Inflammatory potential of the diet & risk of gastric cancer in the European Investigation into Cancer & Nutrition
File(s)180103A.AgudoAJCN.docx (102.12 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
The role of chronic inflammation on breast cancer (BC) risk remains unclear beyond as an underlying mechanism of obesity and physical activity. We aimed to evaluate the association between the inflammatory potential of the diet and risk of BC overall, according to menopausal status and tumour subtypes. Within the European Prospective Investigation into Cancer and Nutrition cohort, 318,686 women were followed for 14 years, among whom 13,246 incident BC cases were identified. The inflammatory potential of the diet was characterized by an inflammatory score of the diet (ISD). Multivariable Cox regression models were used to assess the potential effect of the ISD on BC risk by means of hazard ratios (HR) and 95% confidence intervals (CI). ISD was positively associated with BC risk. Each increase of one standard deviation (1-Sd) of the score increased by 4% the risk of BC (HR = 1.04; 95% CI 1.01–1.07). Women in the highest quintile of the ISD (indicating a most pro-inflammatory diet) had a 12% increase in risk compared with those in the lowest quintile (HR = 1.12; 95% CI 1.04–1.21) with a significant trend. The association was strongest among premenopausal women, with an 8% increased risk for 1-Sd increase in the score (HR = 1.08; 95% CI 1.01–1.14). The pattern of the association was quite homogeneous by BC subtypes based on hormone receptor status. There were no significant interactions between ISD and body mass index, physical activity, or alcohol consumption. Women consuming more pro-inflammatory diets as measured by ISD are at increased risk for BC, especially premenopausal women.
Date Issued
2021-06-20
Date Acceptance
2021-06-04
Citation
American Journal of Clinical Nutrition, 2021, 36, pp.953-964
ISSN
1938-3207
Publisher
American Society for Nutrition
Start Page
953
End Page
964
Journal / Book Title
American Journal of Clinical Nutrition
Volume
36
Copyright Statement
© Springer Nature B.V. 2021. The final publication is available at Springer via https://doi.org/10.1007/s10654-021-00772-2
Sponsor
Commission of the European Communities
Identifier
https://link.springer.com/article/10.1007%2Fs10654-021-00772-2
Grant Number
SP23-CT-2005-006438
Subjects
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Prospective study
Breast cancer
Inflammatory potential of the diet
Chronic inflammation
INDEX
PATTERNS
Breast cancer
Chronic inflammation
Inflammatory potential of the diet
Prospective study
Adult
Breast Neoplasms
Diet
Female
Humans
Inflammation
Life Style
Middle Aged
Nutritional Status
Prospective Studies
Risk Factors
Humans
Breast Neoplasms
Inflammation
Diet
Risk Factors
Prospective Studies
Life Style
Nutritional Status
Adult
Middle Aged
Female
Epidemiology
1117 Public Health and Health Services
Publication Status
Published
Date Publish Online
2021-06-20