Adherence to the Western, Prudent and Mediterranean dietary patterns and breast cancer risk: MCC-Spain study

被引：60

作者：

Castello, Adela ^{[1
,2
,3
]}

Boldo, Elena ^{[1
,2
,3
]}

Perez-Gomez, Beatriz ^{[1
,2
,3
]}

Lope, Virginia ^{[1
,2
,3
]}

Altzibar, Jone M. ^{[2
,4
]}

Martin, Vicente ^{[5
]}

Castano-Vinyals, Gemma ^{[2
,6
,7
,8
]}

Guevara, Marcela ^{[9
]}

Dierssen-Sotos, Trinidad ^{[2
,10
]}

Tardon, Adonina ^{[2
,11
]}

Moreno, Victor ^{[2
,12
,13
]}

Puig-Vives, Montserrat ^{[14
,15
]}

Llorens-Ivorra, Cristobal ^{[16
,17
]}

Alguacil, Juan ^{[18
]}

Gomez-Acebo, Ines ^{[10
]}

Castilla, Jesus ^{[9
]}

Gracia-Lavedan, Esther ^{[2
,6
,7
]}

Davila-Batista, Veronica

Kogevinas, Manolis ^{[2
,6
,7
,8
]}

Aragones, Nuria ^{[1
,2
,3
]}

Amiano, Pilar ^{[2
,19
,20
]}

Pollan, Marina ^{[1
,2
,3
]}

机构：

[1] Carlos III Inst Hlth, Natl Ctr Epidemiol, Canc Epidemiol Unit, Ave Monforte de Lemos 5, Madrid 28029, Spain

[2] Carlos III Inst Hlth, Consortium Biomed Res Epidemiol & Publ Hlth CIBER, Ave Monforte de Lemos 5, Madrid 28029, Spain

[3] IIS Puerta Hierro IDIPHIM, Oncol & Hematol Area, Canc Epidemiol Res Grp, Manuel Falla 1, Madrid 28222, Spain

[4] Osakidetza Hlth Basque Reg Serv, Breast Canc Screening Program, Ave Navarra 4, San Sebastian 20013, Spain

[5] Univ Leon, Grp Invest Interacc Gen Ambiente & Salud, Campus Vegazana S-N, E-24071 Leon, Spain

[6] ISGlobal, Ctr Res Environm Epidemiol CREAL, Carrer Doctor Aiguader 88, Barcelona 08003, Spain

[7] Univ Pompeu Fabra, Carrer Doctor Aiguader 88, Barcelona 08003, Spain

[8] Hosp del Mar Med Res Inst IMIM, Carrer Doctor Aiguader 88, Barcelona 08003, Spain

[9] Publ Hlth Inst Navarra, Early Detect Sect, Calle Leyre 15, Pamplona 31003, Spain

[10] Univ Cantabria, IDIVAL, Ave Cardenal Herrera Oria S-N, Santander 39011, Spain

[11] Univ Oviedo, Fac Med, Inst Univ Oncol, Planta 7,Campus El Cristo B, E-33006 Oviedo, Spain

[12] IDIBELL Catalan Inst Oncol, Gran Via Km 2-7, Lhospitalet De Llobregat 08907, Spain

[13] Univ Barcelona, Fac Med, Dept Clin Sci, Campus Bellvitge,Feixa Llarga S-N, Lhospitalet De Llobregat 08907, Spain

[14] Autonomous Govt Catalonia, Girona Biomed Res Inst IdiBGi, Catalan Inst Oncol, Epidemiol Unit,Oncol Coordinat Plan,Dept Hlth, Girona 17004, Spain

[15] Autonomous Govt Catalonia, Girona Biomed Res Inst IdiBGi, Catalan Inst Oncol, Girona Canc Registry,Oncol Coordinat Plan,Dept Hl, Girona 17004, Spain

[16] Conselleria Sanidad Universal & Salud Pabl, Ctr Salud Publ Denia, Plaza Jaime 1,5, Denia 03700, Spain

[17] Fdn El Fomento Invest Sanitaria & Biomed Comunida, Avda Cataluna 21, Valencia 46020, Spain

[18] Univ Huelva, Ctr Invest Salud & Medio Ambiente CYSMA, Campus Univ El Carmen, Huelva 21071, Spain

[19] Govt Basque Country, Publ Hlth Dept Gipuzkoa, Ave Navarra 4, San Sebastian 20013, Spain

[20] Biodonostia Res Inst, Paseo Dr Beguiristain S-N, San Sebastian 20014, Spain

来源：

MATURITAS | 2017年 / 103卷

关键词：

Mediterranean diet; Western diet; Breast neoplasms; Prevention and control; Population attributable fraction; FOOD; AMERICAN; SUBTYPES;

D O I：

10.1016/j.maturitas.2017.06.020

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective: To externally validate the previously identified effect on breast cancer risk of the Western, Prudent and Mediterranean dietary patterns. Study design: MCC-Spain is a multicase-control study that collected epidemiological information on 1181 incident cases of female breast cancer and 1682 healthy controls from 10 Spanish provinces. Three dietary patterns derived in another Spanish case-control study were analysed in the MCC-Spain study. These patterns were termed Western (high intakes of fatty and sugary products and red and processed meat), Prudent (high intakes of low-fat dairy products, vegetables, fruits, whole grains and juices) and Mediterranean (high intake of fish, vegetables, legumes, boiled potatoes, fruits, olives, and vegetable oil, and a low intake of juices). Their association with breast cancer was assessed using logistic regression models with random province-specific intercepts considering an interaction with menopausal status. Risk according to tumour subtypes based on oestrogen (ER), progesterone (PR) and human epidermal growth factor 2 (HER2) receptors (ER +/PR + HER2; HER2+; ER- /PR- & HER2-) -was evaluated with multinomial regression models. Main outcome measures: Breast cancer and histological subtype. Results: Our results confirm most of the associations found in the previous case-control study. A high adherence to the Western dietary pattern seems to increase breast cancer risk in both premenopausal women (OR4th vs 1st quartile (95% CI):1.68 (1.02;2.79); ORISD-increase (95% CI):1.19 (1.02;1.40)) and postmenopausal women (OR4th vs 1st quartile(95% CI):1.48(1.07;2.05); ORISD-increase(95% CO: 1.14 (1.01;1.29)). While high adherence to the Prudent pattern did not show any effect on breast cancer, the Mediterranean dietary pattern seemed to be protective, but only among postmenopausal women (OR4th vs 1st quartile (95% CI): 0.72 (95% CI 0.53;0.98); p-int = 0.075). There were no significant differences by tumour subtype. Conclusion: Dietary recommendations based on a departure from the Western dietary pattern in favour of the Mediterranean diet could reduce breast cancer risk in the general population.

引用

页码：8 / 15

页数：8

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