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乳制品消费与乳腺癌发病风险:伊朗病例对照研究。

Consumption of dairy products and odds of breast cancer: an Iranian case-control study.

机构信息

Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P. O. Box 14155/6117, Tehran, Iran.

出版信息

Breast Cancer. 2022 Mar;29(2):352-360. doi: 10.1007/s12282-021-01317-x. Epub 2022 Jan 27.

Abstract

BACKGROUND

Data on the link between total and individual dairy product consumption and risk of breast cancer are controversial, especially in Middle Eastern populations.

OBJECTIVE

This study aimed to evaluate the association between total and individual dairy product consumption and odds of breast cancer among Iranian women.

METHODS

In the context of a population-based case-control study on 350 patients with pathologically confirmed cases of breast cancer and 700 age-matched controls, we assessed dietary intakes using a 106-item semi-quantitative dish-based food frequency questionnaire. Consumption of low- and high-fat dairy products as well as dietary intakes of pasteurized milk, cheese and yogurt were computed.

RESULTS

Mean (± SD) age and BMI of study participants was 62.4 ± 10.8 y and 24.3 ± 5.2 kg/m, respectively. After controlling for potential covariates, individuals in the top quartile of low-fat dairy product intake were less likely to have breast cancer than those in the bottom quartile (OR 0.08; 95% CI 0.05-0.16), while those with the highest intake of high-fat dairy intake had greater odds for breast cancer than those with the lowest intake (OR 8.62; 95% CI 4.78-15.55). Despite lack of a significant association between yogurt and cheese consumption and odds of breast cancer, we found a positive association between total milk intake (OR 1.76; 95% CI 1.16-2.65) and breast cancer, after controlling for potential confounders.

CONCLUSION

Low-fat dairy intake was inversely and high-fat dairy consumption was positively associated with breast cancer. No significant association was found between yogurt and cheese consumption and breast cancer, while total milk intake was associated with a greater odds of breast cancer.

摘要

背景

关于总乳制品和个体乳制品的摄入量与乳腺癌风险之间的联系的数据存在争议,尤其是在中东人群中。

目的

本研究旨在评估伊朗女性中总乳制品和个体乳制品的摄入量与乳腺癌风险之间的关联。

方法

在一项基于人群的病例对照研究中,共纳入 350 例经病理证实的乳腺癌患者和 700 名年龄匹配的对照者,我们使用 106 项半定量基于菜肴的食物频率问卷评估了饮食摄入量。计算了低脂肪和高脂肪乳制品的摄入量以及巴氏消毒奶、奶酪和酸奶的饮食摄入量。

结果

研究参与者的平均(±标准差)年龄和 BMI 分别为 62.4±10.8 岁和 24.3±5.2 kg/m2。在控制了潜在的混杂因素后,低脂肪乳制品摄入量最高四分位数的个体患乳腺癌的可能性低于最低四分位数的个体(OR 0.08;95%CI 0.05-0.16),而高脂肪乳制品摄入量最高的个体患乳腺癌的风险高于摄入量最低的个体(OR 8.62;95%CI 4.78-15.55)。尽管酸奶和奶酪的摄入量与乳腺癌的比值比之间没有显著关联,但我们发现,在控制了潜在的混杂因素后,总牛奶摄入量(OR 1.76;95%CI 1.16-2.65)与乳腺癌呈正相关。

结论

低脂乳制品的摄入量与乳腺癌呈负相关,而高脂肪乳制品的摄入量与乳腺癌呈正相关。酸奶和奶酪的摄入量与乳腺癌之间没有显著关联,而总牛奶的摄入量与乳腺癌的比值比更高。

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