The association between the adapted dietary inflammatory index and colorectal cancer recurrence and all-cause mortality

Wesselink, Evertine; Staritsky, Laura E.; Zutphen, Moniek van; Geijsen, Anne J.M.R.; Kok, Dieuwertje E.; Kruyt, Flip M.; Veenstra, Renzo P.; Bilgen, Ernst Jan Spillenaar; Kouwenhoven, Ewout A.; Wilt, Johannes de; Kampman, Ellen; Duijnhoven, Fränzel J.B. van

doi:10.1016/j.clnu.2021.01.004

Cited by 12 publications

(21 citation statements)

References 41 publications

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“…‡ Model 2 was stratified for age (18-45, 46-65 and ≥ 66 years) and year of survey (assigned values from 1 to 8) and had the same adjustments as model 1 plus race/ethnicity (Mexican American, other Hispanic, non-Hispanic white, non-Hispanic black or other race), education (≤ 12th grade, high school graduate/GED or equivalent, or more than high school), marital status (married, widowed/divorced/separated or never married), ratio of family income to poverty (< 1 Dietary inflammatory potential and risk of death been validated to significantly predict inflammation markers in several populations (37)(38)(39) . In line with the current observations, previous DII studies (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) consistently showed that higher inflammatory potential of diets was associated with elevated risk of overall and some cause-specific mortality. Nonetheless, findings from DII studies on health outcomes are difficult to be 3 (see Table 3 footnote).…”

Section: Discussionsupporting

confidence: 92%

“…DII score has been validated to significantly predict inflammation markers in several populations (37)(38)(39) . In line with the current observations, previous DII studies (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) consistently showed that higher inflammatory potential of diets was associated with elevated risk of overall and some cause-specific mortality. Nonetheless, findings from DII studies on health outcomes are difficult to be translated readily into public health interventions, given that DII comprises mainly of nutrients.…”

Section: Discussionsupporting

confidence: 91%

“…Previous studies including research from our group showed that the EDIP score was associated with high risk of development of several chronic diseases including CVD (11) , cancers (12)(13)(14) and type 2 diabetes (15) . However, there have been no epidemiological studies regarding the association between EDIP and mortality risk, though some studies (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) have investigated the risk of mortality in relation to a literature-derived dietary inflammatory index (DII). DII is an a priori dietary pattern (i.e.…”

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confidence: 99%

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Association of dietary inflammatory potential with risk of overall and cause-specific mortality

Chen

Zhang

et al. 2021

Br J Nutr

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Inflammation is a central mechanism in metabolic disorders associated with morbidity and mortality and dietary factors can modulate inflammation. We aimed to prospectively investigate the association between an empirically-developed, food-based dietary inflammatory pattern (EDIP) score and the risk of overall and cause-specific mortality, using data from the US National Health and Nutrition Examination Survey (NHANES) from 1999 to 2014. EDIP score was derived by entering 39 predefined commonly consumed food groups into the reduced rank regression models followed by stepwise linear regression, which was most predictive of 2 plasma inflammation biomarkers including C-reactive protein and white blood cell count among 25 500 US adults. This score was further validated in a testing set of 9466 adults. Deaths from baseline until December 31, 2015 were identified through record linkage to the National Death Index. During a median follow-up of 7.8 years among 40 074 participants, we documented 4904 deaths. Compared to participants in the lowest quintile of EDIP score, those in the highest quintile had a higher risk of overall death (HR=1.19, 95%CI: 1.08-1.32, Ptrend= 0.002), and deaths from cancer (HR=1.41, 95%CI: 1.14-1.74, Ptrend= 0.017) and cardiovascular diseases (HR=1.22, 95%CI: 0.98-1.53, Ptrend= 0.211). When stratified by age, the association of EDIP with overall mortality was stronger among individuals under 65 years of age (Pinteraction= 0.001). Diets with a higher inflammatory potential were associated with increased risk of overall and cancer-specific mortality. Interventions to reduce the adverse effect of pro-inflammatory diets may potentially promote health and longevity.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

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confidence: 99%

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Association of dietary inflammatory potential with risk of overall and cause-specific mortality

Chen

Zhang

et al. 2021

Br J Nutr

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“…The 15 studies included in the analysis covered ten countries from different regions, including the United States (n = 5) [22,28,30,32,33], the Netherlands (n = 2) [29,34], Argentina (n = 1) [14], Spain (n = 1) [24], Germany (n = 1) [31], Canada (n = 1) [26], Iran (n = 1) [25], Jordan (n = 1) [27], Korea (n = 1) [23], and China (n = 1) [21]. Geographically, most of the studies were from the regions of America (AMR) (n = 7) [14,22,26,28,30,32,33], followed by the European region (EUR) (n = 7) [24,29,31,34], the western Pacific region (WPR) (n = 2) [21,23] and the eastern Mediterranean region (EMR) (n = 3) [25,27]. The study period ranged from five years and less (n = 6) [23][24][25][26][27]31], six to ten years (n = 6) [14,21,[28][29][30]34], and more than ten years (n = 3) [22,32,33].…”

