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Boot IWA, Wesselius A, Jochems SHJ, Yu EYW, Bosetti C, Taborelli M, Porru S, Carta A, Golka K, Jiang X, Stern MC, Kellen E, Pohlabeln H, Tang L, Karagas MR, Zhang ZF, Taylor JA, La Vecchia C, Zeegers MP. Fruits and vegetables intake and bladder cancer risk: a pooled analysis from 11 case-control studies in the BLadder cancer Epidemiology and Nutritional Determinants (BLEND) consortium. Eur J Nutr 2024:10.1007/s00394-024-03436-5. [PMID: 38839633 DOI: 10.1007/s00394-024-03436-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 05/15/2024] [Indexed: 06/07/2024]
Abstract
PURPOSE High consumption of fruits and vegetables decrease the risk of bladder cancer (BC). The evidence of specific fruits and vegetables and the BC risk is still limited. METHODS Fruit and vegetable consumptions in relation to BC risk was examined by pooling individual participant data from case-control studies. Unconditional logistic regression was used to estimate study-specific odds ratio's (ORs) with 95% confidence intervals (CIs) and combined using a random-effects model for intakes of total fruits, total vegetables, and subgroups of fruits and vegetables. RESULTS A total of 11 case-control studies were included, comprising 5637 BC cases and 10,504 controls. Overall, participants with the highest intakes versus the lowest intakes of fruits in total (OR 0.79; 95% CI 0.68-0.91), citrus fruits (OR 0.81; 95% CI 0.65-0.98), pome fruits (OR 0.76; 95% CI 0.65-0.87), and tropical fruits (OR 0.84; 95% CI 0.73-0.94) reduced the BC risk. Greater consumption of vegetables in total, and specifically shoot vegetables, was associated with decreased BC risk (OR 0.82; 95% CI 0.68-0.96 and OR 0.87; 95% CI 0.78-0.96, respectively). Substantial heterogeneity was observed for the associations between citrus fruits and total vegetables and BC risk. CONCLUSION This comprehensive study provides compelling evidence that the consumption of fruits overall, citrus fruits, pome fruits and tropical fruits reduce the BC risk. Besides, evidence was found for an inverse association between total vegetables and shoot vegetables intake.
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Affiliation(s)
- Iris W A Boot
- Department of Epidemiology, Maastricht University, P. Debeyeplein 1, 6229 HA, Maastricht, The Netherlands
- CAPHRI, Department of Epidemiology, Maastricht University Medical Centre+, Maastricht, The Netherlands
- School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 ER, Maastricht, The Netherlands
| | - Anke Wesselius
- Department of Epidemiology, Maastricht University, P. Debeyeplein 1, 6229 HA, Maastricht, The Netherlands.
| | - Sylvia H J Jochems
- Department of Epidemiology, Maastricht University, P. Debeyeplein 1, 6229 HA, Maastricht, The Netherlands
| | - Evan Y W Yu
- CAPHRI, Department of Epidemiology, Maastricht University Medical Centre+, Maastricht, The Netherlands
- School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 ER, Maastricht, The Netherlands
- Key Laboratory of Environmental Medicine and Engineering of Ministry of Education, and Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, 210009, China
| | - Cristina Bosetti
- Unit of Cancer Epidemiology, Department of Oncology, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Via Giuseppe La Masa 19, 20156, Milan, Italy
| | - Martina Taborelli
- Unit of Cancer Epidemiology, CRO Aviano National Cancer Institute, Aviano, PN, Italy
| | - Stefano Porru
- Department of Diagnostics and Public Health, Section of Occupational Health, University of Verona, Verona, Italy
- Interuniversity Research Center, Integrated Models for Prevention and Protection in Environmental and Occupational Health, MISTRAL, University of Brescia, University of Milano-Bicocca, University of Verona, Verona, Italy
| | - Angela Carta
- Interuniversity Research Center, Integrated Models for Prevention and Protection in Environmental and Occupational Health, MISTRAL, University of Brescia, University of Milano-Bicocca, University of Verona, Verona, Italy
| | - Klaus Golka
- Leibniz Research Centre for Working Environment and Human Factors, Sektion Lebenswissenschaften, Dortmund, Germany
| | - Xuejuan Jiang
- Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA
- Department of Ophthalmology, University of Southern California, Los Angeles, CA, USA
| | - Mariana C Stern
- Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA
| | - Eliane Kellen
- Leuven University Centre for Cancer Prevention (LUCK), Leuven, Belgium
| | - Hermann Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany
| | - Li Tang
- Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, USA
| | - Margaret R Karagas
- Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - Zuo-Feng Zhang
- Departments of Epidemiology, UCLA Center for Environmental Genomics, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, USA
| | - Jack A Taylor
- Epidemiology Branch, and Epigenetic and Stem Cell Biology Laboratory, National Institute of Environmental Health Sciences, NIH, Research Triangle Park, NC, USA
| | - Carlo La Vecchia
- Department of Clinical Medicine and Community Health, Università degli Studi di Milano, 20133, Milan, Italy
| | - Maurice P Zeegers
- Department of Epidemiology, Maastricht University, P. Debeyeplein 1, 6229 HA, Maastricht, The Netherlands
