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Diet and Nutrition in Cancer Epidemiology
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Diet and Nutrition in Cancer Epidemiology

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Epidemiology".

Deadline for manuscript submissions: closed (30 September 2021) | Viewed by 45878

Special Issue Editor

Prof. Dr. María-José Sánchez

E-Mail Website
Guest Editor
1. Granada Cancer Registry, Andalusian School of Public Health (EASP), Granada, Spain
2. Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA), Granada, Spain
3. Spanish Network of Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain
4. Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
Interests: cancer; cancer epidemiology; nutrition; cancer prevention; public health; population-based studies; survival; lifestyles

Special Issue Information

Dear colleagues,

Diet is currently considered one of the main modifiable risk factors for cancer. It is estimated that between 30% and 35% of cancer deaths can be attributed to diet and nutrition-related factors, although this proportion can vary strongly according to the type of cancer. Despite several decades of epidemiological research on the diet–cancer relationship, authorities on cancer prevention (e.g., WCRF/AICR) continue to find convincing evidence only for some (e.g., fruit, vegetables, fiber) of the many studied dietary factors. Studies have also often focused on the influence of specific nutrients or food groups, but in more recent years, interest in dietary patterns has been growing.

The aim of this Special Issue is to further elucidate the relationship between diet, nutrition, and cancer. We invite submissions on the role of diet patterns, specific food groups, and other nutrition-related factors (e.g., obesity) in cancer epidemiology. Submissions focused on any type of cancer are welcome, as are reports of original research (e.g., prospective cohort studies, RCTs) or reviews (systematic reviews, meta-analyses, or other reviews of special interest to the cancer epidemiology community). 

Dr. María José Sánchez Pérez
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • diet
  • nutrition
  • cancer epidemiology
  • dietary patterns
  • cancer prevention
  • nutrients

Published Papers (6 papers)

