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Article ; Online: Understanding the Interaction of Diet Quality with the Gut Microbiome and Their Effect on Disease.

Maskarinec, Gertraud / Hullar, Meredith A J

2020 Volume 150, Issue 4, Page(s) 654–655

MeSH term(s)	Diabetes Mellitus, Type 2/epidemiology ; Diet ; Diet, Healthy/mortality ; Diet, Mediterranean ; Dietary Fiber/administration & dosage ; Gastrointestinal Microbiome/physiology ; Humans
Chemical Substances	Dietary Fiber
Language	English
Publishing date	2020-01-31
Publishing country	United States
Document type	Introductory Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	218373-0
ISSN	1541-6100 ; 0022-3166
ISSN (online)	1541-6100
ISSN	0022-3166
DOI	10.1093/jn/nxaa015
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Article ; Online: The human mammary gland as a target for isoflavones: how does the relation vary in individuals with different ethnicity?

Maskarinec, Gertraud

Planta medica

2013 Volume 79, Issue 7, Page(s) 554–561

Abstract: Based on observational studies, it appears that soy food consumption provides protection against breast cancer primarily in Asian but not in Western populations. Given the problems in examining the effects of isoflavones directly in the human mammary ... ...

Abstract	Based on observational studies, it appears that soy food consumption provides protection against breast cancer primarily in Asian but not in Western populations. Given the problems in examining the effects of isoflavones directly in the human mammary gland, this review describes epidemiologic studies that investigated the association with biomarkers reflecting hormonal activity of isoflavones, in particular sex steroid levels, mammographic densities, nipple aspirate fluid, and tissue specimens from biopsies or surgeries. Three possible mechanisms that may be responsible for ethnic-specific health effects from these compounds are discussed: genetic variation in metabolic enzymes, timing of exposure, and intestinal metabolism by microbiota. Only a limited number of comparative studies and even fewer nutritional interventions have examined effects and addressed differences in biomarkers between Asian and Western populations. Investigations that looked at estrogens and mammographic densities as endpoints observed some associations in Asian women that were not seen in Caucasians. On the other hand, the low rate of nipple aspirate fluid production and a lack of breast tissue studies make it impossible to evaluate effects of isoflavones on these biomarkers in Asian women. Based on the current evidence, it appears likely that the timing of exposure is the most important determinant of beneficial health effects from soy foods. This may be the result of gut microbiota, which colonize the intestine during childhood and facilitates the hydrolysis of glycosides and the formation of equol from dadzein, a pathway that may result in beneficial health effects. The current evidence is insufficient to answer the question whether women of diverse ethnic groups experience distinct effects from soy isoflavones in breast tissue, but as knowledge about the role of early life nutrition and the development of gut microbiota increases, the potential for diverse metabolic pathways of isoflavones in individuals with different ethnic backgrounds and dietary exposures may be clarified.
MeSH term(s)	Asian Continental Ancestry Group ; Breast Neoplasms/ethnology ; Breast Neoplasms/genetics ; Breast Neoplasms/prevention & control ; European Continental Ancestry Group ; Female ; Humans ; Isoflavones/pharmacology ; Isoflavones/therapeutic use ; Mammary Glands, Human/drug effects ; Phytotherapy ; Plant Extracts/pharmacology ; Plant Extracts/therapeutic use ; Soy Foods
Chemical Substances	Isoflavones ; Plant Extracts
Language	English
Publishing date	2013-05
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	123545-x
ISSN	1439-0221 ; 0032-0943
ISSN (online)	1439-0221
ISSN	0032-0943
DOI	10.1055/s-0032-1327953
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Article ; Online: Metabolomics profiles of premenopausal women are different based on

Frankenfeld, Cara L / Maskarinec, Gertraud / Franke, Adrian A

The British journal of nutrition

2021 Volume 128, Issue 8, Page(s) 1490–1498

Abstract: ... ...

