Evidence map›Paper›PMID 42436322›Full record

ArticleBritish journal of cancer2026

Anthropometric traits, metabolic biomarkers, and pancreatic cancer risk: a causal mediation analysis in UK Biobank.

Amina Amadou, Heinz Freisling, Benoit Mercoeur, Patricia Bohmann, Michael J Stein, Hwayoung Noh, Alem Gebremariam, Anja M Sedlmeier, Laia Peruchet-Noray, Quan Gan and 3 more

Abstract read
In one paragraph

Article in British journal of cancer, 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Amina Amadou *Department of Prevention Cancer Environment, Centre Léon Bérard, Lyon, France. amina.amadou@lyon.unicancer.fr.ORCID http://orcid.org/0000-0001-6662-2089
Heinz Freisling *International Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, Lyon, France.ORCID http://orcid.org/0000-0001-8648-4998
Benoit MercoeurDepartment of Prevention Cancer Environment, Centre Léon Bérard, Lyon, France.
Patricia BohmannDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Michael J SteinDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Hwayoung NohDepartment of Prevention Cancer Environment, Centre Léon Bérard, Lyon, France.ORCID http://orcid.org/0000-0002-6978-8364
Alem GebremariamInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, Lyon, France.ORCID http://orcid.org/0000-0003-2173-6685
Anja M SedlmeierDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Laia Peruchet-NorayInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, Lyon, France.ORCID http://orcid.org/0000-0001-8742-8920
Quan GanInternational Agency for Research on Cancer (IARC), Nutrition and Metabolism Branch, Lyon, France.
Michael F LeitzmannDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0002-0371-2789
Hansjörg BaurechtDepartment of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Béatrice FerversDepartment of Prevention Cancer Environment, Centre Léon Bérard, Lyon, France.

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) BA 5459/2-1Institut National Du Cancer (French National Cancer Institute) INCa_16643
6 · The paper itself

Abstract

backgroundObesity is a risk factor for pancreatic cancer, but mechanisms remain unclear. We investigated how anthropometric traits, individually and combined, relate to pancreatic cancer risk and whether associations are mediated by metabolic biomarkers.

methodsWe analysed 462,300 adults (40-69 years) in the UK Biobank. Principal component analysis derived three body shape phenotypes combining body mass index (BMI), height, weight, waist and hip circumference, and waist-to-hip ratio (WHR). Mediation was assessed using four-way decomposition.

resultsOver a median follow-up of 10.9 years, 1115 pancreatic cancer cases occurred. Each one-standard-deviation (SD) increase in BMI or WHR was associated with a higher incidence of pancreatic cancer, with hazard ratios (HRs) of 1.20 (confidence interval, CI: 1.12-1.28) and 1.24 (CI: 1.14-1.36), respectively. Body shape characterizing overall obesity showed a similar association (HR = 1.20; CI: 1.12-1.28 per 1-SD), with glucose and HbA1c accounting for mediated proportions (mediated interaction + pure indirect effect) of 12.2% (CI: 3.4-21.0%) and 15.0% (CI: 5.7-24.2%), respectively. For BMI, glucose accounted for 15.9% (CI: 2.8-28.9%) and HbA1c for 20.0% (CI: 6.3-33.7%) of the association.

conclusionsGlucose and HbA1c mediate a large proportion of the obesity-pancreatic cancer association, highlighting the important role of glycemic control in obesity-related pancreatic carcinogenesis and targeted interventions in at-risk populations.

Indexed as

ObesityPancreatic NeoplasmsAdultAgedAnthropometryBiological Specimen BanksBiomarkersBody Mass IndexFemaleHumansMaleMediation AnalysisMiddle AgedRisk FactorsUK BiobankUnited KingdomBiomarkers

Identifiers

PMID42436322
PMCPMC13578719

What Socratic holds

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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 Socratic graph.