Evidence map›Paper›PMID 41636872›Full record

ArticleBreast cancer research and treatment2026

Association of low muscle mass and obesity with mortality and cardiovascular outcomes in breast cancer: a population-based study.

Sohyun Chun, Han Rim Lee, Jin-Hyung Jung, Seong Hye Kim, In Young Cho, Kyungdo Han, Dong Wook Shin

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Article in Breast cancer research and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sohyun Chun *International Healthcare Center, Samsung Medical Center, Seoul, Republic of Korea.
Han Rim Lee *Department of Family Medicine, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Jin-Hyung JungDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
Seong Hye KimDepartment of Family Medicine, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
In Young ChoDepartment of Family Medicine, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Kyungdo HanDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
Dong Wook ShinDepartment of Family Medicine, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. dwshin.md@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObesity and low muscle mass (LMM) have been associated with adverse outcomes in cancer population. However, their individual and combined effects on long-term mortality and cardiovascular disease (CVD) outcomes in breast cancer patients are not well characterized.

methodsWe conducted a retrospective study of 46,037 women aged 40 years and older with pathologically confirmed breast adenocarcinoma using data from the Cancer Public Library Database. LMM was defined as the lowest quartile of appendicular skeletal muscle mass index (ASMI), estimated by a validated equation. The remaining quartiles were classified as normal muscle mass (NMM). Obesity was defined as BMI ≥ 25 kg/m

resultsOver a mean follow-up of 4.63 years, 2,286 deaths and 851 incident CVD events were recorded. Compared to NMM, LMM was independently associated with increased overall (adjusted hazard ratio [aHR] 1.27, 95% CI 1.15-1.40), cancer-specific (aHR 1.19, 95% CI 1.08-1.32), and cardiovascular (aHR 1.76, 95% CI 1.10-2.81) mortality. When stratified by muscle-obesity status, the LMM with obesity group had the highest risk of overall (aHR 1.69, 95% CI 1.18-2.42) and cancer (aHR 1.58, 95% CI 1.03-2.43) mortality. LMM without obesity was also associated with increased overall, cancer, and cardiovascular mortality.

conclusionsLMM was independently associated with increased mortality in breast cancer patients, with risk amplified in those with coexisting obesity.

Indexed as

Breast NeoplasmsCardiovascular DiseasesMuscle, SkeletalObesitySarcopeniaAdultAgedBody Mass IndexFemaleHumansMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsBreast cancerCardiovascular diseaseLow muscle massMortalitySarcopeniaSarcopenic obesity

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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 Socratic graph.