Plant-Based Dietary Patterns and Breast Cancer Recurrence and Survival in the Pathways Study

Anyene, Ijeamaka; Ergas, Isaac J.; Kwan, Marilyn L.; Roh, Janise M.; Ambrosone, Christine B.; Kushi, Lawrence H.; Feliciano, Elizabeth M. Cespedes

doi:10.3390/nu13103374

Cited by 25 publications

(15 citation statements)

References 23 publications

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“…Dietary patterns shown to reduce mortality and improve overall survival among patients with BC include a low-fat diet (13, [69][70][71][72], diabetes risk-reduction diet (14), plant-based diet (73), and anti-inflammatory diet (74). However, different studies have shown different results in terms of all-cause mortality, specific mortality, total mortality, cancer recurrence, and non-BC-related deaths among BC patients, indicating the need for more research.…”

Section: Dietary Patterns and Prognosis Of Bcmentioning

confidence: 99%

Dietary patterns and breast cancer risk, prognosis, and quality of life: A systematic review

Qu²,

Ji³

et al. 2023

Front. Nutr.

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BackgroundStatistics indicate that the morbidity of breast cancer is increasing globally, and its (overall figures) incidence has now surpassed that of lung cancer for the first time. The relation between a whole dietary pattern, rather than of a single food or nutrient, and breast cancer (BC) should be examined for findings to capture the complexities of diet and the potential for synergism between dietary components. Hence, the effects of dietary patterns on breast cancer have recently attracted increasing attention.ObjectiveTo systematically review the effects of dietary patterns on breast cancer risk, prognosis, and quality of life in survivors.MethodsThis systematic review was conducted following PRISMA guidelines and was registered in PROSPERO. Data from Ovid, China Biomedical Literature Database, Wanfang Data Knowledge Service Platform, CNKI, PubMed, Weipu, The Cochrane Library, Duxiu Data, ProQuest, Embase, Web of Science, and Scopus Database were retrieved and evaluated.ResultsA total of 47 studies that investigated the association between eating patterns and breast cancer were identified. Ten studies evaluated the effect of the model on treatment outcome and prognosis of breast cancer and two cross-sectional studies examined the influence of dietary patterns on quality of life. The resulting favorable dietary patterns were shown to regulate metabolic biomarkers, antioxidants, anti-inflammatory agents, and protective genes, and inhibit cell proliferation and invasion.ConclusionNumerous studies have examined the effects of healthy eating, plant-based, anti-inflammation, low-fat, and other favorable dietary patterns in relation to breast cancer. However, few studies reported significant associations and the studies had limitations, suggesting that the current findings should be interpreted with caution.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, CRD4202 2350171.

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Section: Dietary Patterns and Prognosis Of Bcmentioning

confidence: 99%

Dietary patterns and breast cancer risk, prognosis, and quality of life: A systematic review

Qu²,

Ji³

et al. 2023

Front. Nutr.

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“…Tables S6 and S7 show the characteristics and main results of the studies identified investigating data driven or predefined dietary and lifestyle patterns 6,34‐56 …”

Section: Resultsmentioning

confidence: 99%

“…The figure should not be interpreted as a quantitative summary. The Pathways study which reported the point estimate per each 10‐point increase of plant‐based dietary index (total, healthy and unhealthy; Anyene 2021) 49 was not included in the figure. Results from Wang 2020 44 and Wu 2020 48 for breast cancer‐specific mortality, and from Wu 2020 56 for recurrence were not included because competing risk regression models were employed.…”

Section: Resultsmentioning

confidence: 99%

Postdiagnosis dietary factors, supplement use and breast cancer prognosis: Global Cancer Update Programme (CUP Global) systematic literature review and meta‐analysis

