Evidence map›Paper›PMID 30846706›Full record

ArticleScientific reports2019

Overeating, caloric restriction and breast cancer risk by pathologic subtype: the EPIGEICAM study.

Virginia Lope, Miguel Martín, Adela Castelló, Amparo Ruiz, Ana Mª Casas, José Manuel Baena-Cañada, Silvia Antolín, Manuel Ramos-Vázquez, José Ángel García-Sáenz, Montserrat Muñoz and 13 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

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  15. Caloric restriction in female reproduction: is it beneficial or detrimental?Reproductive biology and endocrinology : RB&E · 2021
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  17. How Far Are We from Prescribing Fasting as Anticancer Medicine?International journal of molecular sciences · 2020
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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

23 authors at 16 institutions in 1 country.

Virginia LopeNational Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain.
Miguel MartínGEICAM Spanish Breast Cancer Group, Madrid, Spain.ORCID 0000-0001-9237-3231
Adela CastellóNational Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain.
Amparo RuizGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Ana Mª CasasGEICAM Spanish Breast Cancer Group, Madrid, Spain.
José Manuel Baena-CañadaGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Silvia AntolínGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Manuel Ramos-VázquezGEICAM Spanish Breast Cancer Group, Madrid, Spain.
José Ángel García-SáenzGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Montserrat MuñozGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Ana LluchGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Ana de Juan-FerréGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Carlos JaraGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Pedro Sánchez-RoviraGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Antonio AntónGEICAM Spanish Breast Cancer Group, Madrid, Spain.
José Ignacio ChacónGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Angels ArcusaGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Mª Angeles JimenoGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Susana BezaresGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Jesús VioqueConsortium for Biomedical Research in Epidemiology & Public Health, CIBERESP, Madrid, Spain.
Eva CarrascoGEICAM Spanish Breast Cancer Group, Madrid, Spain.
Beatriz Pérez-GómezNational Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain.ORCID 0000-0002-4299-8214
Marina PollánNational Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain. mpollan@isciii.es.
Instituto de Salud Carlos III · ESGEICAM – Spanish Breast Cancer Group · ESCentro Oncológico de Galicia · ESComplejo Hospitalario de Jaén · ESComplexo Hospitalario Universitario A Coruña · ESConsorci Sanitari de Terrassa · ESFundación Instituto Valenciano de Oncología · ESHospital Clínic de Barcelona · ESHospital Clínico San Carlos · ESHospital Universitario Fundación Alcorcón · ESHospital Universitario Miguel Servet · ESHospital Universitario Puerta del Mar · ESHospital Universitario Virgen del Rocío · ESHospital Virgen de la Salud · ESMarqués de Valdecilla University Hospital · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study analyzes the association of excessive energy intake and caloric restriction with breast cancer (BC) risk taking into account the individual energy needs of Spanish women. We conducted a multicenter matched case-control study where 973 pairs completed lifestyle and food frequency questionnaires. Expected caloric intake was predicted from a linear regression model in controls, including calories consumed as dependent variable, basal metabolic rate as an offset and physical activity as explanatory. Overeating and caloric restriction were defined taking into account the 99% confidence interval of the predicted value. The association with BC risk, overall and by pathologic subtype, was evaluated using conditional and multinomial logistic regression models. While premenopausal women that consumed few calories (>20% below predicted) had lower BC risk (OR = 0.36; 95% CI = 0.21-0.63), postmenopausal women with an excessive intake (≥40% above predicted) showed an increased risk (OR = 2.81; 95% CI = 1.65-4.79). For every 20% increase in relative (observed/predicted) caloric intake the risk of hormone receptor positive (p-trend < 0.001) and HER2+ (p-trend = 0.015) tumours increased 13%, being this figure 7% for triple negative tumours. While high energy intake increases BC risk, caloric restriction could be protective. Moderate caloric restriction, in combination with regular physical activity, could be a good strategy for BC prevention.

Indexed as

Caloric RestrictionAdolescentAdultAgedBreast NeoplasmsCase-Control StudiesEnergy IntakeExerciseFemaleHumansHyperphagiaLife StyleMiddle AgedRisk FactorsSpainYoung Adult

Identifiers

PMID30846706
PMCPMC6405854
OpenAlexW2920138590

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 OpenQuestion graph.