Abstract	Urinary
MeSH term(s)	Humans ; Female ; Equol/metabolism ; Cross-Over Studies ; Isoflavones ; Premenopause/metabolism ; Metabolomics
Chemical Substances	O-desmethylangolensin (SCY1S10OK4) ; Equol (531-95-3) ; Isoflavones
Language	English
Publishing date	2021-11-12
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	280396-3
ISSN	1475-2662 ; 0007-1145
ISSN (online)	1475-2662
ISSN	0007-1145
DOI	10.1017/S0007114521004463
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Article ; Online: Systematic review: Current evidence suggests phyto-oestrogens are safe and well tolerated by postmenopausal women, with moderately increased risk of adverse gastrointestinal effects compared with placebo.

Maskarinec, Gertraud

Evidence-based medicine

2010 Volume 15, Issue 2, Page(s) 55–56

Language	English
Publishing date	2010-04
Publishing country	England
Document type	Comment ; Journal Article
ZDB-ID	1324346-9
ISSN	1473-6810 ; 1356-5524
ISSN (online)	1473-6810
ISSN	1356-5524
DOI	10.1136/ebm1055
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Article ; Online: Interethnic Differences in Bladder Cancer Incidence and the Association between Type 2 Diabetes and Bladder Cancer in the Multiethnic Cohort Study.

Bogumil, David / Cortessis, Victoria K / Wilkens, Lynne R / Le Marchand, Loïc / Haiman, Christopher A / Maskarinec, Gertraud / Setiawan, Veronica Wendy

Cancer research communications

2023 Volume 3, Issue 5, Page(s) 755–762

Abstract: Background: Research on the association between type 2 diabetes (T2D) and bladder cancer (BCA) risk among non-European ancestry populations is sparse to nonexistent, and most prior studies rely on a single baseline assessment of T2D status.: Methods: ...

Abstract	Background: Research on the association between type 2 diabetes (T2D) and bladder cancer (BCA) risk among non-European ancestry populations is sparse to nonexistent, and most prior studies rely on a single baseline assessment of T2D status. Methods: We estimated the T2D-BCA association using the Multiethnic Cohort Study of 185,059 men and women in California and Hawaii. Participants were African American, European American, Japanese American, Latin American, and Native Hawaiian, ages 45-75 years at enrollment (1993-1996). T2D was assessed by self-report at baseline, follow-up surveys, and Medicare claims. Cases were identified using Surveillance, Epidemiology and End Results Program cancer registries through 2016. Associations were estimated by race/ethnicity using Cox proportional hazards regression. Adjusted attributable fractions (AAF) and cumulative absolute risk of bladder cancer were estimated across groups. Results: Over an average 19.7 years of follow-up 1,890 incident bladder cancer cases were diagnosed. Time-varying T2D was associated with bladder cancer in the multiethnic sample (HR = 1.17; 95% confidence interval, 1.05-1.30); however, the HR did not differ by race/ethnicity ( Conclusion: T2D is significantly associated with bladder cancer risk in a multiethnic sample. Significance: Those with T2D have higher incidence of bladder cancer, regardless of racial/ethnic group. Reducing T2D prevalence could substantially lower bladder cancer incidence among Native Hawaiians due to T2D being more common in this group. High absolute risk of bladder cancer among European Americans, regardless of T2D status, indicates that elevated bladder cancer risk in this group may be due to factors other than T2D. Future studies must explore reasons for this difference in incidence.
MeSH term(s)	Male ; Humans ; Female ; Aged ; United States/epidemiology ; Cohort Studies ; Diabetes Mellitus, Type 2/epidemiology ; Incidence ; Medicare ; Urinary Bladder Neoplasms/epidemiology
Language	English
Publishing date	2023-05-02
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2767-9764
ISSN (online)	2767-9764
DOI	10.1158/2767-9764.CRC-22-0288
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Article ; Online: Risk Factors for Type 2 Diabetes in the Multiethnic Cohort.

