Evidence map›Paper›PMID 36651198›Full record

ArticleInternational journal of epidemiology2023

Lifestyle, genetic risk and incidence of cancer: a prospective cohort study of 13 cancer types.

Stephanie Byrne, Terry Boyle, Muktar Ahmed, Sang Hong Lee, Beben Benyamin, Elina Hyppönen

Abstract read
In one paragraph

Article in International journal of epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Efficacy of Saffron (Integrative cancer therapies
    Pooled it
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  11. Probiotics Cancer Interaction, Prevention, and Therapy.Immunity, inflammation and disease · 2026
    Review
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1 more citing papers are in PubMed but not listed here.

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.

Stephanie ByrneAustralian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia.ORCID 0000-0001-5566-3467
Terry BoyleAustralian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia.
Muktar AhmedAustralian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia.
Sang Hong LeeAustralian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia.
Beben BenyaminAustralian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia.
Elina HyppönenAustralian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia.ORCID 0000-0003-3670-9399

Funding

Medical Research Council MC_PC_17228
6 · The paper itself

Abstract

backgroundGenetic and lifestyle factors are associated with cancer risk. We investigated the benefits of adhering to lifestyle advice by the World Cancer Research Fund (WCRF) with the risk of 13 types of cancer and whether these associations differ according to genetic risk using data from the UK Biobank.

methodsIn 2006-2010, participants aged 37-73 years had their lifestyle assessed and were followed up for incident cancers until 2015-2019. Analyses were restricted to those of White European ancestry with no prior history of malignant cancer (n = 195 822). Polygenic risk scores (PRSs) were computed for 13 cancer types and these cancers combined ('overall cancer'), and a lifestyle index was calculated from WCRF recommendations. Associations with cancer incidence were estimated using Cox regression, adjusting for relevant confounders. Additive and multiplicative interactions between lifestyle index and PRSs were assessed.

resultsThere were 15 240 incident cancers during the 1 926 987 person-years of follow-up (median follow-up = 10.2 years). After adjusting for confounders, the lifestyle index was associated with a lower risk of overall cancer [hazard ratio per standard deviation increase (95% CI) = 0.89 (0.87, 0.90)] and of eight specific cancer types. There was no evidence of interactions on the multiplicative scale. There was evidence of additive interactions in risks for colorectal, breast, pancreatic, lung and bladder cancers, such that the recommended lifestyle was associated with greater change in absolute risk for persons at higher genetic risk (P < 0.0003 for all).

conclusionsThe recommended lifestyle has beneficial associations with most cancers. In terms of absolute risk, the protective association is greater for higher genetic risk groups for some cancers. These findings have important implications for persons most genetically predisposed to those cancers and for targeted strategies for cancer prevention.

Indexed as

Life StyleNeoplasmsHumansIncidenceProspective StudiesRisk Factorsalcohol consumptionCancerdietgenetic risklifestyleobesityphysical activitysmoking

Identifiers

PMID36651198
PMCPMC10244040

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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.