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Buonerba C, Ingenito C, Di Trolio R, Cappuccio F, Rubino R, Piscosquito A, Verde A, Costabile F, Iuliucci M, Crocetto F, Chiancone F, Nacchia A, Campitelli A, Scafuri L, Sanseverino R, Di Lorenzo G. Unraveling the Dietary Puzzle: Exploring the Influence of Diet, Nutraceuticals, and Supplements on Bladder Cancer Risk, Outcomes, and Immunotherapy Efficacy: Insights from the BLOSSOM Study and Beyond. Oncol Ther 2024; 12:189-195. [PMID: 38416326 PMCID: PMC11187017 DOI: 10.1007/s40487-024-00266-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 02/02/2024] [Indexed: 02/29/2024] Open
Abstract
Bladder cancer is considered a global health concern characterized by significant morbidity and mortality rates. The complex relationship between diet and bladder cancer is examined, with a specific focus on the role of diet in risk, outcomes, and treatment efficacy. Attention is drawn to the burgeoning field of immunotherapy in bladder cancer treatment, and the possible influence of diet on its outcomes is explored. While evidence remains limited, prior studies in other cancer types have suggested a potential connection between diet and immunotherapy response. To address this knowledge gap, the ongoing BLOSSOM study is presented, which aims to investigate the link between dietary factors, lifestyle, and the effectiveness of immunotherapy in patients with non-muscle-invasive bladder cancer. Ongoing efforts to decipher the intricate relationship between diet and bladder cancer care are highlighted, emphasizing the quest to unravel the dietary puzzle for the improvement of bladder cancer management.
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Affiliation(s)
- Carlo Buonerba
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
- Associazione O.R.A. ETS-Oncology Research Assistance, Somma Vesuviana, Italy
- Department of Public Health, "Federico II" University, 80131, Naples, Italy
| | - Concetta Ingenito
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
| | - Rossella Di Trolio
- Unit of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori Istituto di Ricovero e Cura a Carattere Scientifico Fondazione G. Pascale, Naples, Italy
| | - Francesca Cappuccio
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
| | - Roberta Rubino
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
| | - Arianna Piscosquito
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
| | - Antonio Verde
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
- Associazione O.R.A. ETS-Oncology Research Assistance, Somma Vesuviana, Italy
| | - Ferdinando Costabile
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
- Associazione O.R.A. ETS-Oncology Research Assistance, Somma Vesuviana, Italy
| | - Michela Iuliucci
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
| | - Felice Crocetto
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Urology and Andrology Unit, University of Naples Federico II, Via Pansini No. 5, 80131, Naples, Italy
| | | | - Antonio Nacchia
- Urology Unit, Ospedale Sant'Andrea, 'Sapienza' University of Rome, 00191, Rome, Italy
| | | | - Luca Scafuri
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy
- Associazione O.R.A. ETS-Oncology Research Assistance, Somma Vesuviana, Italy
| | | | - Giuseppe Di Lorenzo
- Oncology Unit, "Andrea Tortora" Hospital, ASL Salerno, Presidio Ospedaliero A.Tortora, Via Alcide de Gasperi, 59, 84016, Pagani, SA, Italy.
- Associazione O.R.A. ETS-Oncology Research Assistance, Somma Vesuviana, Italy.
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.
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Qi J, An P, Jin D, Ji Y, Wan S, Zhang X, Luo Y, Luo J, Zhang C. Food groups and urologic cancers risk: a systematic review and meta-analysis of prospective studies. Front Nutr 2023; 10:1154996. [PMID: 37266130 PMCID: PMC10231388 DOI: 10.3389/fnut.2023.1154996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 04/18/2023] [Indexed: 06/03/2023] Open
Abstract
Background To assess the association between 12 food groups intake and the risk of urologic cancers. Methods We scanned PubMed and Web of Science databases up to April 1st, 2023, and 73 publications met the inclusion criteria in the meta-analysis. We used a random effects model to estimate the summary risk ratios (RRs) and 95% confidence intervals (95% CI). Results In the linear dose-response meta-analysis, an inverse association was found between each additional daily 100 g of fruits [RR: 0.89, 95%CI = (0.83, 0.97)], 100 g of vegetables [RR: 0.92, 95%CI = (0.85, 0.99)], 12 g of alcohol [RR: 0.91, 95%CI = (0.88, 0.94)] and 1 cup of coffee [RR: 0.95, 95%CI = (0.83, 0.97)] intake and the risk of renal cell carcinoma. Conversely, each additional daily 100 g of red meat intake was positively associated with renal cell carcinoma [RR: 1.41, 95%CI = (1.03, 2.10)]. Inverse associations were observed between each additional daily 50 g of egg [RR: 0.73, 95%CI = (0.62, 0.87)] and each additional daily 1 cup of tea consumption and bladder cancer risk [RR: 0.97, 95%CI = (0.94, 0.99)]. There were no significant associations for nonlinear dose-response relationships between 12 food groups and urological cancers. Conclusion Our meta-analysis strengthens the evidence that appropriate intake of specific food groups, such as fruits, vegetables, alcohol, tea, and coffee, is associated with the risk of renal cell carcinoma or bladder cancer. More studies are required to fill the knowledge gap on the links between various food groups and urologic cancers because the evidence was less credible in this meta-analysis. Systematic Review Registration This study was registered on PROSPERO (CRD42022340336).
