Evidence map›Paper›PMID 31931881›Full record

ArticleBreast cancer research : BCR2020

Nutrient-wide association study of 92 foods and nutrients and breast cancer risk.

Alicia K Heath, David C Muller, Piet A van den Brandt, Nikos Papadimitriou, Elena Critselis, Marc Gunter, Paolo Vineis, Elisabete Weiderpass, Guy Fagherazzi, Heiner Boeing and 41 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Breast cancer research : BCR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
5.6field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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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

51 authors at 20 institutions in 12 countries.

Alicia K HeathDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK. a.heath@imperial.ac.uk.ORCID 0000-0001-6517-1300
David C MullerDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Piet A van den BrandtDepartment of Epidemiology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Nikos PapadimitriouDepartment of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece.
Elena CritselisProteomics Facility, Center for Systems Biology, Biomedical Research Foundation of the Academy of Athens, Athens, Greece.
Marc GunterDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Paolo VineisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Elisabete WeiderpassInternational Agency for Research on Cancer, World Health Organization, Lyon, France.
Guy FagherazziCenter of Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-South Paris-Saclay University, Gustave Roussy, Villejuif, France.
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Pietro FerrariNutrition and Metabolism Section, International Agency for Research on Cancer, World Health Organization, Lyon, France.
Anja OlsenDanish Cancer Society Research Center, Copenhagen, Denmark.
Anne TjønnelandDanish Cancer Society Research Center, Copenhagen, Denmark.
Patrick ArveuxCenter of Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-South Paris-Saclay University, Gustave Roussy, Villejuif, France.
Marie-Christine Boutron-RuaultCenter of Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-South Paris-Saclay University, Gustave Roussy, Villejuif, France.
Francesca Romana ManciniCenter of Research in Epidemiology and Population Health (CESP), Inserm U1018, Paris-South Paris-Saclay University, Gustave Roussy, Villejuif, France.
Tilman KühnDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Renée Turzanski-FortnerDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Anna KarakatsaniHellenic Health Foundation, Athens, Greece.
Paschalis ThriskosHellenic Health Foundation, Athens, Greece.
Antonia TrichopoulouHellenic Health Foundation, Athens, Greece.
Giovanna MasalaCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Paolo ContieroEnvironmental Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Fulvio RicceriDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.
Salvatore PanicoDipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
Bas Bueno-de-MesquitaDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Marije F BakkerJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Carla H van GilsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Karina Standahl OlsenDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Guri SkeieDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Cristina LasherasFunctional Biology Department, School of Medicine, University of Oviedo, Asturias, Spain.
Antonio AgudoUnit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology - ICO, Group of Research on Nutrition and Cancer, Bellvitge Biomedical Research Institute - IDIBELL, L'Hospitalet of Llobregat, Barcelona, Spain.
Miguel Rodríguez-BarrancoAndalusian School of Public Health (EASP), Granada, Spain.
Maria-José SánchezAndalusian School of Public Health (EASP), Granada, Spain.
Pilar AmianoCIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
María-Dolores ChirlaqueCIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Aurelio BarricarteCIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Isabel DrakeDepartment of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Ulrika EricsonDepartment of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Ingegerd JohanssonDepartment of Odontology, Umeå University, Umeå, Sweden.
Anna WinkvistDepartment of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Tim KeyCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Heinz FreislingNutrition and Metabolism Section, International Agency for Research on Cancer, World Health Organization, Lyon, France.
Mathilde HisNutrition and Metabolism Section, International Agency for Research on Cancer, World Health Organization, Lyon, France.
Inge HuybrechtsNutrition and Metabolism Section, International Agency for Research on Cancer, World Health Organization, Lyon, France.
Sofia ChristakoudiDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Merete Ellingjord-DaleDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Konstantinos K TsilidisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Ioanna TzoulakiDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
Centre international de recherche sur le cancer · FRImperial College London · GBInserm · FRUniversity of Ioannina · GRGerman Cancer Research Center · DEHellenic Health Foundation · GRLund University · SEUiT The Arctic University of Norway · NOUniversidad de Granada · ESUtrecht University · NLBiogipuzkoa Health Research Institute · ESDanish Cancer Society · DKFederico II University Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGerman Institute of Human Nutrition · DEHarokopio University of Athens · GRInstitut d'Investigació Biomédica de Bellvitge · ESInstituto de Salud Pública de Navarra · ESInstituto Murciano de Investigación Biosanitaria · ESKing's College London · GB

Funding

Cancer Research UK 14136Cancer Research UK 24390Cancer Research UK C570/A16491Cancer Research UK C8221/A19170Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1World Health Organization 001
6 · The paper itself

Abstract

backgroundSeveral dietary factors have been reported to be associated with risk of breast cancer, but to date, unequivocal evidence only exists for alcohol consumption. We sought to systematically assess the association between intake of 92 foods and nutrients and breast cancer risk using a nutrient-wide association study.

methodsUsing data from 272,098 women participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, we assessed dietary intake of 92 foods and nutrients estimated by dietary questionnaires. Cox regression was used to quantify the association between each food/nutrient and risk of breast cancer. A false discovery rate (FDR) of 0.05 was used to select the set of foods and nutrients to be replicated in the independent Netherlands Cohort Study (NLCS).

resultsSix foods and nutrients were identified as associated with risk of breast cancer in the EPIC study (10,979 cases). Higher intake of alcohol overall was associated with a higher risk of breast cancer (hazard ratio (HR) for a 1 SD increment in intake = 1.05, 95% CI 1.03-1.07), as was beer/cider intake and wine intake (HRs per 1 SD increment = 1.05, 95% CI 1.03-1.06 and 1.04, 95% CI 1.02-1.06, respectively), whereas higher intakes of fibre, apple/pear, and carbohydrates were associated with a lower risk of breast cancer (HRs per 1 SD increment = 0.96, 95% CI 0.94-0.98; 0.96, 95% CI 0.94-0.99; and 0.96, 95% CI 0.95-0.98, respectively). When evaluated in the NLCS (2368 cases), estimates for each of these foods and nutrients were similar in magnitude and direction, with the exception of beer/cider intake, which was not associated with risk in the NLCS.

conclusionsOur findings confirm a positive association of alcohol consumption and suggest an inverse association of dietary fibre and possibly fruit intake with breast cancer risk.

Indexed as

DietNutrientsAdultAgedAged, 80 and overBreast NeoplasmsCohort StudiesDietary FiberFeeding BehaviorFemaleHumansMiddle AgedNutrition AssessmentProspective StudiesRisk FactorsSurveys and QuestionnairesDietary FiberNutrientsAlcoholBreast cancerDietFibreFoodsNutrients

Identifiers

PMID31931881
PMCPMC6958698
OpenAlexW3000219461

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.