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Research

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11 pages, 285 KiB  
Article
Mediterranean Diet Affects Blood Circulating Lipid-Soluble Micronutrients and Inflammatory Biomarkers in a Cohort of Breast Cancer Survivors: Results from the SETA Study
by Mara Negrati, Claudia Razza, Claudia Biasini, Camilla Di Nunzio, Alessandra Vancini, Margherita Dall’Asta, Giorgia Lovotti, Erminio Trevisi, Filippo Rossi and Luigi Cavanna
Nutrients 2021, 13(10), 3482; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13103482 - 30 Sep 2021
Cited by 7 | Viewed by 3016
Abstract
Breast cancer (BC) is a major public health concern and substantial research has shown that adhering to a healthy dietary pattern, such as the Mediterranean Diet (MD), may prevent the onset of cancer and BC relapses. This study aims at specifically investigating the [...] Read more.
Breast cancer (BC) is a major public health concern and substantial research has shown that adhering to a healthy dietary pattern, such as the Mediterranean Diet (MD), may prevent the onset of cancer and BC relapses. This study aims at specifically investigating the association of MD with circulating dietary-related biomarkers in a cohort of BC survivors. Eighty patients (mean age of 54.9 ± 10.6) with a histologically confirmed diagnosis of BC who had not received any pharmacological or radiotherapy treatment for at least two months were enrolled. Fasting serum lipid-soluble vitamins (retinol, tocopherol), plant pigments (β-carotene, lutein + zeaxanthin, cryptoxanthin, lycopene), inflammatory and oxidative stress markers (ceruloplasmin; haptoglobin; paraoxonases; reactive oxygen molecule; thiol groups, Ferric reducing antioxidant power), and cardiometabolic parameters (body mass index (BMI); glucose; insulin; HOMA-IR; total cholesterol; LDL-cholesterol; HDL-cholesterol; triglycerides) were analyzed. Adherence to the MD was assessed through the Mediterranean Diet Score (MDS) questionnaire. Fasting blood samples were collected for the evaluation of selected biomarkers. MDS resulted positively correlated with β-carotene (r 0.331; p < 0.01) and lycopene (r 0.274; p < 0.05) and negatively with retinol (r −0.346; p < 0.05). Among the investigated inflammatory biomarkers, MDS was only correlated with antioxidant capacity (r 0.256; p < 0.05), while none of the investigated cardiometabolic parameters were significantly correlated with this index. The strong significant correlation between β-carotene and MDS encourages us to consider this pro-vitamin as a putative biomarker to take into account for evaluating the adherence to the MD. Full article
(This article belongs to the Special Issue Diet and Nutrition in Cancer Epidemiology)
12 pages, 257 KiB  
Article
The Association between Coffee Consumption and Risk of Colorectal Cancer in a Korean Population
by Youngyo Kim, Jeonghee Lee, Jae Hwan Oh, Hee Jin Chang, Dae Kyung Sohn, Aesun Shin and Jeongseon Kim
Nutrients 2021, 13(8), 2753; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13082753 - 11 Aug 2021
Cited by 10 | Viewed by 3951
Abstract
This study was performed to investigate the association between coffee consumption and risk of colorectal cancer in a Korean population and examine whether the association can be altered by adjustment for intake of coffee additives. We conducted a case-control study involving 923 colorectal [...] Read more.
This study was performed to investigate the association between coffee consumption and risk of colorectal cancer in a Korean population and examine whether the association can be altered by adjustment for intake of coffee additives. We conducted a case-control study involving 923 colorectal cancer cases and 1846 controls matched by sex and age (within 5 years). A semi-quantitative food frequency questionnaire was used to assess coffee intakes. High coffee consumption was associated with lower odds of developing colorectal cancer (≥3 cups/day vs. no drinks, OR = 0.68; 95% CI: 0.49–0.96). When we additionally controlled for consumption of coffee additives including sugar and cream, the inverse association became stronger (≥3 cups/day vs. no drinks, OR = 0.22; 95% CI: 0.14–0.33), and a significant inverse linear trend was shown (Ptrend < 0.0001). The inverse associations were observed for proximal (Ptrend = 0.0001) and distal (Ptrend = 0.0003) colon cancer, and rectal cancer (Ptrend < 0.0001) in the stratified analysis by anatomical sub-sites. Regarding sex, inverse associations between coffee consumption and colorectal cancer were found for men (Ptrend < 0.0001) and women (Ptrend = 0.0021). In the stratified analysis by obese status of subjects, inverse linear trends were observed in both non-obese and obese people (Ptrend < 0.0001). High coffee consumption may be associated with a lower risk of colorectal cancer in the Korean population and the degree of decrease in the odds of developing colorectal cancer changes by adjustment for intake of coffee additives. Full article
(This article belongs to the Special Issue Diet and Nutrition in Cancer Epidemiology)
12 pages, 956 KiB  
Article
Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer
by Ayumi Sadakane-Sakuramoto, Yoko Hasegawa, Kazuma Sugahara, Nobuhide Horii, Syota Saito, Yuta Nakao, Tomoki Nanto, Takahiro Ono, Kazuhisa Domen and Hiromitsu Kishimoto
Nutrients 2021, 13(7), 2438; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13072438 - 16 Jul 2021
Cited by 13 | Viewed by 2953
Abstract
Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the [...] Read more.
Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1–2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection. Full article
(This article belongs to the Special Issue Diet and Nutrition in Cancer Epidemiology)
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Review