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Affiliation(s)
- Jingyi Qi
- Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China
| | - Peng An
- Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China
| | - Dekui Jin
- Department of General Practice, The Third Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Yuting Ji
- Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China
| | - Sitong Wan
- Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China
| | - Xu Zhang
- Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China
| | - Yongting Luo
- Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China
| | - Junjie Luo
- Department of Nutrition and Health, Beijing Advanced Innovation Center for Food Nutrition and Human Health, China Agricultural University, Beijing, China
| | - Chengying Zhang
- Department of General Practice, The Third Medical Center of Chinese PLA General Hospital, Beijing, China
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Tzelves L, Katsimperis S, Bellos T, Berdempes M, Mitsogiannis I, Papatsoris A, Deliveliotis C, Varkarakis I, Skolarikos A. Anthropometric characteristics and relationship with non-muscle invasive bladder cancer in Greece: A case-control study. Arch Ital Urol Androl 2023; 95:11266. [PMID: 36924363 DOI: 10.4081/aiua.2023.11266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 03/06/2023] [Indexed: 03/17/2023] Open
Abstract
BACKGROUND Risk factors like smoking, radiation, chronic infections and exposure to occupational chemicals are strongly associated with occurrence of bladder cancer. Association between increased body weight and bladder cancer has been controversial. The aim of this case-control study is to evaluate association of anthropometric characteristics on bladder cancer incidence in Greek population. METHODS This case-control study was conducted at a tertiary hospital in Greece with cases being patients with bladder cancer diagnosed within the last 2 years and controls patients admitted to hospital for reason other than cancer and not related to common risk factors related to bladder cancer. Anthropometric characteristics like weight, height, body mass index, waist and hip circumference were measured. Analyses was done with R (Vienna, Austria). RESULTS Comparison between groups showed that patients with bladder cancer had higher weight, BMI and waist circumference compared to controls. However, multivariate, binomial logistic regression showed that only age (OR 1.03, 95% CI: 1-1.05, p = 0.02), no use of smoke (OR 0.12, 95% CI: 0.07-0.23, p < 0.001) and occupation related to bladder cancer (OR 7.45, 95% CI: 2.53-27.93, p < 0.001) significantly predicted the incidence of bladder cancer. CONCLUSIONS Bladder cancer incidence is strongly linked with specific risk factors such as smoking, occupation with exposure to chemicals and smoke, increasing age, radiation and chronic infections. Several studies have shown a weak association between anthropometric characteristics and bladder cancer, although most studies in European populations did not confirm these findings. Similarly in our case-control study in a Greek population, we found potential relationship between increased weight/BMI and waist circumference with bladder cancer, but the association disappeared in multivariate analysis.
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Affiliation(s)
- Lazaros Tzelves
- Department of Urology/Uro-Oncology, University College of London Hospitals (UCLH), London, United Kingdom; 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Stamatis Katsimperis
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Themistoklis Bellos
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Marinos Berdempes
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Iraklis Mitsogiannis
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Athanasios Papatsoris
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Charalampos Deliveliotis
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Ioannis Varkarakis
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
| | - Andreas Skolarikos
- 2nd Department of Urology, Sismanoglio Hospital, Medical School, National and Kapodistrian University of Athens, Sismanogliou 37 Athens.
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Clinical Potential of Fruit in Bladder Cancer Prevention and Treatment. Nutrients 2022; 14:nu14061132. [PMID: 35334790 PMCID: PMC8951059 DOI: 10.3390/nu14061132] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 03/05/2022] [Accepted: 03/07/2022] [Indexed: 12/27/2022] Open
Abstract
Bladder cancer (BC) is the most common tumor of the urinary system in the world. Moreover, despite using anticancer therapies, BC is also characterized by a high recurrence risk. Among numerous risk factors, cigarette smoking, occupational exposure to certain aromatic compounds, and genetic factors contribute most strongly to BC development. However, the epidemiological data to date suggests that diet quality may influence some carcinogenic factors of BC and, therefore, might have a preventative effect. Adequate consumption of selected fruits with scientifically proven properties, including pomegranates and cranberries, can significantly reduce the risk of developing BC, even in those at risk. Therefore, in this article, we aim to elucidate, using available literature, the role of fruits, including pomegranates, cranberries, citrus fruits, cactus pears, and apples, in BC prevention and treatment. Previous data indicate the role of compounds in the above-mentioned fruits in the modulation of the signaling pathways, including cell proliferation, cell growth, cell survival, and cell death.
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