Evidence map›Paper›PMID 25549833›Full record

ArticleCancer causes & control : CCC2015

The association between dietary inflammatory index and risk of colorectal cancer among postmenopausal women: results from the Women's Health Initiative.

Fred K Tabung, Susan E Steck, Yunsheng Ma, Angela D Liese, Jiajia Zhang, Bette Caan, Lifang Hou, Karen C Johnson, Yasmin Mossavar-Rahmani, Nitin Shivappa and 3 more

Open access · greenAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 130 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 8 pooled it
25.7field-weighted citation impact, top 1% 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.

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

130 citing papers in PubMed, 8 syntheses or guidelines pooled it, 192 citations in OpenAlex.

  1. Pooled it
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  9. Trial
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  11. Dietary Inflammatory Index, Bone Mineral Density, and Risk of Fracture in Postmenopausal Women: Results From the Women's Health Initiative.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
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  19. Associations between Dietary Patterns and Incident Colorectal Cancer in 114,443 Individuals from the UK Biobank: A Prospective Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  20. Observational

70 more citing papers are in PubMed but not listed here.

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 at 7 institutions in 1 country.

Fred K TabungCancer Prevention and Control Program, University of South Carolina, 915 Greene Street, Discovery I Building, Columbia, SC, 29208, USA.
Susan E Steck
Yunsheng Ma
Angela D Liese
Jiajia Zhang
Bette Caan
Lifang Hou
Karen C Johnson
Yasmin Mossavar-Rahmani
Nitin Shivappa
Jean Wactawski-Wende
Judith K Ockene
James R Hebert
University of South Carolina · USUniversity of Massachusetts Chan Medical School · USAlbert Einstein College of Medicine · USKaiser Permanente · USNorthwestern University · USUniversity at Buffalo, State University of New York · USUniversity of Tennessee Health Science Center · US

Funding

Training ProgramU54CA153461 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HEBERT, JAMES R · 2010 to 2015
$4.8M
Study of Latinos: Nutrition & Physical Activity Assessment Study (SOLNAS)R01HL095856 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MOSSAVAR-RAHMANI, YASMIN · 2010 to 2013
$3.1M
A simple dietary message to improve dietary quality for metabolic syndromeR01HL094575 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MA, YUNSHENG · 2009 to 2012
$2.4M
Expanding Mentoring Capacity in High-Risk PopulationsK05CA136975 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HEBERT, JAMES R · 2009 to 2013
$801k
Depression, Antidepressant Use and Risk of Diabetes in the WHIR21DK083700 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MA, YUNSHENG · 2010 to 2011
$462k
NCI NIH HHS K05 CA136975NCI NIH HHS U54 CA153461NHLBI NIH HHS 1R01HL094575-01A1NHLBI NIH HHS HHSN268201100046CNHLBI NIH HHS R01 HL094575NIA NIH HHS HHSN271201100004CNIDDK NIH HHS 1R21 DK083700-01A1NIDDK NIH HHS R21 DK083700WHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

purposeInflammation is a process central to carcinogenesis and in particular to colorectal cancer (CRC). Previously, we developed a dietary inflammatory index (DII) from extensive literature review to assess the inflammatory potential of diet. In the current study, we utilized this novel index in the Women's Health Initiative to prospectively evaluate its association with risk of CRC in postmenopausal women.

methodsThe DII was calculated from baseline food frequency questionnaires administered to 152,536 women aged 50-79 years without CRC at baseline between 1993 and 1998 and followed through 30 September 2010. Incident CRC cases were ascertained through a central physician adjudication process. Multiple covariate-adjusted Cox proportional hazards regression models were used to estimate hazard ratios (HR) and 95 % confidence intervals (95 % CI) for colorectal, colon (proximal/distal locations), and rectal cancer risk, by DII quintiles (Q).

resultsDuring an average 11.3 years of follow-up, a total of 1,920 cases of CRC (1,559 colon and 361 rectal) were identified. Higher DII scores (representing a more pro-inflammatory diet) were associated with an increased incidence of CRC (HRQ5-Q1 1.22; 95 % CI 1.05, 1.43; p trend = 0.02) and colon cancer, specifically proximal colon cancer (HRQ5-Q1 1.35; 95 % CI 1.05, 1.67; p trend = 0.01) but not distal colon cancer (HRQ5-Q1 0.84; 95 % CI 0.61, 1.18; p trend = 0.63) or rectal cancer (HRQ5-Q1 1.20; 95 % CI 0.84, 1.72; p trend = 0.65).

conclusionConsumption of pro-inflammatory diets is associated with an increased risk of CRC, especially cancers located in the proximal colon. The absence of a significant association for distal colon cancer and rectal cancer may be due to the small number of incident cases for these sites. Interventions that may reduce the inflammatory potential of the diet are warranted to test our findings, thus providing more information for colon cancer prevention.

Indexed as

AgedCohort StudiesColonic NeoplasmsDietFeeding BehaviorFemaleFollow-Up StudiesHumansIncidenceInflammationMiddle AgedMultivariate AnalysisPostmenopauseProportional Hazards ModelsProspective StudiesRectal Neoplasms

Identifiers

PMID25549833
PMCPMC4334706
OpenAlexW2004899394

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.