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The Study

Endogenous Formation of N-Nitrosodimethylamine (NDMA) from Dietary Nitrite and Nitrate Intake and Its Association with Cancer Risk.

In simple terms

This study is like noticing that people who eat certain foods tend to get sick more often, but it doesn't prove the food causes the sickness. It shows a pattern, not a cause.

44%

Analysis score

44/ 72

Maximum 72 for a cohort study.

Where the score came from

Reporting0
Methodology13
Publication100
Statistical77
Study type (basis of the score)
Cohort Study
Level 2b - Individual cohort study
What’s the bottom line?

Scientists studied how chemicals from some foods turn into other chemicals in our body

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cohort Studies
Level 2b
44

44 / 100

Quality score

Groups of people are followed over time to see who develops an outcome. Strong for identifying risk factors and associations, but cannot prove causation as firmly as RCTs.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Small but measurable increase in cancer risk
  2. 2People who had more of these chemicals had 4% more cancer overall and 12% more colon cancer

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association

Year

2026

Authors

Ziwei Shi, Zhiqun Lei, Wenmin Zhu, L. Yong, Qi Wang, Sheng Wei

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