{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T09:19:17Z","timestamp":1783070357786,"version":"3.54.6"},"reference-count":42,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Cancer remains a major public health challenge among women worldwide, and diet quality may play an important role in cancer prevention. This narrative review synthesized evidence on the association between standardized diet quality indices\u2014the DASH Score, Mediterranean Diet Score, and plant-based diet indices\u2014and the risk of selected cancers in women, focusing on breast, colorectal, and ovarian cancer. English-language publications from 2020 to 2026 were reviewed, supplemented by key earlier methodological and epidemiological sources. The most consistent inverse associations were observed for colorectal cancer in relation to the DASH and Mediterranean dietary patterns, and for breast cancer in relation to healthful plant-based diets assessed using the hPDI. Evidence for ovarian cancer remains limited and inconclusive. Across dietary patterns, the findings indicate that overall diet quality, including the quality and processing level of plant-based foods, may be more relevant than the proportion of plant foods alone. The available evidence is limited mainly by heterogeneity in index definitions, predominance of observational designs, dietary assessment errors, and residual confounding. Overall, high-quality dietary patterns may be relevant to cancer prevention in women, although the strength and consistency of associations vary by cancer site and dietary assessment approach.<\/jats:p>","DOI":"10.3390\/nu18132155","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T07:59:47Z","timestamp":1783065587000},"page":"2155","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["DASH, Mediterranean, and Plant-Based Diets and Cancer Risk in Women: A Narrative Review Based on Diet Quality Indices"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3752-4828","authenticated-orcid":false,"given":"Iwona","family":"Lasek","sequence":"first","affiliation":[{"name":"Doctoral Academy, VIZJA University, 01-043 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4330-3007","authenticated-orcid":false,"given":"Magdalena","family":"Makarewicz-Wujec","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, VIZJA University, 01-043 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"ref_1","first-page":"209","article-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J. Clin."},{"key":"ref_2","first-page":"229","article-title":"Global Cancer Statistics 2022: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J. Clin."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1002\/ijc.33588","article-title":"Cancer Statistics for the Year 2020: An Overview","volume":"149","author":"Ferlay","year":"2021","journal-title":"Int. J. Cancer"},{"key":"ref_4","first-page":"12","article-title":"Cancer Statistics, 2024","volume":"74","author":"Siegel","year":"2024","journal-title":"CA Cancer J. Clin."},{"key":"ref_5","unstructured":"GBD 2019 Risk Factors Collaborators (2022). The global burden of cancer attributable to risk factors, 2010\u201319: A systematic analysis for the Global Burden of Disease Study 2019. Lancet, 400, 563\u2013591."},{"key":"ref_6","unstructured":"World Cancer Research Fund, and American Institute for Cancer Research (2018). Diet, Nutrition, Physical Activity and Cancer: A Global Perspective, WCRF\/AICR."},{"key":"ref_7","unstructured":"World Cancer Research Fund, and American Institute for Cancer Research (2018). Continuous Update Project Expert Report: Diet, Nutrition, Physical Activity and Colorectal Cancer, WCRF\/AICR."},{"key":"ref_8","first-page":"284","article-title":"Ovarian Cancer Statistics, 2018","volume":"68","author":"Torre","year":"2018","journal-title":"CA Cancer J. Clin."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2773","DOI":"10.1080\/10408398.2020.1786353","article-title":"Systematic review and meta-analysis of diet quality and colorectal cancer risk: Is the evidence of sufficient quality to develop recommendations?","volume":"61","author":"Moazzen","year":"2021","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1007\/s00394-020-02346-6","article-title":"An Updated Systematic Review and Meta-Analysis on Adherence to Mediterranean Diet and Risk of Cancer","volume":"60","author":"Morze","year":"2021","journal-title":"Eur. J. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1038\/s41514-024-00186-w","article-title":"The Role of Mediterranean Diet in Cancer Incidence and Mortality in the Older Adults","volume":"10","author":"Giordano","year":"2024","journal-title":"npj Aging"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Shu, L., Huang, Y.