Abstract 1263: Dietary patterns after prostate cancer diagnosis in relation to disease-specific and total mortality

Abstract

Abstract Objective: We investigated the relation of post-diagnostic dietary patterns with prostate cancer-specific and all-cause mortality. Methods: 926 men participating in the Physicians' Healthy Study diagnosed with non-metastatic prostate cancer completed a food frequency questionnaire (FFQ) a median of 5.1 years after diagnosis, and were followed thereafter to assess mortality for a median of 9.9 years. Two dietary patterns, a Prudent and a Western pattern, were identified using principal component analysis. Multivariate Cox proportional hazards regression was used to estimate the relative hazard of prostate cancer-specific and all-cause mortality in relation to post-diagnostic dietary pattern scores. Models were adjusted for age at diagnosis, time between diagnosis and FFQ completion, energy intake, vigorous exercise, BMI, smoking status, and a modified D'Amico risk score. Results: We identified 333 deaths, 56 due to prostate cancer, during 8,093 person-years of follow-up. The Prudent pattern was characterized by higher intake of vegetables, fruits, fish, legumes and whole grains, while the Western pattern was characterized by higher intake of processed and red meats, potatoes, high-fat dairy and refined grains. Men in the highest quartile (Q4) of the Western pattern had a higher risk of prostate cancer-specific death than men in the lowest quartile (Q1) (Hazard ratio [HR]: 2.39; 95% Confidence Interval [CI]: 0.95, 6.00; P for linear trend=0.03). The association between the Western pattern and prostate cancer-specific mortality appeared to be driven by intake of potatoes (HR[Q4 vs Q1]: 2.85; 95% CI: 1.06, 7.62; P for linear trend=0.01). In addition, the Western pattern was associated with higher all-cause mortality (HR[Q4 vs Q1]: 1.73; 95% CI: 1.20, 2.49; P for linear trend=0.005). A Prudent pattern after diagnosis was unrelated to prostate cancer-specific mortality but was associated with lower all-cause mortality (HR[Q4 vs Q1]: 0.60; 95% CI: 0.42, 0.88; P for linear trend=0.007). Conclusions: A Western dietary pattern may increase risk of prostate cancer-specific and all-cause mortality, whereas a Prudent dietary pattern may decrease the risk of all-cause mortality, all among men diagnosed with localized prostate cancer. Citation Format: Meng Yang, Stacey A. Kenfield, Erin L. Van Blarigan, Julie L. Kasperzyk, Howard D. Sesso, Jing Ma, Meir Stampfer, Jorge E. Chavarro. Dietary patterns after prostate cancer diagnosis in relation to disease-specific and total mortality. [abstract]. In: Proceedings of the 105th Annual Meeting of the American Association for Cancer Research; 2014 Apr 5-9; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2014;74(19 Suppl):Abstract nr 1263. doi:10.1158/1538-7445.AM2014-1263