Evidence map›Paper›PMID 37460062›Full record

Observational studyThe American journal of clinical nutrition2023

Association of dietary insulinemic and inflammatory potential with risk of liver cancer and chronic liver disease mortality in postmenopausal women: a prospective cohort study.

Xinyuan Zhang, Longgang Zhao, Cami N Christopher, Fred K Tabung, Wei Bao, David O Garcia, Aladdin H Shadyab, Nazmus Saquib, Marian L Neuhouser, Lesley F Tinker and 1 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The American journal of clinical nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
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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

11 authors at 6 institutions in 3 countries.

Xinyuan ZhangChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States.
Longgang ZhaoChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
Cami N ChristopherDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Fred K TabungDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States; Department of Internal Medicine, The Ohio State University College of Medicine and Comprehensive Cancer Center, Columbus, OH, United States.
Wei BaoInstitute of Public Health, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China.
David O GarciaDepartment of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
Aladdin H ShadyabHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, United States.
Nazmus SaquibDepartment of Clinical Sciences, College of Medicine, Sulaiman AlRajhi University, Al Bukayriyah, Saudi Arabia.
Marian L NeuhouserDivision of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.
Lesley F TinkerDivision of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA, United States.
Xuehong ZhangChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States. Electronic address: xuehong.zhang@channing.harvard.edu.
Brigham and Women's Hospital · USSulaiman Al Rajhi Colleges · SAUniversity of Science and Technology of China · CNFred Hutch Cancer Center · USHarvard University · USUniversity of Arizona · US

Funding

Decoding mechanisms underlying metabolic dysregulation in obesity and digestive cancer riskU01CA272452 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI GIOVANNUCCI, EDWARD, TOBIAS, DEIRDRE KAY · 2022 to 2025
$6.4M
Perfluoroalkyl Substances (PFASs) and Liver Cancer Risk in the United StatesU01CA259208 · NCI · YALE UNIVERSITY · PI ZHANG, XUEHONG · 2022 to 2025
$2.9M
Helicobacter Infection and Liver Cancer Risk among African Americans andWhites in the United StatesR37CA262299 · NCI · YALE UNIVERSITY · PI Xuehong Zhang · 2021 to 2026
$2.4M
Multidisciplinary Study of Folate Intake and Colorectal CancerR21CA252962 · NCI · YALE UNIVERSITY · PI ZHANG, XUEHONG · 2021 to 2022
$487k
Proteomics Study of Non-viral Related Hepatocellular Carcinoma RiskR21CA238651 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ZHANG, XUEHONG · 2020 to 2021
$477k
NCI NIH HHS R21 CA238651NCI NIH HHS R21 CA252962NCI NIH HHS R37 CA262299NCI NIH HHS U01 CA259208NCI NIH HHS U01 CA272452NHLBI NIH HHS HHSN268201600001CNHLBI NIH HHS HHSN268201600002CNHLBI NIH HHS HHSN268201600003CNHLBI NIH HHS HHSN268201600004CNHLBI NIH HHS HHSN268201600018C
6 · The paper itself

Abstract

backgroundLow diet quality, diabetes, and chronic inflammation are risk factors of liver cancer and chronic liver disease (CLD), but the extent to which insulinemic and inflammatory diets are independently associated with risk of liver cancer and CLD mortality is unknown.

methodsWe conducted a prospective cohort analysis among 78,356 postmenopausal women in the Women's Health Initiative Observational Study. Two validated dietary indices, the empirical dietary index for hyperinsulinemia (EDIH) and the empirical dietary inflammation pattern (EDIP), were estimated from a food-frequency questionnaire. Incident cases of liver cancer and CLD mortality were adjudicated via review of medical records and linkage to National Death Index. Multivariable hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated using Cox proportional hazards models, adjusted for age, diabetes, body mass index, and other covariates.

resultsDuring a median 22.1 y of follow-up, we documented 176 primary liver cancer cases and 156 CLD mortality cases. EDIH was positively associated with incident liver cancer (HR

conclusionsDietary insulinemic and inflammatory potentials were independently associated with higher risk of liver cancer and CLD mortality in U.S. postmenopausal women. These findings suggest a potential role for diet modification to reduce risk of liver cancer and CLD.

Indexed as

HyperinsulinismLiver NeoplasmsCohort StudiesDietFeeding BehaviorFemaleHumansInflammationPostmenopauseProspective StudiesRisk Factorschronic liver diseasesEDIHEDIPempirical dietary index for hyperinsulinemiaempirical dietary inflammation patternliver cancermortalityprospective cohort study

Identifiers

PMID37460062
PMCPMC10517210
OpenAlexW4384562447

What OpenQuestion holds

Textmetadata
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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.