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Dietary Habits and Daily Routines as Prognostic Factors in Endometrial Cancer: A Machine Learning Approach.

Ofra Castro Wersäll¹, Zoia Razumova¹, Igor Govorov^1,2

¹Division of Neonatology, Obstetrics and Gynaecology, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Nutrition and Cancer

|September 15, 2022

Summary

Dietary habits and daily routines impact endometrial cancer (EC) outcomes. Avoiding sugar-sweetened beverages and fried potatoes, while increasing physical activity, may improve survival for EC patients.

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Area of Science:

Oncology
Epidemiology
Lifestyle Medicine

Background:

Endometrial cancer (EC) incidence is rising globally, linked to increased life expectancy and obesity.
Modifiable lifestyle factors may influence EC progression and patient survival.

Purpose of the Study:

To investigate the impact of dietary habits and daily routines on endometrial cancer recurrence and survival.
To identify specific lifestyle variables associated with improved or worsened EC outcomes.

Main Methods:

Utilized a Random Survival Forest (RSF) approach for multivariable survival analysis.
Analyzed data from 481 women who underwent hysterectomy for EC.
Collected data via extensive questionnaires on diet and daily routines.

Main Results:

Consumption of sugar-sweetened beverages and fried potatoes correlated with increased EC recurrence and mortality risk.
Regular physical activity was associated with a decreased risk of death in EC patients.
RSF identified significant lifestyle-related risk and protective factors.

Conclusions:

Random Survival Forest is an effective method for analyzing complex survival data in endometrial cancer.
Specific dietary choices (sugar-sweetened beverages, fried potatoes) and physical activity levels are crucial for EC patient outcomes.