Evidence map›Paper›PMID 40001062›Full record

ArticleBMC medicine2025

Plant-based, fast-food, Western-contemporary, and animal-based dietary patterns and risk of premature aging in adult survivors of childhood cancer: a cross-sectional study.

Tuo Lan, Mei Wang, AnnaLynn M Williams, Matthew J Ehrhardt, Jennifer Q Lanctot, Shu Jiang, Kevin R Krull, Gregory T Armstrong, Melissa M Hudson, Graham A Colditz and 3 more

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

13 authors.

Tuo LanDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 S. Euclid Ave. Campus, box 8100, St. Louis, MO, 63110, USA.
Mei WangDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 S. Euclid Ave. Campus, box 8100, St. Louis, MO, 63110, USA.
AnnaLynn M WilliamsDivision of Supportive Care in Cancer, Department of Surgery, University of Rochester Medical Center, James P. Wilmot Cancer Institute, Rochester, NY, USA.
Matthew J EhrhardtDepartment of Epidemiology and Cancer Control, St. Jude Children'S Research Hospital, Memphis, TN, USA.
Jennifer Q LanctotDepartment of Epidemiology and Cancer Control, St. Jude Children'S Research Hospital, Memphis, TN, USA.
Shu JiangDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 S. Euclid Ave. Campus, box 8100, St. Louis, MO, 63110, USA.
Kevin R KrullDepartment of Epidemiology and Cancer Control, St. Jude Children'S Research Hospital, Memphis, TN, USA.
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, St. Jude Children'S Research Hospital, Memphis, TN, USA.
Melissa M HudsonDepartment of Epidemiology and Cancer Control, St. Jude Children'S Research Hospital, Memphis, TN, USA.
Graham A ColditzDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 S. Euclid Ave. Campus, box 8100, St. Louis, MO, 63110, USA.
Leslie L RobisonDepartment of Epidemiology and Cancer Control, St. Jude Children'S Research Hospital, Memphis, TN, USA.
Kirsten K NessDepartment of Epidemiology and Cancer Control, St. Jude Children'S Research Hospital, Memphis, TN, USA.
Yikyung ParkDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 660 S. Euclid Ave. Campus, box 8100, St. Louis, MO, 63110, USA. yikyungpark@wustl.edu.ORCID http://orcid.org/0000-0002-6281-489X

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
The St. Jude Lifetime CohortU01CA195547 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI HUDSON, MELISSA M, NESS, KIRSTEN KIMBERLIE · 2015 to 2024
$14.9M
NCI NIH HHS U01 CA195547NCI NIH HHS UG1 CA189961NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

backgroundAlthough premature aging is a significant concern in adult survivors of childhood cancer, little is known about the role of diet in premature aging in this vulnerable population. Therefore, we examined whether dietary patterns specific to childhood cancer survivors are associated with premature aging.

methodsThis cross-sectional study included 2904 adult survivors of childhood cancer (mean age = 31 years, SD = 8 years) in the St. Jude Lifetime Cohort. Diet was assessed using a food frequency. Four dietary patterns were identified: (1) plant-based diet pattern high in whole grains, fruit, and vegetables; (2) fast-food diet pattern high in processed meat, high-fat dairy, and sweets and desserts; (3) Western contemporary diet pattern high in red meat, pasta/rice, French fries, and salty snacks; and (4) animal-based diet pattern high in all meats. The deficit accumulation index (DAI), a proxy measure of premature aging, was estimated as the ratio of the number of age-related items out of 44 total conditions and categorized into low, medium, and high deficit accumulation groups. Multivariable multinomial logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of medium and high DAI groups (reference: low group).

resultsCompared to survivors consuming a plant-based diet, those who consume a fast-food (OR

conclusionsA plant-based diet may promote healthy aging, whereas a fast-food, a Western contemporary, and an animal-based diet may have detrimental effects on aging. Adult survivors of childhood cancer may benefit from nutrition education and interventions for healthy aging.

Indexed as

Aging, PrematureCancer SurvivorsDietDiet, WesternFast FoodsNeoplasmsAdultAnimalsChildCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsYoung AdultAnimal-based dietChildhood cancer survivorDeficit accumulation indexDietary patternsFast-food dietPlant-based dietPremature agingWestern-contemporary diet

Identifiers

PMID40001062
PMCPMC11863535

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.