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Erschienen in: European Journal of Nutrition 4/2015

01.06.2015 | Original Contribution

Dietary patterns and breast cancer: a case–control study in women

verfasst von: Niki Mourouti, Christos Papavagelis, Petrini Plytzanopoulou, Meropi Kontogianni, Tonia Vassilakou, Nikolaos Malamos, Athena Linos, Demosthenes Panagiotakos

Erschienen in: European Journal of Nutrition | Ausgabe 4/2015

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Abstract

Purpose

Since dietary habits have been associated with breast cancer, the tested research hypothesis was the associations between food patterns, as derived through multivariate methods, and breast cancer.

Methods

In a case–control study, Two-hundred and fifty consecutive, newly diagnosed breast cancer female patients (56 ± 12 years) and 250 one-to-one age-matched, healthy controls were studied. A standardized, validated questionnaire assessing various socio-demographic, clinical, lifestyle, and dietary characteristics was applied through face-to-face interviews. Factor analysis, with principal components method, was applied to extract dietary patterns from 86 foods or food groups consumption reported by the controls.

Results

Three components were derived explaining 43 % of the total variation in consumption. Component 1 was characterized by the consumption of potatoes, red meat and its products, poultry and white meat, dairy products, use of margarine/butter in cooking or at the table, consumption of sausages, fried food as well as grilled meat or fish; component 2 was characterized by the consumption of whole grains, fruits, and vegetables; and component 3 was characterized by olive oil and fish consumption. After adjusting for various confounders, components 2 and 3 were favorably associated with the absence of having breast cancer [odds ratio (OR) 0.60, 95 % CI 0.47–0.75 and OR 0.81, 95 % CI 0.66–0.99, respectively], while component 1 was not significantly associated with the disease.

