Evidence map›Paper›PMID 32114592›Full record

SynthesisBritish journal of cancer2020

Omega-3, omega-6 and total dietary polyunsaturated fat on cancer incidence: systematic review and meta-analysis of randomised trials.

Sarah Hanson, Gabrielle Thorpe, Lauren Winstanley, Asmaa S Abdelhamid, Lee Hooper, PUFAH group

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
8.5field-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

51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
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  3. Reduction in saturated fat intake for cardiovascular disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Reduction in saturated fat intake for cardiovascular disease.The Cochrane database of systematic reviews · 2020
    Pooled it
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  18. Plasma metabolomics profiles and breast cancer risk.Breast cancer research : BCR · 2024
    Article
  19. Enhancing cancer immunotherapy via inhibition of soluble epoxide hydrolase.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  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 1 institution in 1 country.

Sarah HansonSchool of Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK.
Gabrielle ThorpeSchool of Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK.
Lauren WinstanleyNorwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
Asmaa S AbdelhamidNorwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
Lee HooperNorwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK. L.Hooper@uea.ac.uk.ORCID http://orcid.org/0000-0002-7904-3331
PUFAH group
University of East Anglia · GB

Funding

World Health Organization (WHO) HQNHD1612458
6 · The paper itself

Abstract

backgroundThe relationship between long-chain omega-3 (LCn3), alpha-linolenic acid (ALA), omega-6 and total polyunsaturated fatty acid (PUFA) intakes and cancer risk is unclear.

methodsWe searched Medline, Embase, CENTRAL and trials registries for RCTs comparing higher with lower LCn3, ALA, omega-6 and/or total PUFA, that assessed cancers over ≥12 months. Random-effects meta-analyses, sensitivity analyses, subgrouping, risk of bias and GRADE were used.

resultsWe included 47 RCTs (108,194 participants). Increasing LCn3 has little or no effect on cancer diagnosis (RR1.02, 95% CI 0.98-1.07), cancer death (RR0.97, 95% CI 0.90-1.06) or breast cancer diagnosis (RR1.03, 95% CI 0.89-1.20); increasing ALA has little or no effect on cancer death (all high/moderate-quality evidence). Increasing LCn3 (NNTH 334, RR1.10, 95% CI 0.97-1.24) and ALA (NNTH 334, RR1.30, 95% CI 0.72-2.32) may slightly increase prostate cancer risk; increasing total PUFA may slightly increase risk of cancer diagnosis (NNTH 125, RR1.19, 95% CI 0.99-1.42) and cancer death (NNTH 500, RR1.10, 95% CI 0.48-2.49) but total PUFA doses were very high in some trials.

conclusionsThe most extensive systematic review to assess the effects of increasing PUFAs on cancer risk found increasing total PUFA may very slightly increase cancer risk, offset by small protective effects on cardiovascular diseases.

Indexed as

alpha-Linolenic AcidFatty Acids, Omega-3Fatty Acids, Omega-6Fatty Acids, UnsaturatedHumansIncidenceNeoplasmsRandomized Controlled Trials as TopicRiskalpha-Linolenic AcidFatty Acids, Omega-3Fatty Acids, Omega-6Fatty Acids, Unsaturated

Identifiers

PMID32114592
PMCPMC7156752
OpenAlexW3007938422

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.