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  • Castro-Espin, CarlotaUnit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L’Hospitalet de Llobregat, Barcelona, Spain; Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain (author)

Dietary patterns related to biological mechanisms and survival after breast cancer diagnosis : results from a cohort study

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2023-02-03
  • Nature Publishing Group,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-204759
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-204759URI
  • https://doi.org/10.1038/s41416-023-02169-2DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: Inflammatory, insulin and oestrogenic pathways have been linked to breast cancer (BC). We aimed to examine the relationship between pre-diagnostic dietary patterns related to these mechanisms and BC survival.Methods: The diabetes risk reduction diet (DRRD), inflammatory score of diet (ISD) and oestrogen-related dietary pattern (ERDP) were calculated using dietary data from the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Cox proportional hazards models were used to assess associations between dietary patterns and overall mortality and competing risk models for associations with BC-specific mortality.Results: We included 13,270 BC cases with a mean follow-up after diagnosis of 8.6 years, representing 2340 total deaths, including 1475 BC deaths. Higher adherence to the DRRD score was associated with lower overall mortality (HR1–SD 0.92; 95%CI 0.87–0.96). Greater adherence to pro-inflammatory diets was borderline associated with 6% higher mortality HR1–SD 1.06; 95%CI 1.00–1.12. No significant association with the oestrogen-related dietary pattern was observed. None of the dietary patterns were associated with BC-specific mortality.Conclusions: Greater adherence to an anti-diabetic and anti-inflammatory diet prior to diagnosis is associated with lower overall mortality among BC survivors. Long-term adherence to these dietary patterns could be a means to improve the prognosis of BC survivors.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Bonet, CatalinaUnit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L’Hospitalet de Llobregat, Barcelona, Spain; Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain (author)
  • Crous-Bou, MartaUnit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L’Hospitalet de Llobregat, Barcelona, Spain; Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain; Department of Epidemiology, Harvard T.H. Chan School of Public Health, MA, Boston, United States (author)
  • Katzke, VerenaGerman Cancer Research Center (DKFZ), Heidelberg, Germany (author)
  • Le Cornet, CharlotteGerman Institute of Human Nutrition Potsdam-Rehbruecke, Dept. of Molecular Epidemiology, Arthur-Scheunert-Allee, Nuthetal, Germany (author)
  • Jannasch, FranziskaGerman Institute of Human Nutrition Potsdam-Rehbruecke, Dept. of Molecular Epidemiology, Arthur-Scheunert-Allee, Nuthetal, Germany (author)
  • Schulze, Matthias B.German Institute of Human Nutrition Potsdam-Rehbruecke, Dept. of Molecular Epidemiology, Arthur-Scheunert-Allee, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany (author)
  • Olsen, AnjaDanish Cancer Society Research Center, Diet, Cancer and Health, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark (author)
  • Tjønneland, AnneDanish Cancer Society Research Center, Diet, Cancer and Health, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark (author)
  • Dahm, Christina C.Department of Public Health, Aarhus University, Aarhus, Denmark (author)
  • Antoniussen, Christian S.Department of Public Health, Aarhus University, Aarhus, Denmark (author)
  • Sánchez, Maria JoseEscuela Andaluza de Salud Pública (EASP), Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain (author)
  • Amiano, PilarCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastian, Spain; Biodonostia Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain (author)
  • Chirlaque, María DoloresCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Department of Epidemiology, Regional Health Council, IMIB-Arrixaca, Murcia University, Murcia, Spain (author)
  • Guevara, MarcelaCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Navarra Public Health Institute, Pamplona, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain (author)
  • Agnoli, ClaudiaEpidemiology and Prevention Unit, Department of Research, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy (author)
  • Tumino, RosarioHyblean Association for Epidemiological Research, AIRE ONLUS Ragusa, Ragusa, Italy (author)
  • Sacerdote, CarlottaUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin, Italy (author)
  • De Magistris, Maria SantucciA.O.U. Federico II, Naples, Italy (author)
  • Sund, MalinUmeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Department of Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland(Swepub:umu)masu0021 (author)
  • Bodén, StinaUmeå universitet,Pediatrik(Swepub:umu)stabon98 (author)
  • Jensen, Torill EngetDepartment of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway (author)
  • Olsen, Karina StandahlDepartment of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway (author)
  • Skeie, GuriDepartment of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway (author)
  • Gunter, Marc J.Nutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France (author)
  • Rinaldi, SabinaNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France (author)
  • Gonzalez-Gil, Esther M.Nutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France (author)
  • Weiderpass, ElisabeteNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France (author)
  • Christakoudi, SofiaDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Inflammation Biology, School of Immunology and Microbial Sciences, King’s College London, London, United Kingdom (author)
  • Heath, Alicia K.Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom (author)
  • Dossus, LaureNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France (author)
  • Agudo, AntonioUnit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L’Hospitalet de Llobregat, Barcelona, Spain; Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain (author)
  • Unit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L’Hospitalet de Llobregat, Barcelona, Spain; Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat, Barcelona, SpainUnit of Nutrition and Cancer, Catalan Institute of Oncology-ICO, L’Hospitalet de Llobregat, Barcelona, Spain; Nutrition and Cancer Group, Epidemiology, Public Health, Cancer Prevention and Palliative Care Program, Bellvitge Biomedical Research Institute-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain; Department of Epidemiology, Harvard T.H. Chan School of Public Health, MA, Boston, United States (creator_code:org_t)

Related titles

  • In:British Journal of Cancer: Nature Publishing Group128, s. 1301-13100007-09201532-1827

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