TY  - JOUR
AU  - Castro-Espin, Carlota
AU  - Bonet, Catalina
AU  - Crous-Bou, Marta
AU  - Nadal-Zaragoza, Núria
AU  - Tjønneland, Anne
AU  - Mellemkjær, Lene
AU  - Hajji-Louati, Mariem
AU  - Truong, Thérèse
AU  - Katzke, Verena
AU  - Le Cornet, Charlotte
AU  - Schulze, Matthias B
AU  - Jannasch, Franziska
AU  - Masala, Giovanna
AU  - Sieri, Sabina
AU  - Panico, Salvatore
AU  - Di Girolamo, Chiara
AU  - Skeie, Guri
AU  - Borch, Kristin Benjaminsen
AU  - Olsen, Karina Standahl
AU  - Sánchez, Maria-Jose
AU  - Amiano, Pilar
AU  - Chirlaque, María-Dolores
AU  - Guevara, Marcela
AU  - Sund, Malin
AU  - Bodén, Stina
AU  - Gunter, Marc J
AU  - Gonzalez-Gil, Esther M
AU  - Weiderpass, Elisabete
AU  - Aguilera-Buenosvinos, Inmaculada
AU  - Tsilidis, Kostas K
AU  - Heath, Alicia K
AU  - Aune, Dagfinn
AU  - Dossus, Laure
AU  - Agudo, Antonio
TI  - Association of Mediterranean diet with survival after breast cancer diagnosis in women from nine European countries: results from the EPIC cohort study.
JO  - BMC medicine
VL  - 21
IS  - 1
SN  - 1741-7015
CY  - Heidelberg [u.a.]
PB  - Springer
M1  - DKFZ-2023-01284
SP  - 225
PY  - 2023
AB  - The Mediterranean diet has been associated with lower risk of breast cancer (BC) but evidence from prospective studies on the role of Mediterranean diet on BC survival remains sparse and conflicting. We aimed to investigate whether adherence to Mediterranean diet prior to diagnosis is associated with overall and BC-specific mortality.A total of 13,270 incident breast cancer cases were identified from an initial sample of 318,686 women in 9 countries from the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Adherence to Mediterranean diet was estimated through the adapted relative Mediterranean diet (arMED), a 16-point score that includes 8 key components of the Mediterranean diet and excludes alcohol. The degree of adherence to arMED was classified as low (score 0-5), medium (score 6-8), and high (score 9-16). Multivariable Cox proportional hazards models were used to analyze the association between the arMED score and overall mortality, and Fine-Gray competing risks models were applied for BC-specific mortality.After a mean follow-up of 8.6 years from diagnosis, 2340 women died, including 1475 from breast cancer. Among all BC survivors, low compared to medium adherence to arMED score was associated with a 13
KW  - Breast cancer (Other)
KW  - Cancer survivors (Other)
KW  - Dietary patterns (Other)
KW  - Mediterranean diet (Other)
KW  - Prospective studies (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:37365585
DO  - DOI:10.1186/s12916-023-02934-3
UR  - https://inrepo02.dkfz.de/record/277119
ER  -