Section: Resultsmentioning

confidence: 99%

“…Geographically, most of the studies were from the regions of America (AMR) (n = 7) [14,22,26,28,30,32,33], followed by the European region (EUR) (n = 7) [24,29,31,34], the western Pacific region (WPR) (n = 2) [21,23] and the eastern Mediterranean region (EMR) (n = 3) [25,27]. The study period ranged from five years and less (n = 6) [23][24][25][26][27]31], six to ten years (n = 6) [14,21,[28][29][30]34], and more than ten years (n = 3) [22,32,33].…”

Section: Resultsmentioning

confidence: 99%

Meta-Analysis of the Association between Dietary Inflammatory Index (DII) and Colorectal Cancer

et al. 2022

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The Dietary Inflammatory Index (DII) was extensively used to examine the inflammatory potential of diet related to colorectal cancer (CRC). This meta-analysis aimed to update the evidence of the association between the DII and CRC across various culture-specific dietary patterns. Literature search was performed through online databases (Scopus, Web of Science, PubMed, and EBSCOHost). Observational studies exploring the association between the DII and CRC, published between 2017 and 2021, were included. The risk ratio (RR) and 95% confidence interval (CI) were separately computed for 12 studies comparing the highest and lowest DII scores and for 3 studies that presented continuous DII scores. A high DII score was associated with a higher risk of CRC (RR:1.16; 95% CI, 1.05–1.27). In the subgroup analysis, significant associations were seen in cohort design (RR: 1.24; 95% CI, 1.06–1.44), those lasting for 10 years or longer (RR: 2.95; 95% CI, 2.47–3.52), and in adjustment factor for physical activity (RR: 1.13; 95% CI, 1.07–1.20). An increase of one point in the DII score elevates the risk of CRC by 1.34 (95% CI: 1.15–1.55) times. The findings call for standardized measurement of the inflammatory potential of diet in future studies to enable the establishment of global guidelines for CRC prevention.

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Post‐diagnosis dietary factors, supplement use and colorectal cancer prognosis: A Global Cancer Update Programme (CUP Global) systematic literature review and meta‐analysis

Chan,

Cariolou,

Markozannes

et al. 2024

Intl Journal of Cancer

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The role of diet in colorectal cancer prognosis is not well understood and specific lifestyle recommendations are lacking. We searched for randomised controlled trials (RCTs) and longitudinal observational studies on post‐diagnosis dietary factors, supplement use and colorectal cancer survival outcomes in PubMed and Embase from inception until 28th February 2022. Random‐effects dose–response meta‐analyses were conducted when at least three studies had sufficient information. The evidence was interpreted and graded by the CUP Global independent Expert Committee on Cancer Survivorship and Expert Panel. Five RCTs and 35 observational studies were included (30,242 cases, over 8700 all‐cause and 2100 colorectal cancer deaths, 3700 progression, recurrence, or disease‐free events). Meta‐analyses, including 3–10 observational studies each, were conducted for: whole grains, nuts/peanuts, red and processed meat, dairy products, sugary drinks, artificially sweetened beverages, coffee, alcohol, dietary glycaemic load/index, insulin load/index, marine omega‐3 polyunsaturated fatty acids, supplemental calcium, circulating 25‐hydroxyvitamin D (25[OH]D) and all‐cause mortality; for alcohol, supplemental calcium, circulating 25(OH)D and colorectal cancer‐specific mortality; and for circulating 25(OH)D and recurrence/disease‐free survival. The overall evidence was graded as ‘limited’. The inverse associations between healthy dietary and/or lifestyle patterns (including diets that comprised plant‐based foods), whole grains, total, caffeinated, or decaffeinated coffee and all‐cause mortality and the positive associations between unhealthy dietary patterns, sugary drinks and all‐cause mortality provided ‘limited—suggestive’ evidence. All other exposure‐outcome associations provided ‘limited—no conclusion’ evidence. Additional, well‐conducted cohort studies and carefully designed RCTs are needed to develop specific lifestyle recommendations for colorectal cancer survivors.

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The association between the adapted dietary inflammatory index and colorectal cancer recurrence and all-cause mortality

Cited by 12 publications

References 41 publications

Association of dietary inflammatory potential with risk of overall and cause-specific mortality

Association of dietary inflammatory potential with risk of overall and cause-specific mortality

Meta-Analysis of the Association between Dietary Inflammatory Index (DII) and Colorectal Cancer

Post‐diagnosis dietary factors, supplement use and colorectal cancer prognosis: A Global Cancer Update Programme (CUP Global) systematic literature review and meta‐analysis

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