-Q., Zhang, X.-Y., Zheng, P.-F., Zhu, Q., and Zhou, J.-Y. (2023). Adherence to the Dietary Approaches to Stop Hypertension Diet Reduces the Risk of Breast Cancer: A Systematic Review and Meta-Analysis. Front. Nutr., 10.","DOI":"10.3389\/fnut.2022.1032654"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Abbasi, M.M., Babaahmadi, P., Nozari, F., Khoramdad, M., Alimoradi, Y., Saneei, P., Larijani, B., and Esmaillzadeh, A. (2025). Association between Adhering to a Dietary Approach to Stop Hypertension and Risk of Colorectal Cancer: A Systematic Review and Meta-Analysis. BMC Gastroenterol., 25.","DOI":"10.1186\/s12876-025-03859-2"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.clnu.2023.02.012","article-title":"Mediterranean Diet and Risk of Breast Cancer: An Umbrella Review","volume":"42","author":"Torres","year":"2023","journal-title":"Clin. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Quartiroli, M., Roncallo, C., Pala, V., Simeon, V., Ricceri, F., Venturelli, E., Pattaroni, L., Sieri, S., and Agnoli, C. (2024). Adherence to Diet Quality Indices and Breast Cancer Risk in the Italian ORDET Cohort. Nutrients, 16.","DOI":"10.3390\/nu16081187"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"113071","DOI":"10.1016\/j.nut.2025.113071","article-title":"Mediterranean diet in cancer patients\u2019 survival: A systematic review and meta-analysis for tertiary prevention featured in the Italian National Guidelines \u201cLa Dieta Mediterranea\u201d","volume":"145","author":"Nucci","year":"2026","journal-title":"Nutrition"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1161\/STROKEAHA.125.051563","article-title":"Adherence to Different Dietary Patterns and Subsequent Risk of Total, Ischemic, and Hemorrhagic Stroke","volume":"57","author":"Rimm","year":"2026","journal-title":"Stroke"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.jacc.2017.05.047","article-title":"Healthful and Unhealthful Plant-Based Diets and the Risk of Coronary Heart Disease in U.S. Adults","volume":"70","author":"Satija","year":"2017","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.tcm.2018.02.004","article-title":"Plant-Based Diets and Cardiovascular Health","volume":"28","author":"Satija","year":"2018","journal-title":"Trends Cardiovasc. Med."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Cena, H., and Calder, P.C. (2020). Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease. Nutrients, 12.","DOI":"10.3390\/nu12020334"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1158\/1055-9965.EPI-21-0352","article-title":"Healthful and Unhealthful Plant-Based Diets and Risk of Breast Cancer in U.S. Women: Results from the Nurses\u2019 Health Studies","volume":"30","author":"Willett","year":"2021","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.ajcnut.2022.11.019","article-title":"Long-Term Adherence to Healthful and Unhealthful Plant-Based Diets and Breast Cancer Risk Overall and by Hormone Receptor and Histologic Subtypes among Postmenopausal Females","volume":"117","author":"Shah","year":"2023","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez-F\u00edgares Jim\u00e9nez, M.D.C., L\u00f3pez-Gil, J.F., Marrero-Fern\u00e1ndez, P., and L\u00f3pez-Moreno, M. (2026). Breast Cancer Risk and Mortality and Adherence to Plant-Based Diets: A Systematic Review and Meta-Analysis. Nutr. Rev., nuaf315.","DOI":"10.1093\/nutrit\/nuaf315"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s41043-025-00879-2","article-title":"The Association between Plant-Based Diet Indices and the Risk of Breast Cancer: A Case-Control Study","volume":"44","author":"Souni","year":"2025","journal-title":"J. Health Popul. Nutr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1186\/s12937-024-00984-8","article-title":"Validation of a digital food frequency questionnaire for the Northern Sweden Diet Database","volume":"23","author":"Wennberg","year":"2024","journal-title":"Nutr. J."