MétaCan
Menu
Back to cohort
Record W4412490706 · doi:10.1111/1471-0528.18302

Adherence to a Cholesterol‐Lowering Diet and the Risk of Female Hormone‐Related Cancers: An Analysis From a Case–Control Study Network

2025· article· en· W4412490706 on OpenAlexaff
Giovanna Esposito, Livia S. A. Augustin, David J.A. Jenkins, Monica Ferraroni, Fabio Parazzini, Anna Crispo, Luigino Dal Maso, Eva Negri, Carlo La Vecchia, Jerry Polesel, Matteo Di Maso

Bibliographic record

VenueBJOG An International Journal of Obstetrics & Gynaecology · 2025
Typearticle
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicCancer, Lipids, and Metabolism
Canadian institutionsUniversity of TorontoSt. Michael's Hospital
FundersAssociazione Italiana per la Ricerca sul CancroMinistero della SaluteFondazione AIRC per la ricerca sul cancro ETS
KeywordsMedicineOdds ratioInternal medicineLogistic regressionConfidence intervalBreast cancerConfoundingEndometrial cancerCholesterolGynecologyEndocrinologyCancerObstetrics

Abstract

fetched live from OpenAlex

OBJECTIVE: We investigated the association between a cholesterol-lowering diet score and the risk of female hormone-related cancers. DESIGN: We used data on 2108 breast, 367 endometrial, 869 ovarian cancer cases and corresponding controls from an Italian network of case-control studies. SETTING: Hospital-based. SAMPLE: Breast, endometrial, and ovarian cancer cases and controls. METHODS: We assessed the adherence to a cholesterol-lowering diet using a score based on seven dietary components: high intake of non-cellulosic polysaccharides, monounsaturated fatty acids, legumes, seeds/corn oil; low intake of saturated fatty acids, dietary cholesterol, and glycaemic index. We assigned one point for each component if the requirement was met; otherwise, we assigned zero. The overall score was calculated by summing up points over the seven components, ranging from 0 (null) to 7 (complete adherence). MAIN OUTCOME MEASURES: Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated through unconditional logistic regression models including terms for potential confounders. RESULTS: Compared to a low adherence to a cholesterol-lowering diet (0-2 points), the ORs for a higher adherence (5-7 points) were 0.74 (95% CI: 0.60-0.92) for breast, 0.48 (95% CI: 0.30-0.77) for endometrial, and 0.77 (95% CI: 0.57-0.99) for ovarian cancer. The ORs for a 1-point increment in the score were 0.87 (95% CI: 0.97-0.80), 0.80 (95% CI: 0.72-0.90), and 0.90 (95% CI: 0.84-0.97) for breast, endometrial, and ovarian cancers, respectively. CONCLUSIONS: A cholesterol-lowering diet may favourably affect the risk of female hormone-related cancers.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.007
metaresearch head score (Gemma)0.016
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.011
Threshold uncertainty score0.038

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.016
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.003
Bibliometrics0.0030.004
Science and technology studies0.0010.001
Scholarly communication0.0020.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.009
GPT teacher head0.284
Teacher spread0.275 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractyes

Explore more

Same venueBJOG An International Journal of Obstetrics & GynaecologySame topicCancer, Lipids, and MetabolismFrench-language works237,207