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Related Experiment Video

Updated: Jul 5, 2026

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

Published on: August 30, 2013

'Weighing in' on screening mammography.

David Berz¹, William Sikov, Gerald Colvin

¹Department of Hematology and Oncology, Brown University, Providence, RI, USA. David_Berz@brown.edu

Breast Cancer Research and Treatment

|May 21, 2008

Summary

Underweight women are less likely to get regular mammograms, while overweight women show a higher likelihood of screening. This study analyzed Body Mass Index (BMI) and mammography compliance in US women aged 40+.

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Last Updated: Jul 5, 2026

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

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Published on: August 30, 2013

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Published on: November 14, 2025

Area of Science:

Public Health
Epidemiology
Preventive Medicine

Background:

Obesity is a known risk factor for increased post-menopausal breast cancer incidence and poorer prognosis.
Previous research indicated a correlation between obesity and decreased screening mammography utilization.
This study investigates the relationship between Body Mass Index (BMI) and adherence to recommended mammographic screening guidelines.

Purpose of the Study:

To examine the association between Body Mass Index (BMI) and compliance with recommended mammographic screening.
To analyze screening mammography behavior across different BMI categories in a large, representative sample of US women aged 40 and older.

Main Methods:

Utilized data from 130,185 female participants (aged 40+) from the 2004 Behavioral Risk Factor Surveillance Survey (BRFSS).
Conducted weighted logistic regression analysis to compare mammography screening rates within the past two years across BMI categories: underweight, normal weight, overweight, and obesity classes I-III.
Results were weighted to represent 56,226,220 non-institutionalized US women.

Main Results:

Underweight women (BMI <18.5) demonstrated significantly lower odds of appropriate screening mammography (OR 0.57).
Overweight women (BMI 25-29.99) showed a significantly higher association with mammography utilization (OR 1.08).
Women with class III obesity (BMI ≥40) exhibited a non-significant trend towards underutilization (OR 0.97), contradicting some prior studies.

Conclusions:

Underweight women are significantly less likely to undergo appropriate screening mammography compared to normal weight women.
This large-scale analysis did not confirm previous findings of underutilization of screening mammography among obese and overweight women.
The study provides generalizable insights into BMI-related disparities in mammography screening within the US population aged 40 and above.