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Red and Processed Meat, Poultry, Fish, and Egg Intakes and Cause-Specific and All-Cause Mortality among Men with Nonmetastatic Prostate Cancer in a U.S. Cohort.
Cancer Epidemiol Biomarkers Prev. 2020 05; 29(5):1029-1038.CE

Abstract

BACKGROUND

Research on the relationship of meat, fish, and egg consumption and mortality among prostate cancer survivors is limited.

METHODS

In the Cancer Prevention Study-II Nutrition Cohort, men diagnosed with nonmetastatic prostate cancer between baseline in 1992/1993 and 2015 were followed for mortality until 2016. Analyses of pre- and postdiagnosis intakes of red and processed meat, poultry, fish, and eggs included 9,286 and 4,882 survivors, respectively. Multivariable-adjusted RRs and 95% confidence intervals (CI) were estimated using Cox proportional hazards models.

RESULTS

A total of 4,682 and 2,768 deaths occurred during follow-up in pre- and postdiagnosis analyses, respectively. Both pre- and postdiagnosis intakes of total red and processed meat were positively associated with all-cause mortality (quartile 4 vs. 1: RR = 1.13; 95% CI, 1.03-1.25; P trend = 0.02; RR = 1.22; 95% CI, 1.07-1.39; P trend = 0.03, respectively), and both pre- and postdiagnosis poultry intakes were inversely associated with all-cause mortality (quartile 4 vs. 1 RR = 0.90; 95% CI, 0.82-0.98; P trend = 0.04; RR = 0.84; 95% CI, 0.75-0.95; P trend = 0.01, respectively). No associations were seen for prostate cancer-specific mortality, except that higher postdiagnosis unprocessed red meat intake was associated with lower risk.

CONCLUSIONS

Higher red and processed meat, and lower poultry, intakes either before or after prostate cancer diagnosis were associated with higher risk of all-cause mortality.

IMPACT

Our findings provide additional evidence that prostate cancer survivors should follow the nutrition guidelines limiting red and processed meat consumption to improve overall survival. Additional research on the relationship of specific meat types and mortality is needed.

Authors+Show Affiliations

Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia. ying.wang@cancer.org.Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia.Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia.Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia.Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia.Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32132146

Citation

Wang, Ying, et al. "Red and Processed Meat, Poultry, Fish, and Egg Intakes and Cause-Specific and All-Cause Mortality Among Men With Nonmetastatic Prostate Cancer in a U.S. Cohort." Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored By the American Society of Preventive Oncology, vol. 29, no. 5, 2020, pp. 1029-1038.
Wang Y, Jacobs EJ, Shah RA, et al. Red and Processed Meat, Poultry, Fish, and Egg Intakes and Cause-Specific and All-Cause Mortality among Men with Nonmetastatic Prostate Cancer in a U.S. Cohort. Cancer Epidemiol Biomarkers Prev. 2020;29(5):1029-1038.
Wang, Y., Jacobs, E. J., Shah, R. A., Stevens, V. L., Gansler, T., & McCullough, M. L. (2020). Red and Processed Meat, Poultry, Fish, and Egg Intakes and Cause-Specific and All-Cause Mortality among Men with Nonmetastatic Prostate Cancer in a U.S. Cohort. Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored By the American Society of Preventive Oncology, 29(5), 1029-1038. https://doi.org/10.1158/1055-9965.EPI-19-1426
Wang Y, et al. Red and Processed Meat, Poultry, Fish, and Egg Intakes and Cause-Specific and All-Cause Mortality Among Men With Nonmetastatic Prostate Cancer in a U.S. Cohort. Cancer Epidemiol Biomarkers Prev. 2020;29(5):1029-1038. PubMed PMID: 32132146.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Red and Processed Meat, Poultry, Fish, and Egg Intakes and Cause-Specific and All-Cause Mortality among Men with Nonmetastatic Prostate Cancer in a U.S. Cohort. AU - Wang,Ying, AU - Jacobs,Eric J, AU - Shah,Roma A, AU - Stevens,Victoria L, AU - Gansler,Ted, AU - McCullough,Marjorie L, Y1 - 2020/03/04/ PY - 2019/11/13/received PY - 2020/01/10/revised PY - 2020/02/28/accepted PY - 2020/3/7/pubmed PY - 2021/7/8/medline PY - 2020/3/6/entrez SP - 1029 EP - 1038 JF - Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology JO - Cancer Epidemiol Biomarkers Prev VL - 29 IS - 5 N2 - BACKGROUND: Research on the relationship of meat, fish, and egg consumption and mortality among prostate cancer survivors is limited. METHODS: In the Cancer Prevention Study-II Nutrition Cohort, men diagnosed with nonmetastatic prostate cancer between baseline in 1992/1993 and 2015 were followed for mortality until 2016. Analyses of pre- and postdiagnosis intakes of red and processed meat, poultry, fish, and eggs included 9,286 and 4,882 survivors, respectively. Multivariable-adjusted RRs and 95% confidence intervals (CI) were estimated using Cox proportional hazards models. RESULTS: A total of 4,682 and 2,768 deaths occurred during follow-up in pre- and postdiagnosis analyses, respectively. Both pre- and postdiagnosis intakes of total red and processed meat were positively associated with all-cause mortality (quartile 4 vs. 1: RR = 1.13; 95% CI, 1.03-1.25; P trend = 0.02; RR = 1.22; 95% CI, 1.07-1.39; P trend = 0.03, respectively), and both pre- and postdiagnosis poultry intakes were inversely associated with all-cause mortality (quartile 4 vs. 1 RR = 0.90; 95% CI, 0.82-0.98; P trend = 0.04; RR = 0.84; 95% CI, 0.75-0.95; P trend = 0.01, respectively). No associations were seen for prostate cancer-specific mortality, except that higher postdiagnosis unprocessed red meat intake was associated with lower risk. CONCLUSIONS: Higher red and processed meat, and lower poultry, intakes either before or after prostate cancer diagnosis were associated with higher risk of all-cause mortality. IMPACT: Our findings provide additional evidence that prostate cancer survivors should follow the nutrition guidelines limiting red and processed meat consumption to improve overall survival. Additional research on the relationship of specific meat types and mortality is needed. SN - 1538-7755 UR - https://www.unboundmedicine.com/medline/citation/32132146/Red_and_Processed_Meat_Poultry_Fish_and_Egg_Intakes_and_Cause_Specific_and_All_Cause_Mortality_among_Men_with_Nonmetastatic_Prostate_Cancer_in_a_U_S__Cohort_ DB - PRIME DP - Unbound Medicine ER -