Conclusions

Adherence to healthy dietary patterns (including whole grains, fruits, and vegetables, olive oil, and fish) seems to be favorable in not having breast cancer, among middle-aged women.
Literatur
1.
Zurück zum Zitat Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90CrossRef Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90CrossRef
2.
Zurück zum Zitat Michels KB, Mohllajee AP, Roset-Bahmanyar E, Beehler GP, Moysich KB (2007) Diet and breast cancer: a review of the prospective observational studies. Cancer 109:2712–2749CrossRef Michels KB, Mohllajee AP, Roset-Bahmanyar E, Beehler GP, Moysich KB (2007) Diet and breast cancer: a review of the prospective observational studies. Cancer 109:2712–2749CrossRef
3.
Zurück zum Zitat Thomson CA (2012) Diet and breast cancer: understanding risks and benefits. Nutr Clin Pract 27:636–650CrossRef Thomson CA (2012) Diet and breast cancer: understanding risks and benefits. Nutr Clin Pract 27:636–650CrossRef
4.
Zurück zum Zitat WCRF/AICR (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington WCRF/AICR (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington
5.
Zurück zum Zitat Zhong X, Zhang C (2012) Soy food intake and breast cancer risk: a meta-analysis. Wei Sheng Yan Jiu 41:670–676 Zhong X, Zhang C (2012) Soy food intake and breast cancer risk: a meta-analysis. Wei Sheng Yan Jiu 41:670–676
6.
Zurück zum Zitat Dong JY, Zhang L, He K, Qin LQ (2011) Dairy consumption and risk of breast cancer: a meta-analysis of prospective cohort studies. Breast Cancer Res Treat 127:23–31CrossRef Dong JY, Zhang L, He K, Qin LQ (2011) Dairy consumption and risk of breast cancer: a meta-analysis of prospective cohort studies. Breast Cancer Res Treat 127:23–31CrossRef
7.
Zurück zum Zitat Jacques PF, Tucker KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73:1–2 Jacques PF, Tucker KL (2001) Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr 73:1–2
8.
Zurück zum Zitat Trichopoulos D, Lagiou P (2001) Dietary patterns and mortality. Br J Nutr 85:133–134CrossRef Trichopoulos D, Lagiou P (2001) Dietary patterns and mortality. Br J Nutr 85:133–134CrossRef
9.
Zurück zum Zitat Alberti A, Fruttini D, Fidanza F (2009) The Mediterranean Adequacy Index: further confirming results of validity. Nutr Metab Cardiovasc Dis 19:61–66CrossRef Alberti A, Fruttini D, Fidanza F (2009) The Mediterranean Adequacy Index: further confirming results of validity. Nutr Metab Cardiovasc Dis 19:61–66CrossRef
10.
Zurück zum Zitat Mitrou PN, Kipnis V, Thiebaut AC et al (2007) Mediterranean dietary pattern and prediction of all-cause mortality in a US population: results from the NIH-AARP Diet and Health Study. Arch Intern Med 167:2461–2468CrossRef Mitrou PN, Kipnis V, Thiebaut AC et al (2007) Mediterranean dietary pattern and prediction of all-cause mortality in a US population: results from the NIH-AARP Diet and Health Study. Arch Intern Med 167:2461–2468CrossRef
11.
Zurück zum Zitat Panagiotakos DB, Pitsavos C, Stefanadis C (2006) Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis 16:559–568CrossRef Panagiotakos DB, Pitsavos C, Stefanadis C (2006) Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis 16:559–568CrossRef
12.
Zurück zum Zitat Trichopoulou A, Bamia C, Trichopoulos D (2005) Mediterranean diet and survival among patients with coronary heart disease in Greece. Arch Intern Med 165:929–935CrossRef Trichopoulou A, Bamia C, Trichopoulos D (2005) Mediterranean diet and survival among patients with coronary heart disease in Greece. Arch Intern Med 165:929–935CrossRef
13.
Zurück zum Zitat Kim J-O, Mueller C (1978) Factor analysis: statistical methods and practical issues. Sage, Newbury Park Kim J-O, Mueller C (1978) Factor analysis: statistical methods and practical issues. Sage, Newbury Park
14.
Zurück zum Zitat Newby PK, Tucker KL (2004) Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev 62:177–203CrossRef Newby PK, Tucker KL (2004) Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev 62:177–203CrossRef
15.
Zurück zum Zitat Mourouti N, Papavagelis C, Psaltopoulou T et al (2013) Aims, design and methods of a case-control study for the assessment of the role of dietary habits, eating behaviors and environmental factors, on the development of breast cancer. Maturitas 74:31–36CrossRef Mourouti N, Papavagelis C, Psaltopoulou T et al (2013) Aims, design and methods of a case-control study for the assessment of the role of dietary habits, eating behaviors and environmental factors, on the development of breast cancer. Maturitas 74:31–36CrossRef
16.
Zurück zum Zitat Panagiotakos DB, Dimakopoulou K, Katsouyanni K, Bellander T, Grau M et al (2009) Mediterranean diet and inflammatory response in myocardial infarction survivors. Int J Epidemiol 38:856–866CrossRef Panagiotakos DB, Dimakopoulou K, Katsouyanni K, Bellander T, Grau M et al (2009) Mediterranean diet and inflammatory response in myocardial infarction survivors. Int J Epidemiol 38:856–866CrossRef
17.
