Evidence map›Paper›PMID 40121496›Full record

ArticleNutrition journal2025

The mediating roles of anthropo-metabolic biomarkers on the association between beverage consumption and breast cancer risk.

Xiaoyi Lin, Boheng Liang, Tai Hing Lam, Kar Keung Cheng, Weisen Zhang, Lin Xu

Abstract read
In one paragraph

Article in Nutrition journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xiaoyi LinSchool of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, Guangdong Province, China.
Boheng LiangGuangzhou Center for Disease Control and Prevention, Guangzhou, China.
Tai Hing LamSchool of Public Health, the University of Hong Kong, Hong Kong, China.
Kar Keung ChengSchool of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.
Weisen ZhangGuangzhou Twelfth People's Hospital, Guangzhou, China.
Lin XuSchool of Public Health, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, Guangdong Province, China. xulin27@mail.sysu.edu.cn.

Funding

National Natural Science Foundation of China 82373661Special Foundation for Science and Technology Basic Research Program 2019FY101103
6 · The paper itself

Abstract

backgroundBreast cancer (BC) is the most common malignancy in women, yet the role of beverage consumption in BC risk remains unclear. Additionally, the contribution of anthropo-metabolic biomarkers as mediators is unknown, limiting the development of effective prevention strategies.

methodsThis study included 13,567 participants from the Guangzhou Biobank Cohort Study (GBCS), where beverage consumption was assessed at baseline using a food frequency questionnaire. BC cases were identified through cancer registry linkage over a mean follow-up of 14.8 years. Mendelian randomization (MR) analyses were performed to evaluate the causal effects of beverage consumption on BC risk, with a two-step MR approach used to estimate mediation effects.

resultsDuring follow-up, 243 BC cases were identified. Weekly consumption of ≥ 1 portion of sugar sweetened beverages (SSB), versus < 1 portion, was significantly associated with a higher risk of BC (hazard ratio [HR] 1.58, 95% confidence interval [CI] 1.12-2.23). This association was partly mediated by body mass index (proportion mediated [PM] 4.2%, 95% CI 0.9-17.1%) and uric acid (PM 18.8%, 95% CI 1.5-77.5%). Weekly consumption of > 6 portions of dairy-based milk was associated with a non-significantly higher BC risk (HR 1.41, 95% CI 0.99-2.03), while 3-6 portions of soy milk were associated with a lower BC risk (HR 0.31, 95% CI 0.10-0.98). No significant associations were found for pure fruit juice, coffee, tea, or alcoholic drinks. MR analyses supported the detrimental effect of SSB on BC risk, with high-density lipoprotein cholesterol, polyunsaturated fatty acids to total fatty acids (TFAs) ratio, and omega-6 fatty acids to TFAs ratio mediating 2.44%, 2.73%, and 3.53% of the association, respectively.

conclusionThis study suggested that SSB consumption was a risk factor for BC and identified key anthropo-metabolic biomarkers mediating this relationship. Reducing SSB consumption and addressing associated metabolic pathways may offer effective strategies for BC prevention.

Indexed as

BeveragesBreast NeoplasmsDietSugar-Sweetened BeveragesAdultAgedBiomarkersBody Mass IndexChinaCohort StudiesFemaleFollow-Up StudiesHumansMendelian Randomization AnalysisMiddle AgedRisk FactorsBiomarkersUric AcidAnthropo-metabolic biomarkersBeverage consumptionBreast cancer preventionMediationSugar sweetened beverages

Identifiers

PMID40121496
PMCPMC11929343

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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.