Evidence map›Paper›PMID 34578868›Full record

Trial reportNutrients2021

Adherence to Dietary Recommendations after One Year of Intervention in Breast Cancer Women: The DIANA-5 Trial.

Eleonora Bruno, Vittorio Krogh, Giuliana Gargano, Sara Grioni, Manuela Bellegotti, Elisabetta Venturelli, Salvatore Panico, Maria Santucci de Magistris, Bernardo Bonanni, Emanuela Zagallo and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. The Effect of Diet on Breast Cancer Recurrence: The DIANA-5 Randomized Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Trial
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  5. Trial
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
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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

21 authors.

Eleonora BrunoDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.
Vittorio KroghDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.ORCID 0000-0003-0122-8624
Giuliana GarganoDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.
Sara GrioniDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.
Manuela BellegottiDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.
Elisabetta VenturelliDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.
Salvatore PanicoAOU Federico II, 80131 Napoli, Italy.
Maria Santucci de MagistrisAOU Federico II, 80131 Napoli, Italy.
Bernardo BonanniDivision of Cancer Prevention and Genetics, European Institute of Oncology IRCCS, 20141 Milano, Italy.ORCID 0000-0003-3589-2128
Emanuela ZagalloDivision of Cancer Prevention and Genetics, European Institute of Oncology IRCCS, 20141 Milano, Italy.
Angelica MercandinoFondazione Edo ed Elvo Tempia ONLUS, 13900 Biella, Italy.
Maria Chiara BassiAts Valpadana, 46100 Mantova, Italy.
Rosalba AmodioClinical Epidemiology and Cancer Registry Unit, Palermo Province Cancer Registry, Palermo University Hospital P. Giaccone, 90127 Palermo, Italy.
Maurizio ZarconeClinical Epidemiology and Cancer Registry Unit, Palermo Province Cancer Registry, Palermo University Hospital P. Giaccone, 90127 Palermo, Italy.
Rocco GalassoUnit of Regional Cancer Registry, Clinical Epidemiology and Biostatistics, IRCCS-CROB, Basilicata, 85028 Rionero in Vulture, Italy.ORCID 0000-0003-4831-6437
Maggiorino BarberoObstetrics and Gynecology Unit, Cardinal Massaia Hospital, 14100 Asti, Italy.
Milena SimeoniAssociazione LUMEN, 29010 San Pietro in Cerro, Italy.ORCID 0000-0001-8583-8547
Maria Piera ManoDipartimento Scienze Chirurgiche, Study University, 10124 Turin, Italy.
Franco BerrinoDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.
Anna VillariniDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.
Patrizia PasanisiDepartment of Research, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milano, Italy.ORCID 0000-0001-6278-3491

Funding

Associazione Italiana per la Ricerca sul Cancro (AIRC); AIRC, IG-2011-11942Italian Department of Health, Programma Integrato Oncologia PIO, RFPS-2006-1-339715
6 · The paper itself

Abstract

The Diet and Androgen-5 (DIANA-5) trial aimed at testing whether a dietary change based on the Mediterranean diet and on macrobiotic principles can reduce the incidence of breast cancer (BC)-related events. We analyzed the adherence to the DIANA-5 dietary recommendations by randomization group after 1 year of intervention. We evaluated the association between dietary adherence and changes in body weight and metabolic syndrome (MS) parameters. BC women aged 35-70 years were eligible. After the baseline examinations, women were randomized into an intervention group (IG) or a control group (CG). A total of 1344 BC women (689 IG and 655 CG) concluded the first year of dietary intervention. IG showed greater anthropometric and metabolic improvements compared to CG. These changes were significantly associated with increased adherence to the dietary recommendations. Women who increased recommended foods consumption or reduced discouraged foods consumption showed an Odds Ratio (OR) of 1.37 (0.70-2.67) and 2.02 (1.03-3.98) to improve three or more MS parameters. Moreover, women in the higher category of dietary change showed a four times higher OR of reducing body weight compared to the lower category (

Indexed as

AdultAgedBody WeightBreast NeoplasmsDiet, MediterraneanFemaleFollow-Up StudiesHumansMetabolic SyndromeMiddle AgedPatient ComplianceWeight LossWeight Reduction Programsadherence to dietDIANA-5weight and metabolic syndrome improvement

Identifiers

PMID34578868
PMCPMC8468802

What OpenQuestion holds

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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.