Evidence map›Paper›PMID 40865868›Full record

SynthesisAdvances in nutrition (Bethesda, Md.)2025

Adolescent Dietary Intake and Breast Cancer in Adulthood: A Systematic Review and Meta-analysis.

Gladys Huiyun Lim, Ying Cong Ryan Shea Tan, Ethan Lee, Christine Kim Yan Loo, Nivetha Kumar, Mary Foong-Fong Chong, Airu Chia

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Advances in nutrition (Bethesda, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

7 authors.

Gladys Huiyun LimSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Ying Cong Ryan Shea TanDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.
Ethan LeeSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Christine Kim Yan LooSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Nivetha KumarSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Mary Foong-Fong ChongSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore; Institute for Human Development and Potential, Agency for Science, Technology and Research (A∗STAR), Singapore.
Airu ChiaSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore. Electronic address: airu-chia@nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescence represents a key opportunity for breast cancer prevention, as the rapid proliferation of breast tissue during puberty creates a critical window of vulnerability for the development of cancerous cells. With increasing research on adolescent dietary factors and breast cancer risk, we conducted a systematic review and meta-analysis to summarize the associations between adolescent diet and risk of breast cancer in adulthood, as well as benign breast disease (BBD) and high mammographic breast density, which are markers for breast cancer. We searched Web of Science, Ovid MEDLINE, Cochrane CENTRAL, and Embase for epidemiological studies assessing dietary intakes in adolescent girls (aged 10-18 y), published through 16 October, 2024, with no language or time restrictions. Study quality was assessed using the Newcastle-Ottawa Scale, and results were pooled using random-effects models. The review included 51 studies, mostly from the United States, with the majority relying on adult recall of adolescent diet, and only 20 studies were assessed as high quality. Higher adolescent intakes of fruits and vegetables [relative risk (RR): 0.90; 95% confidence interval (CI): 0.82, 0.99; n = 3 studies], soy (RR: 0.67; 95% CI: 0.55, 0.82; n = 3), dietary fiber (RR: 0.78; 95% CI: 0.67, 0.92; n = 3), and vegetable fat (RR: 0.76; 95% CI: 0.66, 0.88; n = 2) were associated with lower risks of breast cancer in adulthood. No significant associations were observed for meat and poultry, fish, processed meat/fish, eggs, dairy, milk, grains, alcohol, total fat, animal fat, and isoflavone. Additionally, greater consumption of dietary fiber (RR: 0.64; 95% CI: 0.50, 0.82; n = 2) and vitamin D (RR: 0.77; 95% CI: 0.62, 0.95; n = 2) during adolescence was associated with lower risks of BBD, whereas no dietary associations were observed for mammographic breast density. Our findings underscore the importance of both diet and timing in breast cancer prevention. Future well-designed prospective life course studies are needed to strengthen this evidence base. This systematic review and meta-analysis was registered with PROSPERO (CRD42024532597).

Indexed as

Adolescent Nutritional Physiological PhenomenaBreast NeoplasmsDietAdolescentAdultBreast DensityChildDietary FiberFemaleFruitHumansRisk FactorsVegetablesDietary Fiberadolescentbreast cancerbreast diseasedietmeta-analysis

Identifiers

PMID40865868
PMCPMC12477939

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.