Maskarinec, Gertraud / Kristal, Bruce S / Wilkens, Lynne R / Quintal, Gino / Bogumil, David / Setiawan, Veronica W / Le Marchand, Loïc

Canadian journal of diabetes

2023 Volume 47, Issue 8, Page(s) 627–635.e2

Abstract: Objectives: In this report, we investigated the association between established risk factors and type 2 diabetes (T2D) across 5 distinct ethnic groups and explored differences according to T2D definition within the Multiethnic Cohort (MEC) Study.: ... ...

Abstract	Objectives: In this report, we investigated the association between established risk factors and type 2 diabetes (T2D) across 5 distinct ethnic groups and explored differences according to T2D definition within the Multiethnic Cohort (MEC) Study. Methods: Using the full MEC, with participants in Hawaii and Los Angeles (N=172,230), we applied Cox regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). All participants completed questionnaires asking about demographics, anthropometrics, lifestyle factors, and regular diet. T2D status was determined from self-reported diagnosis/medication and Medicare claims. We assessed the associations between well-established risk factors and T2D in the full cohort, after stratification by ethnic group, according to the T2D definition, and in a biorepository subset. Effect modification by ethnicity was evaluated using Wald's tests. Results: Overall, 46,500 (27%) participants had an incident T2D diagnosis after a mean follow-up of 17.1±6.9 years. All predictors were significantly associated with T2D: overweight (HR=1.74), obesity (HR=2.90), red meat intake (HR=1.15), short (HR=1.04) and long (HR=1.08) sleep duration, and smoking (HR=1.26) predicted a significantly higher T2D incidence, whereas coffee (HR=0.90) and alcohol (HR=0.78) consumption, physical activity (HR=0.89), and diet quality (HR=0.96) were associated with lower T2D incidence. The strength of these associations was similar across ethnic groups with noteworthy disparities for overweight/obesity, physical activity, alcohol intake, coffee consumption, and diet quality. Conclusions: These findings confirm the importance of known risk factors for T2D across ethnic groups, but small differences were detected that may contribute to disparate incidence rates in some ethnic groups, especially for obesity and physical activity.
MeSH term(s)	Aged ; Humans ; United States ; Diabetes Mellitus, Type 2/epidemiology ; Coffee ; Overweight ; Medicare ; Risk Factors ; Diet ; Obesity/epidemiology ; Incidence
Chemical Substances	Coffee
Language	English
Publishing date	2023-07-03
Publishing country	Canada
Document type	Journal Article
ISSN	2352-3840
ISSN (online)	2352-3840
DOI	10.1016/j.jcjd.2023.06.004
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Article ; Online: Diet Quality and Body Mass Index Over 20 Years in the Multiethnic Cohort

Tsuzaki, Jenna / Maskarinec, Gertraud / Mapa, Victoria / Shvetsov, Yurii B. / Park, Song-Yi / Monroe, Kristine Robinson / Lim, Unhee / Le Marchand, Loïc / Boushey, Carol J.

Academy of Nutrition and Dietetics Journal of the Academy of Nutrition and Dietetics. 2023 Feb. 07,

2023

Abstract: With increasing rates of overweight/obesity and disparities by ethnicity, it is important to understand the role of diet in ameliorating this health problem. The current study examined the relation of diet quality as measured by the Healthy Eating Index ( ...

