risk is likely due to large body size retainment into adulthood.

Indexed as

Colonic NeoplasmsPediatric ObesityAdiposityAdultBody Mass IndexChildGenome-Wide Association StudyHumansMendelian Randomization AnalysisMiddle AgedPolymorphism, Single NucleotideRisk FactorsAdultColorectal cancerEarly lifeMendelian randomizationObesity

Identifiers

PMID36600297
PMCPMC9814460
OpenAlexW4313546307

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.