Association of pre-diagnosis specific color groups of fruit and vegetable intake with ovarian cancer survival : results from the ovarian cancer follow-up study (OOPS)

Background: The colors of fruits and vegetables (FV) reflect the presence of pigmented bioactive compounds. The evidence of pre-diagnosis specific FV color group intake contributing to ovarian cancer (OC) survival is limited and inconsistent. Methods: A prospective cohort study was conducted between 2015 and 2020 with 700 newly diagnosed OC patients. Pre-diagnosis dietary information was assessed by a validated food frequency questionnaire. We classified FV into five groups based on the color of their edible parts (e.g., green, red/purple, orange/yellow, white, and uncategorized groups). Cox proportional hazard models were used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for the association of specific color groups of FV before diagnosis with OC survival. Potential multiplicative and additive interactions were assessed. Results: 130 patients died during a median follow-up of 37.57 (interquartile: 24.77-50.20) months. We observed the improved survival with a higher pre-diagnosis intake of total FV (HRtertile 3 vs. tertile 1 = 0.63, 95%CI = 0.40-0.99), total vegetables (HRtertile 3 vs. tertile 1 = 0.57, 95%CI = 0.36-0.90), and red/purple FV (HRtertile 3 vs. tertile 1 = 0.52, 95%CI = 0.33-0.82). In addition, we observed significant dose-response relationships for per standard deviation increment between total vegetable intake (HR = 0.79, 95%CI = 0.65-0.96) and red/purple group intake (HR = 0.77, 95%CI = 0.60-0.99) before diagnosis with OC survival. Additionally, pre-diagnosis green FV intake was borderline associated with better OC survival (HRper standard deviation increment = 0.83; 95%CI = 0.69-1.00). In contrast, we did not observe significant associations between pre-diagnosis intake of total fruits, orange/yellow, white, and uncategorized groups and OC survival. Conclusion: Pre-diagnosis FV intake from various color groups, especially the green and red/purple ones, may improve OC survival. Further studies are needed to validate our findings.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Food & function - 14(2023), 18 vom: 19. Sept., Seite 8442-8452

Sprache:

Englisch

Beteiligte Personen:

Liu, Yu-Yang [VerfasserIn]
Gong, Ting-Ting [VerfasserIn]
Li, Yi-Zi [VerfasserIn]
Xu, He-Li [VerfasserIn]
Zheng, Gang [VerfasserIn]
Liu, Fang-Hua [VerfasserIn]
Qin, Xue [VerfasserIn]
Xiao, Qian [VerfasserIn]
Wu, Qi-Jun [VerfasserIn]
Huang, Dong-Hui [VerfasserIn]
Gao, Song [VerfasserIn]
Zhao, Yu-Hong [VerfasserIn]

Links:

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Themen:

Journal Article

Anmerkungen:

Date Completed 18.10.2023

Date Revised 18.10.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1039/d3fo01443f

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361205279