Abstract	With increasing rates of overweight/obesity and disparities by ethnicity, it is important to understand the role of diet in ameliorating this health problem. The current study examined the relation of diet quality as measured by the Healthy Eating Index (HEI)-2015 with BMI and obesity among participants of the Multiethnic Cohort (MEC) in cross-sectional analyses at 3 time points (T-1 to T-3) over 20 years. In a subset of 1,860 MEC participants, three cross-sectional analyses at cohort entry (1993-1996, T-1) and follow-ups in 2003-2008 (T-2) and 2013-2016 (T-3) were performed. The cohort consists of African American, Native Hawaiian, Japanese American, Latino, and White adults in Hawaii and California with a mean age of 48 years at T-1. BMI/weight status in relation to diet quality. Linear and multinomial logistic regressions were applied to analyze the relation of diet quality with BMI and obesity while adjusting for known confounders. HEI-2015 increased by 6.1 and 5.1 units for men and women from T-1 to T-3; the respective values for BMI were 1.5 and 2.4 kg/m². Diet quality was inversely associated with BMI across time: BMI was lower by -0.47, -0.72, and -0.92 units for every 10-point increase in HEI-2015 scores at T-1, T-2, and T-3 (p<0.0001 for all). During the 20 years, the association was consistently high among Japanese American participants (-0.79, -0.87, -1.02) and weakest in African American cohort members (-0.34, -0.37,-0.40). Higher diet quality was related to lower odds of having obesity at all 3 time points with prevalence odds ratios of 0.72, 0.57, and 0.60. These findings suggest that consuming a high-quality diet is related to a lower BMI and rates of overweight/obesity but with the strongest association at an older age. To understand the ethnic differences, investigations of dietary habits/behaviors and/or fat distribution patterns will be needed in the future.
Keywords	Hawaii ; Latinos ; body mass index ; diet ; dietetics ; food quality ; obesity ; California ; body mass index (BMI) ; diet quality ; multiethnic populations ; healthy eating index 2015 (HEI-2015)
Language	English
Dates of publication	2023-0207
Publishing place	Elsevier Inc.
Document type	Article ; Online
Note	Pre-press version
ZDB-ID	2646718-5
ISSN	2212-2672
ISSN	2212-2672
DOI	10.1016/j.jand.2023.02.001
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Cancer protective properties of cocoa: a review of the epidemiologic evidence.

Maskarinec, Gertraud

Nutrition and cancer

2009 Volume 61, Issue 5, Page(s) 573–579

Abstract: Due to their high concentration of catechins and procyanidins, bioactive compounds with distinct properties, cocoa and chocolate products may have beneficial health effects against oxidative stress and chronic inflammation, risk factors for cancer and ... ...

Abstract	Due to their high concentration of catechins and procyanidins, bioactive compounds with distinct properties, cocoa and chocolate products may have beneficial health effects against oxidative stress and chronic inflammation, risk factors for cancer and other chronic diseases. This review focuses on the epidemiologic evidence for protective effects against cancer and overall mortality. The very small number of observational epidemiologic studies offers weak support for a reduction in mortality and little data related to cancer, whereas several intervention studies, despite their short duration, have reported some favorable changes in biomarkers assessing antioxidant status but very few findings related to inflammatory markers. In moderation, cocoa products may offer strong antioxidant effects in combination with a pleasurable eating experience. The benign profile of its fatty acids in combination with the low content of sugar of dark chocolate should lessen concerns about the adverse effects of cocoa products. Future nutritional trials need to assess a larger number of biomarkers that may be relevant for cancer risk, whereas epidemiologic studies require valid dietary assessment methods to examine the association of cocoa products with cancer risk in larger populations and to distinguish possible cancer protective effects of cocoa products from those due to other polyphenolic compounds.
MeSH term(s)	Anti-Inflammatory Agents, Non-Steroidal/administration & dosage ; Anticarcinogenic Agents/administration & dosage ; Antioxidants/administration & dosage ; Cacao ; Clinical Trials as Topic ; Humans ; Neoplasms/epidemiology ; Neoplasms/prevention & control
Chemical Substances	Anti-Inflammatory Agents, Non-Steroidal ; Anticarcinogenic Agents ; Antioxidants
Language	English
Publishing date	2009
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	424433-3
ISSN	1532-7914 ; 0163-5581
ISSN (online)	1532-7914
ISSN	0163-5581
DOI	10.1080/01635580902825662
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Article: The Human Mammary Gland as a Target for Isoflavones: How Does the Relation Vary in Individuals with Different Ethnicity?

