Evidence map›Paper›PMID 40814965›Full record

SynthesisNutrition reviews2026

Long-Term Effectiveness of Dietary Interventions on Inflammatory Biomarkers in Women with Breast Cancer: A Systematic Review and Meta-Analysis.

Carla González-Palacios Torres, Carlos Muñoz-Bravo, Iratxe Inés Puebla, María Ángeles Castillo-Hermoso, Estefanía Toledo, Trinidad Dierssen-Sotos, José Juan Jiménez-Moleón, Rocío Barrios-Rodríguez

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nutrition reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Carla González-Palacios TorresDepartamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada 18016, Spain.ORCID 0009-0004-3760-3611
Carlos Muñoz-BravoDepartment of Public Health and Psychiatry, School of Medicine, University of Málaga, Málaga 29010, Spain.
Iratxe Inés PueblaDepartamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada 18016, Spain.
María Ángeles Castillo-HermosoDepartamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada 18016, Spain.
Estefanía ToledoDepartment of Preventive Medicine and Public Health, University of Navarra-School of Medicine, Pamplona, Navarra 31008, Spain.
Trinidad Dierssen-SotosCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid 28029, Spain.
José Juan Jiménez-MoleónDepartamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada 18016, Spain.
Rocío Barrios-RodríguezDepartamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada 18016, Spain.

Funding

Consejería de Salud, Junta de Andalucia PI-0254-2019Consejería de Transformación Económica, Industria, Conocimiento y Universidades PREDOC_00551European UnionInstituto de Salud Carlos III PI18/00631Instituto de Salud Carlos III PI18/00827Instituto de Salud Carlos III PI18/01683Instituto de Salud Carlos III PI22/00828Instituto de Salud Carlos III PI22/01690Instituto de Salud Carlos III PI22/01766
6 · The paper itself

Abstract

contextImproving the prognosis of breast cancer remains a challenge despite the reduction in its mortality rates. Inflammatory parameters have been suggested as prognostic biomarkers of cancer. A healthy diet could potentially modify these factors; however, to date, findings have been inconclusive.

objectiveThis review was conducted to estimate the strength of the association between healthy dietary interventions and inflammatory markers in women with breast cancer after a minimum 6-month follow-up. DATA SOURCES: The following literature databases were searched: MEDLINE, Embase, Scopus, Web of Science, and the Cochrane Library. DATA EXTRACTION: Clinical trials that compared the effect of dietary interventions on the inflammatory profile of patients with breast cancer were selected. Quality was assessed using the Cochrane Collaboration risk-of-bias tool. Two researchers independently selected and evaluated the quality of the studies based on eligibility criteria. DATA ANALYSIS: Mean differences between intervention groups and their 95% CIs were calculated using a random-effects model. The presence of heterogeneity was analyzed with Cochran's Q test, and I2 was estimated. Funnel plots and Egger's test were used to assess publication bias.

resultsA total of 11 trials were included in the meta-analysis. Adherence to a healthy diet significantly decreased C-reactive protein (CRP) levels compared with the control group (standard mean difference = -0.17; 95% CI -0.32 to -0.02; I2 = 0.00%). This result was maintained in the interventions focused on weight loss, including only patients with overweight, those incorporating physical activity, when follow-up was restricted to 6 months, and with interventions lasting at least 6 months.

conclusionAdhering to a healthy diet could decrease levels of CRP in women with breast cancer. The additional goals of weight loss in patients with overweight, the promotion of physical activity, and the duration of the dietary intervention may be relevant aspects when planning strategies for these patients. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration No. CRD42023402084.

Indexed as

Breast NeoplasmsDiet, HealthyInflammationBiomarkersC-Reactive ProteinFemaleHumansBiomarkersC-Reactive Proteinbreast cancerdietary interventionsinflammationmeta-analysisweight loss

Identifiers

PMID40814965
PMCPMC13250449

What OpenQuestion holds

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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.