Diet Quality and Risk of Bladder Cancer in the Multiethnic Cohort Study

Overview

Journal Nutrients

Date 2024 Jun 27

PMID 38931318

Authors

Minji Kang

Lynne R Wilkens

Michael D Wirth

Nitin Shivappa

James R Hebert

Christopher A Haiman

Loic Le Marchand

Song-Yi Park

Affiliations

Soon will be listed here.

Abstract

This study analyzed the overall quality of the diet using predefined indices, including the Healthy Eating Index-2015 (HEI-2015), the Alternative Healthy Eating Index-2010 (AHEI-2010), the alternate Mediterranean Diet (aMED) score, the Dietary Approaches to Stop Hypertension (DASH) score, and the Dietary Inflammatory Index (DII), to explore their association with the risk of bladder cancer in the Multiethnic Cohort Study. Data were taken from 186,979 African American, Japanese American, Latino, Native Hawaiian, and non-Hispanic White participants aged 45-75 years, with 1152 incident cases of invasive bladder cancer during a mean follow-up period of 19.2 ± 6.6 years. Cox models were used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) with comprehensive adjustment for smoking. Comparing the highest vs. lowest diet quality score quintile, HRs (95% CIs) in men was 1.08 (0.86-1.36) for HEI-2015, 1.05 (0.84-1.30) for AHEI-2010, 1.01 (0.80-1.27) for aMED, 1.13 (0.90-1.41) for DASH, and 0.96 (0.76-1.21) for DII, whereas the corresponding HRs for women were 0.75 (0.53-1.07), 0.64 (0.45-0.92), 0.60 (0.40-0.88), 0.66 (0.46-0.95), and 0.63 (0.43-0.90) with all values for trend <0.05. The inverse association found in women did not vary by smoking status or race and ethnicity. Our findings suggest that adopting high-quality diets may reduce the risk of invasive bladder cancer among women in a multiethnic population.

References

Yu E, Wesselius A, Mehrkanoon S, Brinkman M, van den Brandt P, White E . Grain and dietary fiber intake and bladder cancer risk: a pooled analysis of prospective cohort studies. Am J Clin Nutr. 2020; 112(5):1252-1266. PMC: 7657329. DOI: 10.1093/ajcn/nqaa215. View

Boot I, Wesselius A, Yu E, White E, Brustad M, Marques C . Dietary vitamin D intake and the bladder cancer risk: A pooled analysis of prospective cohort studies. Clin Nutr. 2023; 42(8):1462-1474. DOI: 10.1016/j.clnu.2023.05.010. View

Chiuve S, Fung T, Rimm E, Hu F, McCullough M, Wang M . Alternative dietary indices both strongly predict risk of chronic disease. J Nutr. 2012; 142(6):1009-18. PMC: 3738221. DOI: 10.3945/jn.111.157222. View

Krebs-Smith S, Pannucci T, Subar A, Kirkpatrick S, Lerman J, Tooze J . Update of the Healthy Eating Index: HEI-2015. J Acad Nutr Diet. 2018; 118(9):1591-1602. PMC: 6719291. DOI: 10.1016/j.jand.2018.05.021. View

Park S, Ollberding N, Woolcott C, Wilkens L, Henderson B, Kolonel L . Fruit and vegetable intakes are associated with lower risk of bladder cancer among women in the Multiethnic Cohort Study. J Nutr. 2013; 143(8):1283-92. PMC: 3709993. DOI: 10.3945/jn.113.174920. View

Wang J, Wang C . Dietary fat intake and risk of bladder cancer: Evidence from a meta-analysis of observational studies. Cell Mol Biol (Noisy-le-grand). 2019; 65(7):5-9. View

Dai Y, Yu E, Zeegers M, Wesselius A . The Association between Dietary Inflammatory Potential and Urologic Cancers: A Meta-analysis. Adv Nutr. 2023; 15(1):100124. PMC: 10831898. DOI: 10.1016/j.advnut.2023.09.012. View

Wilkens L, Kang M, Park S, Sawyer A, Boushey C, Au D . Validation and Comparison of Nutrient Intakes from Two Dietary Questionnaires Developed for the Multiethnic Cohort Study. J Acad Nutr Diet. 2022; 123(4):655-663.e1. DOI: 10.1016/j.jand.2022.09.016. View

Liu R . Potential synergy of phytochemicals in cancer prevention: mechanism of action. J Nutr. 2004; 134(12 Suppl):3479S-3485S. DOI: 10.1093/jn/134.12.3479S. View

10.

Kolonel L, Henderson B, Hankin J, Nomura A, Wilkens L, Pike M . A multiethnic cohort in Hawaii and Los Angeles: baseline characteristics. Am J Epidemiol. 2000; 151(4):346-57. PMC: 4482109. DOI: 10.1093/oxfordjournals.aje.a010213. View

11.

Leeming R, Koutros S, Karagas M, Baris D, Schwenn M, Johnson A . Diet quality, common genetic polymorphisms, and bladder cancer risk in a New England population-based study. Eur J Nutr. 2022; 61(8):3905-3913. PMC: 10329807. DOI: 10.1007/s00394-022-02932-w. View

12.

Haiman C, Stram D, Wilkens L, Pike M, Kolonel L, Henderson B . Ethnic and racial differences in the smoking-related risk of lung cancer. N Engl J Med. 2006; 354(4):333-42. DOI: 10.1056/NEJMoa033250. View

13.

Boot I, Wesselius A, Yu E, Brinkman M, van den Brandt P, Grant E . Dietary B group vitamin intake and the bladder cancer risk: a pooled analysis of prospective cohort studies. Eur J Nutr. 2022; 61(5):2397-2416. PMC: 9279207. DOI: 10.1007/s00394-022-02805-2. View

14.

Piyathilake C . Dietary factors associated with bladder cancer. Investig Clin Urol. 2016; 57 Suppl 1:S14-25. PMC: 4910759. DOI: 10.4111/icu.2016.57.S1.S14. View

15.

Liese A, Krebs-Smith S, Subar A, George S, Harmon B, Neuhouser M . The Dietary Patterns Methods Project: synthesis of findings across cohorts and relevance to dietary guidance. J Nutr. 2015; 145(3):393-402. PMC: 4336525. DOI: 10.3945/jn.114.205336. View

16.

Lv Y, Liu Z, Jia H, Xiu Y, Liu Z, Deng L . Properties of flavonoids in the treatment of bladder cancer (Review). Exp Ther Med. 2022; 24(5):676. PMC: 9522619. DOI: 10.3892/etm.2022.11612. View

17.

Trichopoulou A, Costacou T, Bamia C, Trichopoulos D . Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003; 348(26):2599-608. DOI: 10.1056/NEJMoa025039. View

18.

Fung T, Chiuve S, McCullough M, Rexrode K, Logroscino G, Hu F . Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med. 2008; 168(7):713-20. DOI: 10.1001/archinte.168.7.713. View

19.

Dianatinasab M, Forozani E, Akbari A, Azmi N, Bastam D, Fararouei M . Dietary patterns and risk of bladder cancer: a systematic review and meta-analysis. BMC Public Health. 2022; 22(1):73. PMC: 8753903. DOI: 10.1186/s12889-022-12516-2. View

20.

Leeming R, Karagas M, Gilbert-Diamond D, Emond J, Zens M, Schned A . Diet Quality and Survival in a Population-Based Bladder Cancer Study. Nutr Cancer. 2021; 74(7):2400-2411. PMC: 9387520. DOI: 10.1080/01635581.2021.2008989. View