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@article{Tsilidis:2023:10.1002/ijc.34320,
author = {Tsilidis, KK and Cariolou, M and Becerra-Tomas, N and Balducci, K and Vieira, R and Abar, L and Aune, D and Markozannes, G and Nanu, N and Greenwood, DC and Giovannucci, EL and Gunter, MJ and Jackson, AA and Kampman, E and Lund, V and Allen, K and Brockton, NT and Croker, H and Katsikioti, D and McGinley-Gieser, D and Mitrou, P and Wiseman, M and Cross, AJ and Riboli, E and Clinton, SK and McTiernan, A and Norat, T and Chan, DSM},
doi = {10.1002/ijc.34320},
journal = {International Journal of Cancer},
pages = {635--644},
title = {Postdiagnosis body fatness, recreational physical activity, dietary factors and breast cancer prognosis: Global Cancer Update Programme (CUP Global) summary of evidence grading},
url = {http://dx.doi.org/10.1002/ijc.34320},
volume = {152},
year = {2023}
}

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TY  - JOUR
AB  - Based on the Global Cancer Update Programme, formally known as the World Cancer Research Fund/American Institute for Cancer Research Continuous Update Project, we performed systematic reviews and meta-analyses to investigate the association of postdiagnosis body fatness, physical activity and dietary factors with breast cancer prognosis. We searched PubMed and Embase for randomised controlled trials and longitudinal observational studies from inception to 31 October 2021. We calculated summary relative risks (RRs) and 95% confidence intervals (CIs) using random-effects meta-analyses. An independent Expert Panel graded the quality of evidence according to predefined criteria. The evidence on postdiagnosis body fatness and higher all-cause mortality (RR per 5 kg/m2 in body mass index: 1.07, 95% CI: 1.05-1.10), breast cancer-specific mortality (RR: 1.10, 95% CI: 1.06-1.14) and second primary breast cancer (RR: 1.14, 95% CI: 1.04-1.26) was graded as strong (likelihood of causality: probable). The evidence for body fatness and breast cancer recurrence and other nonbreast cancer-related mortality was graded as limited (likelihood of causality: limited-suggestive). The evidence on recreational physical activity and lower risk of all-cause (RR per 10 metabolic equivalent of task-hour/week: 0.85, 95% CI: 0.78-0.92) and breast cancer-specific mortality (RR: 0.86, 95% CI: 0.77-0.96) was judged as limited-suggestive. Data on dietary factors was limited, and no conclusions could be reached except for healthy dietary patterns, isoflavone and dietary fibre intake and serum 25(OH)D concentrations that were graded with limited-suggestive evidence for lower risk of the examined outcomes. Our results encourage the development of lifestyle recommendations for breast cancer patients to avoid obesity and be physically active.
AU  - Tsilidis,KK
AU  - Cariolou,M
AU  - Becerra-Tomas,N
AU  - Balducci,K
AU  - Vieira,R
AU  - Abar,L
AU  - Aune,D
AU  - Markozannes,G
AU  - Nanu,N
AU  - Greenwood,DC
AU  - Giovannucci,EL
AU  - Gunter,MJ
AU  - Jackson,AA
AU  - Kampman,E
AU  - Lund,V
AU  - Allen,K
AU  - Brockton,NT
AU  - Croker,H
AU  - Katsikioti,D
AU  - McGinley-Gieser,D
AU  - Mitrou,P
AU  - Wiseman,M
AU  - Cross,AJ
AU  - Riboli,E
AU  - Clinton,SK
AU  - McTiernan,A
AU  - Norat,T
AU  - Chan,DSM
DO  - 10.1002/ijc.34320
EP  - 644
PY  - 2023///
SN  - 0020-7136
SP  - 635
TI  - Postdiagnosis body fatness, recreational physical activity, dietary factors and breast cancer prognosis: Global Cancer Update Programme (CUP Global) summary of evidence grading
T2  - International Journal of Cancer
UR  - http://dx.doi.org/10.1002/ijc.34320
UR  - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000871430300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://onlinelibrary.wiley.com/doi/10.1002/ijc.34320
UR  - http://hdl.handle.net/10044/1/100665
VL  - 152
ER  -

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