Zurück zum Zitat Panagiotakos DB, Pitsavos C, Arvaniti F, Stefanadis C (2007) Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore. Prev Med 44:335–340CrossRef Panagiotakos DB, Pitsavos C, Arvaniti F, Stefanadis C (2007) Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore. Prev Med 44:335–340CrossRef
18.
Zurück zum Zitat Craig CL, Marshall AL, Sjostrom M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381–1395CrossRef Craig CL, Marshall AL, Sjostrom M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381–1395CrossRef
19.
Zurück zum Zitat Papathanasiou G, Georgoudis G, Papandreou M et al (2009) Reliability measures of the short International Physical Activity Questionnaire (IPAQ) in Greek young adults. Hell J Cardiol 50:283–294 Papathanasiou G, Georgoudis G, Papandreou M et al (2009) Reliability measures of the short International Physical Activity Questionnaire (IPAQ) in Greek young adults. Hell J Cardiol 50:283–294
20.
Zurück zum Zitat Mardia KV, Kent JT, Bibby JM (1979) Multivariate analysis, 1st edn. Academic Press, New York Mardia KV, Kent JT, Bibby JM (1979) Multivariate analysis, 1st edn. Academic Press, New York
21.
Zurück zum Zitat Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13:3–9CrossRef Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13:3–9CrossRef
22.
Zurück zum Zitat Brennan SF, Cantwell MM, Cardwell CR, Velentzis LS, Woodside JV (2010) Dietary patterns and breast cancer risk: a systematic review and meta-analysis. Am J Clin Nutr 91:1294–1302CrossRef Brennan SF, Cantwell MM, Cardwell CR, Velentzis LS, Woodside JV (2010) Dietary patterns and breast cancer risk: a systematic review and meta-analysis. Am J Clin Nutr 91:1294–1302CrossRef
23.
Zurück zum Zitat Buck K, Vrieling A, Flesch-Janys D, Chang-Claude J (2011) Dietary patterns and the risk of postmenopausal breast cancer in a German case-control study. Cancer Causes Control 22:273–282CrossRef Buck K, Vrieling A, Flesch-Janys D, Chang-Claude J (2011) Dietary patterns and the risk of postmenopausal breast cancer in a German case-control study. Cancer Causes Control 22:273–282CrossRef
24.
Zurück zum Zitat Zhang CX, Ho SC, Fu JH, Cheng SZ, Chen YM, Lin FY (2011) Dietary patterns and breast cancer risk among Chinese women. Cancer Causes Control 22:115–124CrossRef Zhang CX, Ho SC, Fu JH, Cheng SZ, Chen YM, Lin FY (2011) Dietary patterns and breast cancer risk among Chinese women. Cancer Causes Control 22:115–124CrossRef
25.
Zurück zum Zitat Hirose K, Matsuo K, Iwata H, Tajima K (2007) Dietary patterns and the risk of breast cancer in Japanese women. Cancer Sci 98:1431–1438CrossRef Hirose K, Matsuo K, Iwata H, Tajima K (2007) Dietary patterns and the risk of breast cancer in Japanese women. Cancer Sci 98:1431–1438CrossRef
26.
Zurück zum Zitat Link LB, Canchola AJ, Bernstein L et al (2013) Dietary patterns and breast cancer risk in the California Teachers Study cohort. Am J Clin Nutr 98:1524–1532CrossRef Link LB, Canchola AJ, Bernstein L et al (2013) Dietary patterns and breast cancer risk in the California Teachers Study cohort. Am J Clin Nutr 98:1524–1532CrossRef
27.
Zurück zum Zitat Baglietto L, Krishnan K, Severi G et al (2011) Dietary patterns and risk of breast cancer. Br J Cancer 104:524–531CrossRef Baglietto L, Krishnan K, Severi G et al (2011) Dietary patterns and risk of breast cancer. Br J Cancer 104:524–531CrossRef
28.
Zurück zum Zitat Steinmetz KA, Potter JD (1991) Vegetables, fruit, and cancer. II. Mechanisms. Cancer Causes Control 2:427–442CrossRef Steinmetz KA, Potter JD (1991) Vegetables, fruit, and cancer. II. Mechanisms. Cancer Causes Control 2:427–442CrossRef
29.
Zurück zum Zitat Steinmetz KA, Potter JD (1996) Vegetables, fruit, and cancer prevention: a review. J Am Diet Assoc 96:1027–1039CrossRef Steinmetz KA, Potter JD (1996) Vegetables, fruit, and cancer prevention: a review. J Am Diet Assoc 96:1027–1039CrossRef
30.
Zurück zum Zitat Deschasaux M, Zelek L, Pouchieu C et al (2013) Prospective association between dietary fiber intake and breast cancer risk. PLoS ONE 8:e79718CrossRef Deschasaux M, Zelek L, Pouchieu C et al (2013) Prospective association between dietary fiber intake and breast cancer risk. PLoS ONE 8:e79718CrossRef
31.
Zurück zum Zitat Escrich E, Solanas M, Moral R, Escrich R (2011) Modulatory effects and molecular mechanisms of olive oil and other dietary lipids in breast cancer. Curr Pharm Des 17:813–830CrossRef Escrich E, Solanas M, Moral R, Escrich R (2011) Modulatory effects and molecular mechanisms of olive oil and other dietary lipids in breast cancer. Curr Pharm Des 17:813–830CrossRef
Metadaten
Titel
Dietary patterns and breast cancer: a case–control study in women
verfasst von
Niki Mourouti
Christos Papavagelis
Petrini Plytzanopoulou
Meropi Kontogianni
Tonia Vassilakou
Nikolaos Malamos
Athena Linos
Demosthenes Panagiotakos
Publikationsdatum
01.06.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 4/2015
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-014-0742-8

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