Evidence map›Paper›PMID 28679675›Full record

ArticleBMJ open2017

The association of dietary quality with colorectal cancer among normal weight, overweight and obese men and women: a prospective longitudinal study in the USA.

Rosalie A Torres Stone, Molly E Waring, Sarah L Cutrona, Catarina I Kiefe, Jeroan Allison, Chyke A Doubeni

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Obesity-Associated Colorectal Cancer.International journal of molecular sciences · 2024
    Review
  11. Observational
  12. [Research Progress of the Effect of Mediterranean Diet on the Correlation of Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
    Review
  13. Article
  14. Observational
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

6 authors at 2 institutions in 1 country.

Rosalie A Torres StoneDepartment of Sociology, Clark University, Worcester, Massachusetts, USA.
Molly E WaringDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Sarah L CutronaDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Catarina I KiefeDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Jeroan AllisonDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Chyke A DoubeniDepartment of Family Medicine and Community Health, and the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Massachusetts Chan Medical School · USUniversity of Pennsylvania · US

Funding

UMass Center for Health Equity Intervention ResearchP60MD006912 · NIMHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PERSON, SHARINA D. · 2012 to 2016
$6.8M
TRACE-COREU01HL105268 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2010 to 2013
$5.8M
Effectiveness of Screening Colonoscopy in Reducing Deaths from Colorectal CancerU01CA151736 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DOUBENI, CHYKE ABADAMA · 2011 to 2015
$4.5M
University of Massachusetts Center for Clinical and Translational ScienceKL2TR000160 · NCATS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LUZURIAGA, KATHERINE F · 2012 to 2014
$1.7M
NCATS NIH HHS KL2 TR000160NCI NIH HHS U01 CA151736NHLBI NIH HHS U01 HL105268NIMHD NIH HHS P60 MD006912
6 · The paper itself

Abstract

objectiveLower body mass index (BMI) and higher dietary quality reduce the risk of colorectal cancer (CRC). A full understanding of how these associations vary by sex and weight is lacking.

methodsWe used data from the National Institutes of Health - American Association of Retired Persons (NIH)-AARP) Diet and Health Study for 398 458 persons who were 50-71 years old in 1995-1996 and followed through 2006. Exposures were dietary quality as reflected by the Mediterranean Diet, the Healthy Eating Index-2010 and the Dietary Approaches to Stop Hypertension score, stratified by BMI category. The outcome was CRC diagnosis from cancer registry data. Cox regression models were adjusted for disease risk factors.

resultsOver a mean duration of 123 months of follow-up, there were 6515 new diagnoses of CRC (1953 among the normal weight, 2924 among the overweight and 1638 among the obese; 4483 among men and 2032 among women). For normal weight and overweight men, we found a strong dose-response pattern for the association of increasing quintile of dietary quality with decreasing risk of CRC; this pattern was observed for obese men as well, but less consistently across the three measures of dietary quality. The findings were of smaller magnitude and less consistent for women but still suggesting associations of similar direction.

conclusionWe observed that increased dietary quality was associated with lower risk of incident CRC up to 10 years later for men regardless of baseline weight category.

Indexed as

Diet, MediterraneanAgedAge DistributionBody Mass IndexColorectal NeoplasmsFemaleHumansLongitudinal StudiesMaleMiddle AgedObesityOverweightProportional Hazards ModelsProspective StudiesRisk FactorsSex Distributionand nutritionbody mass indexcolorectal cancerdietfood

Identifiers

PMID28679675
PMCPMC5734399
OpenAlexW2728371654

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.