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36 pages, 1440 KiB  
Review
The Role of Diet in Prognosis among Cancer Survivors: A Systematic Review and Meta-Analysis of Dietary Patterns and Diet Interventions
by Carlota Castro-Espin and Antonio Agudo
Nutrients 2022, 14(2), 348; https://0-doi-org.brum.beds.ac.uk/10.3390/nu14020348 - 14 Jan 2022
Cited by 62 | Viewed by 13001
Abstract
Cancer survival continues to improve in high-income countries, partly explained by advances in screening and treatment. Previous studies have mainly examined the relationship between individual dietary components and cancer prognosis in tumours with good therapeutic response (breast, colon and prostate cancers). The aim [...] Read more.
Cancer survival continues to improve in high-income countries, partly explained by advances in screening and treatment. Previous studies have mainly examined the relationship between individual dietary components and cancer prognosis in tumours with good therapeutic response (breast, colon and prostate cancers). The aim of this review is to assess qualitatively (and quantitatively where appropriate) the associations of dietary patterns and cancer prognosis from published prospective cohort studies, as well as the effect of diet interventions by means of randomised controlled trials (RCT). A systematic search was conducted in PubMed, and a total of 35 prospective cohort studies and 14 RCT published between 2011 and 2021 were selected. Better overall diet quality was associated with improved survival among breast and colorectal cancer survivors; adherence to the Mediterranean diet was associated to lower risk of mortality in colorectal and prostate cancer survivors. A meta-analysis using a random-effects model showed that higher versus lower diet quality was associated with a 23% reduction in overall mortality in breast cancer survivors. There was evidence that dietary interventions, generally combined with physical activity, improved overall quality of life, though most studies were in breast cancer survivors. Further cohort and intervention studies in other cancers are needed to make more specific recommendations. Full article
(This article belongs to the Special Issue Diet and Nutrition in Cancer Epidemiology)
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23 pages, 670 KiB  
Review
The Role of Diet, Alcohol, BMI, and Physical Activity in Cancer Mortality: Summary Findings of the EPIC Study
by Esther Molina-Montes, Esther Ubago-Guisado, Dafina Petrova, Pilar Amiano, María-Dolores Chirlaque, Antonio Agudo and María-José Sánchez
Nutrients 2021, 13(12), 4293; https://0-doi-org.brum.beds.ac.uk/10.3390/nu13124293 - 28 Nov 2021
Cited by 20 | Viewed by 10270
Abstract
Evidence on the impact of diet, alcohol, body-mass index (BMI), and physical activity on mortality due to cancer and other cancer-related outcomes is still scarce. Herein, we reviewed the contribution of the European Prospective Investigation into Cancer and Nutrition (EPIC) study to the [...] Read more.
Evidence on the impact of diet, alcohol, body-mass index (BMI), and physical activity on mortality due to cancer and other cancer-related outcomes is still scarce. Herein, we reviewed the contribution of the European Prospective Investigation into Cancer and Nutrition (EPIC) study to the current state of the art on the role of these factors in cancer mortality. We identified 45 studies using a rapid systematic review methodology. Dietary factors associated with reduced cancer mortality included raw vegetable intake; dietary fiber intake; the Mediterranean diet; other dietary scores; other diet patterns including low meat eaters, vegetarians/vegans, or fish eaters; dietary intake (or biomarkers) of some vitamins (e.g., vitamin D, vitamin K2, or Vitamin C); and intake of lignans. Physical activity and following healthy lifestyle recommendations also reduced cancer mortality risk. In contrast, dietary factors associated with higher cancer mortality risk included poor diet quality, consumption of alcohol and soft drinks including juice, and, to a lesser extent, intake of some fatty acids. Excess weight and obesity also increased the risk of cancer mortality. The EPIC study holds valuable information on diet and lifestyle factors and offers a unique opportunity to identify key diet-related factors for cancer mortality prevention. Full article
(This article belongs to the Special Issue Diet and Nutrition in Cancer Epidemiology)
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Other

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33 pages, 1143 KiB  
Systematic Review
Evidence Update on the Relationship between Diet and the Most Common Cancers from the European Prospective Investigation into Cancer and Nutrition (EPIC) Study: A Systematic Review
by Esther Ubago-Guisado, Miguel Rodríguez-Barranco, Ana Ching-López, Dafina Petrova, Esther Molina-Montes, Pilar Amiano, Aurelio Barricarte-Gurrea, María-Dolores Chirlaque, Antonio Agudo and María-José Sánchez
Nutrients 2021, 13(10), 3582; https://doi.org/10.3390/nu13103582 - 13 Oct 2021
Cited by 62 | Viewed by 11298
Abstract
The European Prospective Investigation into Cancer and Nutrition (EPIC) is a multicentre prospective study conducted in 23 centres in 10 European countries. Here we review the findings from EPIC on the relationship between diet-related exposures and incidence or mortality from the four most [...] Read more.
The European Prospective Investigation into Cancer and Nutrition (EPIC) is a multicentre prospective study conducted in 23 centres in 10 European countries. Here we review the findings from EPIC on the relationship between diet-related exposures and incidence or mortality from the four most frequent cancers in the European population: colorectal, breast, lung, and prostate cancer. We conducted a systematic review following PRISMA guidelines and identified 110 high-quality studies based on the EPIC cohort. Fruit and vegetable consumption had a protective effect against colorectal, breast, and lung cancer, whereas only fruit had a protective effect against prostate cancer. A higher consumption of fish and lower consumption of red and processed meat were related with a lower risk of colorectal cancer; and higher consumption of fatty fish with lower risk of breast cancer. Calcium and yogurt intake were found to protect against colorectal and prostate cancer. Alcohol consumption increased the risk for colorectal and breast cancer. Finally, adherence to the Mediterranean diet emerged as a protective factor for colorectal and breast cancer. The EPIC study results are in agreement with the latest evidence from leading authorities on cancer prevention and help to inform public prevention policies and strategies. Full article
(This article belongs to the Special Issue Diet and Nutrition in Cancer Epidemiology)
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