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Erschienen in: Journal of Public Health 4/2022

14.07.2020 | Original Article

Role of dietary patterns and acculturation in cancer risk and mortality among postmenopausal Hispanic women: results from the Women’s Health Initiative (WHI)

verfasst von: Melissa Lopez-Pentecost, Tracy E. Crane, David O. Garcia, Lindsay N. Kohler, Betsy C. Wertheim, James R. Hebert, Susan E. Steck, Nitin Shivappa, Margarita Santiago-Torres, Marian L. Neuhouser, Irene E. Hatsu, Linda Snetselaar, Mridul Datta, Candyce H. Kroenke, Gloria E. Sarto, Cynthia A. Thomson

Erschienen in: Journal of Public Health | Ausgabe 4/2022

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Abstract

Aim

To investigate the association between dietary patterns and total and obesity-related cancer risk as well as to examine if acculturation modifies this relationship.

Subjects and methods

Dietary intake of postmenopausal Hispanic women (N = 5,482) enrolled in the Women’s Health Initiative was estimated from a Food Frequency Questionnaire and used to calculate dietary pattern scores: Healthy Eating Index-2015 (HEI-2015), Mexican Diet (MexD) score, alternate Mediterranean Diet Score (aMED), and the energy adjusted Dietary Inflammatory Index (E-DII™). Associations were evaluated using Cox proportional hazard regression models.

Results

Six hundred thirty-one cancers and 396 obesity-related cancers were diagnosed over a mean follow-up of 12 years. Across dietary scores, there were no significant associations with cancer risk or mortality. Trend analysis suggested a potentially lower risk for total cancer mortality related to the highest MexD score (HR 0.68, 95% CI 0.45–1.04, P-trend = 0.03) and lower risk for obesity-related cancer mortality related to the highest score category for MexD (HR 0.65, 95% CI 0.37–1.16, P-trend = 0.02) and aMED (HR 0.87, 95% CI 0.45–1.67, P-trend = 0.04). Further analysis suggested less acculturated women with higher MexD scores had a 56% lower risk for any cancer (HR 0.44, 95% CI 0.22–0.88, P-trend = 0.03) and 83% lower risk for cancer mortality (HR 0.17, 95% CI 0.04–0.76, P-trend = 0.01) compared to more acculturated Hispanic women.

Conclusions

Dietary patterns were not associated with cancer risk and mortality in postmenopausal Hispanic women. Less acculturated, Spanish-preferred speakers who report consuming a more traditional Mexican diet may experience a lower risk of cancer and cancer mortality.
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Metadaten
Titel
Role of dietary patterns and acculturation in cancer risk and mortality among postmenopausal Hispanic women: results from the Women’s Health Initiative (WHI)
verfasst von
Melissa Lopez-Pentecost
Tracy E. Crane
David O. Garcia
Lindsay N. Kohler
Betsy C. Wertheim
James R. Hebert
Susan E. Steck
Nitin Shivappa
Margarita Santiago-Torres
Marian L. Neuhouser
Irene E. Hatsu
Linda Snetselaar
Mridul Datta
Candyce H. Kroenke
Gloria E. Sarto
Cynthia A. Thomson
Publikationsdatum
14.07.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Public Health / Ausgabe 4/2022
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-020-01342-8

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