Evidence map›Paper›PMID 32525569›Full record

ArticleInternational journal of cancer2020

Fruits and vegetables intake and gastric cancer risk: A pooled analysis within the Stomach cancer Pooling Project.

Ana Ferro, Ana Rute Costa, Samantha Morais, Paola Bertuccio, Matteo Rota, Claudio Pelucchi, Jinfu Hu, Kenneth C Johnson, Zuo-Feng Zhang, Domenico Palli and 34 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
5.9field-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

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Association between priori and posteriori dietary patterns and gastric cancer risk: an updated systematic review and meta-analysis of observational studies.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2025
    Pooled it
  3. Pooled it
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  5. Pooled it
  6. Review
  7. Article
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  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. The global gastric cancer consortium: an update from the Stomach cancer Pooling (StoP) project.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2024
    Article
  16. Risk Factors and Prevention of Stomach Cancer, ExcludingThe Korean journal of helicobacter and upper gastrointestinal research · 2024
    Review
  17. Article
  18. Review
  19. Gastric Cancer: Clinical Features, Screening, Diagnosis, Treatment, and Prevention.Journal of community hospital internal medicine perspectives · 2024
    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

44 authors at 20 institutions in 14 countries.

Ana FerroEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Ana Rute CostaEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Samantha MoraisEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Paola BertuccioDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Matteo RotaDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.ORCID 0000-0003-3928-5966
Claudio PelucchiDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.ORCID 0000-0003-1425-8945
Jinfu HuHarbin Medical University, Harbin, China.
Kenneth C JohnsonSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Zuo-Feng ZhangDepartment of Epidemiology, UCLA Fielding School of Public Health and Jonsson, Comprehensive Cancer Center, Los Angeles, California.ORCID 0000-0002-4669-3995
Domenico PalliCancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network, ISPRO, Florence, Italy.ORCID 0000-0002-5558-2437
Monica FerraroniDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Guo-Pei YuMedical Informatics Center, Peking University, Peking, China.
Rossella BonziDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Bárbara PeleteiroEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Lizbeth López-CarrilloMexico National Institute of Public Health, Morelos, Mexico.
Shoichiro TsuganeEpidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
Gerson Shigueaki HamadaNikkei Disease Prevention Center, São Paulo, Brazil.
Akihisa HidakaEpidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
Reza MalekzadehDigestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
David ZaridzeDepartment of Epidemiology and Prevention, Russian N.N. Blokhin Cancer Research Center, Moscow, Russia.
Dmitry MaximovichDepartment of Epidemiology and Prevention, Russian N.N. Blokhin Cancer Research Center, Moscow, Russia.
Jesus VioqueConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Eva M Navarrete-MuñozConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Juan AlguacilConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Gemma Castaño-VinyalsConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.ORCID 0000-0003-4468-1816
Alicja WolkUnit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Niclas HåkanssonUnit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Raúl Ulises Hernández-RamírezDepartment of Biostatistics, Yale School of Public Health, Yale School of Medicine, New Haven, Connecticut.
Mohammadreza PaksereshtDigestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Mary H WardDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland.
Farhad PourfarziDigestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Lina MuDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York.
Malaquias López-CervantesFacultad de Medicina, UNAM, Coyoacán, Mexico.
Roberto PersianiDipartimento Scienze Gastroenterologiche, Endocrino-Metaboliche e Nefro-Urologiche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Robert C KurtzDepartment of Medicine, Memorial Sloan Kettering Cancer Centre, New York, New York.
Areti LagiouDepartment of Public and Community Health, School of Health Sciences, University of West Attica, Egaleo, Greece.
Pagona LagiouDepartment of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Paolo BoffettaThe Tisch Cancer Institute, Department of Hematology and Oncology, Icahn School of Medicine at Mount Sinai, New York, New York.
Stefania BocciaSezione di Igiene, Dipartimento Universitario di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Roma, Italy.
Eva NegriDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.ORCID 0000-0001-9712-8526
Maria Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland.
Maria Paula CuradoCentro Internacional de Pesquisa, A. C. Camargo Cancer Center, São Paulo, Brazil.ORCID 0000-0001-8172-2483
Carlo La VecchiaDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.ORCID 0000-0003-1441-897X
Nuno LunetEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.ORCID 0000-0003-1870-1430
University of Milan · ITUniversidade do Porto · PTi3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTKarolinska Institutet · SENational Cancer Institute · USPrevention Group · USRussian Cancer Research Center NN Blokhin · RUUniversità Cattolica del Sacro Cuore · ITUniversitat de Miguel Hernández d'Elx · ESAC Camargo Hospital · BRArdabil University of Medical Sciences · IRCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESDigestive Health Research Institute · FRHarbin Medical University · CNHarvard University · USInstituto Nacional de Salud Pública · MXMemorial Sloan Kettering Cancer Center · USPeking University · CNPrevention Institute · USTisch Hospital · US

Funding

Upper Gastrointestinal Cancer StudiesZIACP000185 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ABNET, CHRISTIAN · 2009 to 2025
$25.6M
Intramural NIH HHS ZIA CP000185
6 · The paper itself

Abstract

A low intake of fruits and vegetables is a risk factor for gastric cancer, although there is uncertainty regarding the magnitude of the associations. In our study, the relationship between fruits and vegetables intake and gastric cancer was assessed, complementing a previous work on the association betweenconsumption of citrus fruits and gastric cancer. Data from 25 studies (8456 cases and 21 133 controls) with information on fruits and/or vegetables intake were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age and the main known risk factors for gastric cancer) odds ratios (ORs) and the corresponding 95% confidence intervals (CIs). Exposure-response relations, including linear and nonlinear associations, were modeled using one- and two-order fractional polynomials. Gastric cancer risk was lower for a higher intake of fruits (OR: 0.76, 95% CI: 0.64-0.90), noncitrus fruits (OR: 0.86, 95% CI: 0.73-1.02), vegetables (OR: 0.68, 95% CI: 0.56-0.84), and fruits and vegetables (OR: 0.61, 95% CI: 0.49-0.75); results were consistent across sociodemographic and lifestyles categories, as well as study characteristics. Exposure-response analyses showed an increasingly protective effect of portions/day of fruits (OR: 0.64, 95% CI: 0.57-0.73 for six portions), noncitrus fruits (OR: 0.71, 95% CI: 0.61-0.83 for six portions) and vegetables (OR: 0.51, 95% CI: 0.43-0.60 for 10 portions). A protective effect of all fruits, noncitrus fruits and vegetables was confirmed, supporting further dietary recommendations to decrease the burden of gastric cancer.

Indexed as

DietAdultAgedCase-Control StudiesFemaleFood PreferencesFruitHumansLife StyleMaleMiddle AgedOdds RatioStomach NeoplasmsSurveys and QuestionnairesVegetablesfruitsgastric cancernutritionpooled analysesvegetables

Identifiers

PMID32525569
PMCPMC8545605
OpenAlexW3033695328

What OpenQuestion holds

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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.