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000265114 1001_ $$00000-0001-9050-7590$$aCastro-Espin, Carlota$$b0
000265114 245__ $$aDietary patterns related to biological mechanisms and survival after breast cancer diagnosis: results from a cohort study.
000265114 260__ $$aEdinburgh$$bNature Publ. Group$$c2023
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000265114 500__ $$a2023 Mar;128(7):1301-1310
000265114 520__ $$aInflammatory, insulin and oestrogenic pathways have been linked to breast cancer (BC). We aimed to examine the relationship between pre-diagnostic dietary patterns related to these mechanisms and BC survival.The diabetes risk reduction diet (DRRD), inflammatory score of diet (ISD) and oestrogen-related dietary pattern (ERDP) were calculated using dietary data from the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Cox proportional hazards models were used to assess associations between dietary patterns and overall mortality and competing risk models for associations with BC-specific mortality.We included 13,270 BC cases with a mean follow-up after diagnosis of 8.6 years, representing 2340 total deaths, including 1475 BC deaths. Higher adherence to the DRRD score was associated with lower overall mortality (HR1-SD 0.92; 95%CI 0.87-0.96). Greater adherence to pro-inflammatory diets was borderline associated with 6% higher mortality HR1-SD 1.06; 95%CI 1.00-1.12. No significant association with the oestrogen-related dietary pattern was observed. None of the dietary patterns were associated with BC-specific mortality.Greater adherence to an anti-diabetic and anti-inflammatory diet prior to diagnosis is associated with lower overall mortality among BC survivors. Long-term adherence to these dietary patterns could be a means to improve the prognosis of BC survivors.
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000265114 7001_ $$aBonet, Catalina$$b1
000265114 7001_ $$aCrous-Bou, Marta$$b2
000265114 7001_ $$0P:(DE-He78)fb68a9386399d72d84f7f34cfc6048b4$$aKatzke, Verena$$b3$$udkfz
000265114 7001_ $$aLe Cornet, Charlotte$$b4
000265114 7001_ $$aJannasch, Franziska$$b5
000265114 7001_ $$aSchulze, Matthias B$$b6
000265114 7001_ $$aOlsen, Anja$$b7
000265114 7001_ $$aTjønneland, Anne$$b8
000265114 7001_ $$00000-0003-0481-2893$$aDahm, Christina C$$b9
000265114 7001_ $$aAntoniussen, Christian S$$b10
000265114 7001_ $$aSánchez, Maria Jose$$b11
000265114 7001_ $$aAmiano, Pilar$$b12
000265114 7001_ $$aChirlaque, María Dolores$$b13
000265114 7001_ $$aGuevara, Marcela$$b14
000265114 7001_ $$aAgnoli, Claudia$$b15
000265114 7001_ $$00000-0003-2666-414X$$aTumino, Rosario$$b16
000265114 7001_ $$aSacerdote, Carlotta$$b17
000265114 7001_ $$aDe Magistris, Maria Santucci$$b18
000265114 7001_ $$aSund, Malin$$b19
000265114 7001_ $$aBodén, Stina$$b20
000265114 7001_ $$aJensen, Torill Enget$$b21
000265114 7001_ $$aOlsen, Karina Standahl$$b22
000265114 7001_ $$aSkeie, Guri$$b23
000265114 7001_ $$aGunter, Marc J$$b24
000265114 7001_ $$aRinaldi, Sabina$$b25
000265114 7001_ $$aGonzalez-Gil, Esther M$$b26
000265114 7001_ $$00000-0003-2237-0128$$aWeiderpass, Elisabete$$b27
000265114 7001_ $$aChristakoudi, Sofia$$b28
000265114 7001_ $$00000-0001-6517-1300$$aHeath, Alicia K$$b29
000265114 7001_ $$00000-0003-2716-5748$$aDossus, Laure$$b30
000265114 7001_ $$aAgudo, Antonio$$b31
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