Maskarinec, Gertraud

Planta Medica

2012 Volume 79, Issue 07, Page(s) 554–561

Abstract	Based on observational studies, it appears that soy food consumption provides protection against breast cancer primarily in Asian but not in Western populations. Given the problems in examining the effects of isoflavones directly in the human mammary gland, this review describes epidemiologic studies that investigated the association with biomarkers reflecting hormonal activity of isoflavones, in particular sex steroid levels, mammographic densities, nipple aspirate fluid, and tissue specimens from biopsies or surgeries. Three possible mechanisms that may be responsible for ethnic-specific health effects from these compounds are discussed: genetic variation in metabolic enzymes, timing of exposure, and intestinal metabolism by microbiota. Only a limited number of comparative studies and even fewer nutritional interventions have examined effects and addressed differences in biomarkers between Asian and Western populations. Investigations that looked at estrogens and mammographic densities as endpoints observed some associations in Asian women that were not seen in Caucasians. On the other hand, the low rate of nipple aspirate fluid production and a lack of breast tissue studies make it impossible to evaluate effects of isoflavones on these biomarkers in Asian women. Based on the current evidence, it appears likely that the timing of exposure is the most important determinant of beneficial health effects from soy foods. This may be the result of gut microbiota, which colonize the intestine during childhood and facilitates the hydrolysis of glycosides and the formation of equol from dadzein, a pathway that may result in beneficial health effects. The current evidence is insufficient to answer the question whether women of diverse ethnic groups experience distinct effects from soy isoflavones in breast tissue, but as knowledge about the role of early life nutrition and the development of gut microbiota increases, the potential for diverse metabolic pathways of isoflavones in individuals with different ethnic backgrounds and dietary exposures may be clarified.
Keywords	soy isoflavones ; breast tissue ; cancer ; ethnicity ; estrogens ; biomarkers
Language	English
Publishing date	2012-11-23
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	123545-x
ISSN	1439-0221 ; 0032-0943
ISSN (online)	1439-0221
ISSN	0032-0943
DOI	10.1055/s-0032-1327953
Database	Thieme publisher's database

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Article ; Online: White Rice Consumption and Risk of Colorectal Cancer Among Japanese Americans: The Multiethnic Cohort Study.

Okada, Yuito / Park, Song-Yi / Wilkens, Lynne R / Maskarinec, Gertraud / Shvetsov, Yurii B / Haiman, Christopher / Le Marchand, Loïc

Journal of epidemiology

2022 Volume 33, Issue 4, Page(s) 170–176

Abstract: Background: White rice is a staple food for Japanese, a population at high risk for colorectal cancer (CRC). We investigated the association between white rice intake and CRC among Japanese Americans in the Multiethnic Cohort (MEC) study.: Methods: ... ...

Abstract	Background: White rice is a staple food for Japanese, a population at high risk for colorectal cancer (CRC). We investigated the association between white rice intake and CRC among Japanese Americans in the Multiethnic Cohort (MEC) study. Methods: The MEC study is a prospective study established in Hawaii and California in 1993-1996. Usual dietary intake was assessed using a validated quantitative food frequency questionnaire at baseline. Cox proportional hazards models were used to compute hazard ratios (HRs) and 95% confidence intervals (CIs) for quartiles of intake and to perform trend tests across sex-specific quartiles with adjustment for relevant confounders. Results: We identified 1,553 invasive CRC cases among 49,136 Japanese Americans (23,595 men and 25,541 women) during a mean follow-up of 19 years. White rice consumption was not associated with overall CRC incidence in men (P Conclusion: White rice consumption was not associated with an increased risk of overall CRC among Japanese Americans. An inverse association was observed with risk of CRC and distal colon cancer in men without a history of diabetes.
MeSH term(s)	Female ; Humans ; Male ; Asian ; Cohort Studies ; Colorectal Neoplasms/epidemiology ; Diet/adverse effects ; Oryza ; Proportional Hazards Models ; Prospective Studies ; Risk Factors ; United States/epidemiology
Language	English
Publishing date	2022-04-15
Publishing country	Japan
Document type	Journal Article
ZDB-ID	1442118-5
ISSN	1349-9092 ; 0917-5040
ISSN (online)	1349-9092
ISSN	0917-5040
DOI	10.2188/jea.JE20200611
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