Evidence map›Paper›PMID 42380484›Full record

ArticleBritish journal of cancer2026

Planetary Health Diet Index and breast cancer risk.

Andrea Romanos-Nanclares, Linh P Bui, Bernard A Rosner, Walter C Willett, Michelle D Holmes, Wendy Y Chen, A Heather Eliassen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of cancer, 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

7 authors.

Andrea Romanos-NanclaresChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. nharo@channing.harvard.edu.ORCID http://orcid.org/0000-0002-9694-7607
Linh P BuiDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Bernard A RosnerChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6907-0056
Walter C WillettDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Michelle D HolmesChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Wendy Y ChenChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6946-1206
A Heather EliassenChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3961-6609

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, TAMIMI, RULLA M · 2000 to 2019
$77.8M
Risk Factors for Breast Cancer in Younger NursesR01CA050385 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 1989 to 2019
$32.3M
Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
A multi-omics approach to evaluate the role of chronic inflammation in breast cancer developmentK99CA286891 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ROMANOS-NANCLARES, ANDREA · 2024 to 2025
$333k
A multi-omics approach to evaluate the role of chronic inflammation in breast cancer developmentR00CA286891 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Andrea Romanos-Nanclares · 2026 to 2026
$249k
NCI NIH HHS K99 CA286891NCI NIH HHS P01 CA087969NCI NIH HHS R00 CA286891NCI NIH HHS R01 CA050385NCI NIH HHS U01 CA176726NCI NIH HHS UM1 CA186107U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) K99 CA286891U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U01 CA176726
6 · The paper itself

Abstract

backgroundIn 2019, the EAT-Lancet commission defined a "planetary health diet", a combination of food groups and ranges of food intakes that would simultaneously optimize human health and environmental sustainability. We aimed to evaluate adherence to the Planetary Health Diet Index (PHDI) and breast cancer incidence.

methodsWe followed 68,254 participants in the Nurses' Health Study (NHS; 1986-2018) and 93,283 in the Nurses' Health Study II (NHSII; 1991-2019). The PHDI was calculated every 4 y using a validated, semiquantitative food frequency questionnaire. Hazard ratios (HRs) were calculated using multivariable proportional-hazards models.

resultsDuring 4,182,897 person-years of follow-up, we documented 10,378 invasive breast cancer cases. Women in the highest, compared to lowest, PHDI quintile (Q) were at lower breast cancer risk (HR

conclusionsAdhering to a diet that supports both human and planetary health was associated with lower breast cancer risk, particularly ER-negative tumors. Strategies to reduce breast cancer incidence should emphasize the win-win opportunities for a high planetary health diet.

Indexed as

Breast NeoplasmsDiet, HealthyAdultFemaleHumansIncidenceMiddle AgedReceptors, EstrogenRisk FactorsReceptors, Estrogen

Identifiers

PMID42380484
PMCPMC13464460

What OpenQuestion holds

Textmetadata
LicenceTDM
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.