Becerra‐Tomás

Balducci

Abar

et al. 2022

Intl Journal of Cancer

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Little is known about how diet might influence breast cancer prognosis. The current systematic reviews and meta-analyses summarise the evidence on postdiagnosis dietary factors and breast cancer outcomes from randomised controlled trials and longitudinal observational studies. PubMed and Embase were searched through 31st October 2021. Random-effects linear dose-response meta-analysis was conducted when at least three studies with sufficient information were available. The quality of the evidence was evaluated by an independent Expert Panel. We identified 108 publications. No meta-analysis was conducted for dietary patterns, vegetables, wholegrains, fish, meat, and supplements due to few studies, often with insufficient data. Meta-analysis was only possible for all-cause mortality with dairy, isoflavone, carbohydrate, dietary fibre, alcohol intake and serum 25-hydroxyvitamin D (25(OH)D), and for breast cancer-specific mortality with fruit, dairy, carbohydrate, protein, dietary fat, fibre, alcohol intake and serum 25(OH)D. The results, with few exceptions, were generally null. There was limited-suggestive evidence that predefined dietary patterns may reduce the risk of all-cause and other causes of death; that isoflavone intake reduces the risk of all-cause mortality (relative risk (RR) per 2 mg/day: 0.96, 95% confidence interval (CI): 0.92-1.02), breast cancer-specific mortality (RR for high

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“…The prementioned co-benefits for human and environment health can be achieved by adhering to diets that consider both nutritional quality and planetary health [7]. It is however important to find a way of distinguishing between healthy and unhealthy plant-based diets in order to achieve a healthful dietary pattern [8]. The dietary pattern index could be a useful tool for determining dietary quality [9].…”

Section: Knowledge Transfer Of Bruno Abreu (Porto) and Nicole Erickso...mentioning

confidence: 99%

Association Between Sustainability and Cancer – Recent Literature Analysis and Indication of Points for Improvement

Abreu

Erickson

2022

Komp Nutr Diet

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Background: Unhealthy diets, the rise of non-communicable diseases, and the declining health of the planet are highly intertwined, where food production and consumption are major drivers of increases in greenhouse gas emissions, substantial land use, and adverse health such as cancer and mortality. To assess the potential co-benefits from shifting to more sustainable diets, we aimed to investigate the associations of dietary greenhouse gas emissions and land use with all-cause and cause-specific mortality and cancer incidence rates. Methods: Using data from 443 991 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, a multicentre prospective cohort, we estimated associations between dietary contributions to greenhouse gas emissions and land use and all-cause and cause-specific mortality and incident cancers using Cox proportional hazards regression models. The main exposures were modelled as quartiles. Co-benefits, encompassing the potential effects of alternative diets on all-cause mortality and cancer and potential reductions in greenhouse gas emissions and land use, were estimated with counterfactual attributable fraction intervention models, simulating potential effects of dietary shifts based on the EAT–Lancet reference diet. Findings: In the pooled analysis, there was an association between levels of dietary greenhouse gas emissions and all-cause mortality (adjusted hazard ratio [HR] 1·13 [95% CI 1·10–1·16]) and between land use and all-cause mortality (1·18 [1·15–1·21]) when comparing the fourth quartile to the first quartile. Similar associations were observed for cause-specific mortality. Associations were also observed between all-cause cancer incidence rates and greenhouse gas emissions, when comparing the fourth quartile to the first quartile (adjusted HR 1·11 [95% CI 1·09–1·14]) and between all-cause cancer incidence rates and land use (1·13 [1·10–1·15]); however, estimates differed by cancer type. Through counterfactual attributable fraction modelling of shifts in levels of adherence to the EAT–Lancet diet, we estimated that up to 19–63% of deaths and up to 10–39% of cancers could be prevented, in a 20-year risk period, by different levels of adherence to the EAT–Lancet reference diet. Additionally, switching from lower adherence to the EAT–Lancet reference diet to higher adherence could potentially reduce food-associated greenhouse gas emissions up to 50% and land use up to 62%. Interpretation: Our results indicate that shifts towards universally sustainable diets could lead to co-benefits, such as minimising diet-related greenhouse gas emissions and land use, reducing the environmental footprint, aiding in climate change mitigation, and improving population health. Funding: European Commission (DG-SANCO), the International Agency for Research on Cancer (IARC), MRC Early Career Fellowship (MR/M501669/1).

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Plant-Based Dietary Patterns and Breast Cancer Recurrence and Survival in the Pathways Study

Cited by 25 publications

References 23 publications

Dietary patterns and breast cancer risk, prognosis, and quality of life: A systematic review

Dietary patterns and breast cancer risk, prognosis, and quality of life: A systematic review

Postdiagnosis dietary factors, supplement use and breast cancer prognosis: Global Cancer Update Programme (CUP Global) systematic literature review and meta‐analysis

Association Between Sustainability and Cancer – Recent Literature Analysis and Indication of Points for Improvement

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