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Adherence to the Mediterranean Diet and Obesity-Linked Cancer Risk in EPIC
Inmaculada Aguilera-Buenosvinos1,2, Fernanda Morales Berstein3,4, Esther M González-Gil5
1Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.
Higher adherence to the Mediterranean Diet (MedDiet) is linked to a reduced risk of obesity-related cancers (ORCs). This association appears independent of body mass index and waist-to-hip ratio, suggesting a direct protective effect of the MedDiet.
Area of Science:
- Nutrition Science
- Oncology
- Epidemiology
Background:
- The Mediterranean Diet (MedDiet) is associated with lower cancer incidence and reduced weight gain.
- Obesity is a significant risk factor for various cancers, and MedDiet adherence shows an inverse relationship with obesity.
Purpose of the Study:
- To investigate the association between MedDiet adherence and the risk of obesity-related cancers (ORCs).
- To explore the potential mediating role of adiposity in this association.
Main Methods:
- Prospective cohort study using data from the European Prospective Investigation Into Cancer and Nutrition (EPIC) study.
- MedDiet adherence scored on a 9-point scale; ORC incidence classified by International Agency for Research on Cancer criteria.
- Multivariable Cox proportional hazards regression and mediation analyses were employed.
Main Results:
- Over 450,000 participants followed for a median of 14.9 years.
- Higher MedDiet adherence (7-9 points) was associated with a modest, statistically significant reduction in ORC risk (HR, 0.94; 95% CI, 0.90-0.98) compared to low adherence (0-3 points).
- Mediation analyses did not support a role for waist-to-hip ratio or body mass index in the MedDiet-ORC risk relationship.
Conclusions:
- Increased adherence to the MedDiet is associated with a modest reduction in ORC risk.
- This protective association appears to be independent of adiposity measures.
- Further research is warranted to elucidate the precise mechanisms underlying the MedDiet's role in cancer prevention.
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