Evidence map›Paper›PMID 38643440›Full record

SynthesisEuropean journal of nutrition2024

Protein intake and cancer: an umbrella review of systematic reviews for the evidence-based guideline of the German Nutrition Society.

Tilman Kühn, Nicole Kalotai, Anna M Amini, Julia Haardt, Andreas Lehmann, Annemarie Schmidt, Anette E Buyken, Sarah Egert, Sabine Ellinger, Anja Kroke and 10 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in European journal of nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.8field-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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

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

20 authors at 12 institutions in 3 countries.

Tilman KühnThe Institute for Global Food Security, Queen's University Belfast, 19 Chlorine Gardens, Belfast, Northern Ireland, BT9 5DL, UK. corresponding_author@dge.de.
Nicole KalotaiGerman Nutrition Society, Bonn, Germany.ORCID http://orcid.org/0009-0009-3135-2563
Anna M AminiGerman Nutrition Society, Bonn, Germany.
Julia HaardtGerman Nutrition Society, Bonn, Germany.
Andreas LehmannGerman Nutrition Society, Bonn, Germany.
Annemarie SchmidtGerman Nutrition Society, Bonn, Germany.
Anette E BuykenInstitute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Paderborn, Germany.
Sarah EgertInstitute of Nutritional and Food Science, Nutritional Physiology, University of Bonn, Bonn, Germany.
Sabine EllingerInstitute of Nutritional and Food Science, Human Nutrition, University of Bonn, Bonn, Germany.
Anja KrokeDepartment of Nutritional, Food and Consumer Sciences, Fulda University of Applied Sciences, Fulda, Germany.
Stefan LorkowskiInstitute of Nutritional Sciences, Friedrich Schiller University Jena, Jena, Germany.
Sandrine LouisDepartment of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Karlsruhe, Germany.
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Lukas SchwingshacklInstitute for Evidence in Medicine, Medical Center, University of Freiburg, Freiburg, Germany.
Roswitha SienerDepartment of Urology, University Stone Center, University Hospital Bonn, Bonn, Germany.
Gabriele I StanglInstitute of Agricultural and Nutritional Sciences, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Bernhard WatzlDepartment of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Karlsruhe, Germany.
Armin ZittermannClinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum Nordrhein-Westfalen, Ruhr University Bochum, Bad Oeynhausen, Germany.
Katharina NimptschMolecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine (MDC) in the Helmholtz Association, Robert-Rössle-Straße 10, 13125, Berlin, Germany. corresponding_author@dge.de.
German Nutrition Society
Max Rubner Institut · DEUniversity of Bonn · DEFriedrich Schiller University Jena · DEFulda University of Applied Sciences · DEHeart and Diabetes Center North Rhine-Westphalia · DEMartin Luther University Halle-Wittenberg · DEMax Delbrück Center · DEPaderborn University · DEQueen's University Belfast · GBUniversity Hospital Bonn · DEUniversity of Freiburg · DEUniversity of Potsdam · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt has been proposed that a higher habitual protein intake may increase cancer risk, possibly via upregulated insulin-like growth factor signalling. Since a systematic evaluation of human studies on protein intake and cancer risk based on a standardised assessment of systematic reviews (SRs) is lacking, we carried out an umbrella review of SRs on protein intake in relation to risks of different types of cancer.

methodsFollowing a pre-specified protocol (PROSPERO: CRD42018082395), we retrieved SRs on protein intake and cancer risk published before January 22th 2024, and assessed the methodological quality and outcome-specific certainty of the evidence using a modified version of AMSTAR 2 and NutriGrade, respectively. The overall certainty of evidence was rated according to predefined criteria.

resultsTen SRs were identified, of which eight included meta-analyses. Higher total protein intake was not associated with risks of breast, prostate, colorectal, ovarian, or pancreatic cancer incidence. The methodological quality of the included SRs ranged from critically low (kidney cancer), low (pancreatic, ovarian and prostate cancer) and moderate (breast and prostate cancer) to high (colorectal cancer). The outcome-specific certainty of the evidence underlying the reported findings on protein intake and cancer risk ranged from very low (pancreatic, ovarian and prostate cancer) to low (colorectal, ovarian, prostate, and breast cancer). Animal and plant protein intakes were not associated with cancer risks either at a low (breast and prostate cancer) or very low (pancreatic and prostate cancer) outcome-specific certainty of the evidence. Overall, the evidence for the lack of an association between protein intake and (i) colorectal cancer risk and (ii) breast cancer risk was rated as possible. By contrast, the evidence underlying the other reported results was rated as insufficient.

conclusionThe present findings suggest that higher total protein intake may not be associated with the risk of colorectal and breast cancer, while conclusions on protein intake in relation to risks of other types of cancer are restricted due to insufficient evidence.

Indexed as

Dietary ProteinsEvidence-Based MedicineNeoplasmsNutrition PolicyGermanyHumansRisk FactorsSystematic Reviews as TopicDietary ProteinsCancerEvidence-based guidelineProteinUmbrella review

Identifiers

PMID38643440
PMCPMC11329548
OpenAlexW4394987247

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.