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Szmidt, M.K., Sicinska, E., Januszko, O., and Kaluza, J. (2025). FFQ-NutriForHer: Reproducibility and Validity of a Semi-Quantitative Food Frequency Questionnaire for Young and Older Women. Nutrients, 17.","DOI":"10.3390\/nu17243811"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Cheng, L., Chen, Y., Luo, Z., Wang, Q., Zou, F., and Lin, Y. (2025). Evaluation of the Reliability and Validity of a Food Frequency Questionnaire Using Three-Day 24-Hour Dietary Recalls: A Study in Fujian, China. Nutrients, 17.","DOI":"10.3390\/nu17142270"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1038\/s41430-026-01712-7","article-title":"The (Ab)Use of Food Frequency Questionnaire Data in Substitution Modelling in Nutritional Epidemiology: A Critique","volume":"80","author":"Louie","year":"2026","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1093\/jn\/nxz268","article-title":"The World Cancer Research Fund\/American Institute for Cancer Research Third Expert Report on Diet, Nutrition, Physical Activity, and Cancer: Impact and Future Directions","volume":"150","author":"Clinton","year":"2020","journal-title":"J. Nutr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"103215","DOI":"10.1016\/j.eclinm.2025.103215","article-title":"Sustainable Diets and Cancer: A Systematic Review and Meta-Analysis","volume":"83","author":"Kasper","year":"2025","journal-title":"eClinicalMedicine"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e893","DOI":"10.1002\/ctm2.893","article-title":"Healthy and Unhealthy Plant-Based Diets in Relation to the Incidence of Colorectal Cancer Overall and by Molecular Subtypes","volume":"12","author":"Wang","year":"2022","journal-title":"Clin. Transl. Med."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Kim, J., Boushey, C.J., Wilkens, L.R., Haiman, C.A., Le Marchand, L., and Park, S.-Y. (2022). Plant-Based Dietary Patterns Defined by A Priori Indices and Colorectal Cancer Risk by Sex and Race\/Ethnicity: The Multiethnic Cohort Study. BMC Med., 20.","DOI":"10.1186\/s12916-022-02623-7"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1186\/s12967-023-04522-8","article-title":"Plant-Based Dietary Patterns, Genetic Predisposition and Risk of Colorectal Cancer: A Prospective Study from the UK Biobank","volume":"21","author":"Liu","year":"2023","journal-title":"J. Transl. Med."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Xu, Y., Chen, J., and Zhao, K. (2025). Healthy Dietary Patterns and Ovarian Cancer Risk and Survival: A Systematic Review and Meta-Analysis. Front. Nutr., 12.","DOI":"10.3389\/fnut.2025.1681162"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1093\/jnci\/djae040","article-title":"Association between Diet Quality and Ovarian Cancer Risk and Survival","volume":"116","author":"Cao","year":"2024","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_36","unstructured":"U.S. Department of Agriculture, Nutrition Evidence Systematic Review (2025). Dietary Patterns and Risk of Colorectal Cancer: A Systematic Review."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/j.ajcnut.2025.02.021","article-title":"Dietary Patterns and Colorectal Cancer Risk: Global Cancer Update Programme Systematic Review","volume":"121","author":"Chu","year":"2025","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_38","unstructured":"U.S. Department of Agriculture, Nutrition Evidence Systematic Review (2024). Dietary Patterns and Risk of Breast Cancer: A Systematic Review."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Ruban, M., Pozhidaeva, E., Bolotina, L., and Kaprin, A. (2025). The Role of Diet and Nutrition in Cancer Development and Management: From Molecular Mechanisms to Personalized Interventions. Foods, 14.","DOI":"10.3390\/foods14101788"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1093\/ajcn\/nqaa161","article-title":"Whole Grain and Dietary Fiber Intake and Risk of Colorectal Cancer in the NIH-AARP Diet and Health Study","volume":"112","author":"Hullings","year":"2020","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"He, Y., Peng, K., Tan, J., Hao, Y., Zhang, S., Gao, C., and Li, L. (2025). Short-Chain Fatty Acids and Colorectal Cancer: A Systematic Review and Integrative Bayesian Meta-Analysis of Microbiome\u2013Metabolome Interactions and Intervention Efficacy. Nutrients, 17.","DOI":"10.3390\/nu17223552"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Tini, S., Baima, J., Pigni, S., Antoniotti, V., Caputo, M., De Palma, E., Cerbone, L., Grosso, F., La Vecchia, M., and Bona, E. (2025). The Microbiota\u2013Diet\u2013Immunity Axis in Cancer Care: From Prevention to Treatment Modulation and Survivorship. Nutrients, 17.","DOI":"10.3390\/nu17172898"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/13\/2155\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T08:41:38Z","timestamp":1783068098000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/13\/2155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,3]]},"references-count":42,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["nu18132155"],"URL":"https:\/\/doi.org\/10.3390\/nu18132155","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,3]]}}}