Bertone Elizabeth R, Rosner Bernard A, Hunter David J, Stampfer Meir J, Speizer Frank E, Colditz Graham A, Willett Walter C, Hankinson Susan E
Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Am J Epidemiol. 2002 Jul 1;156(1):22-31. doi: 10.1093/aje/kwf008.
Several studies have suggested that high intake of fats and fat-rich foods may increase the risk of ovarian cancer. The authors examined these relations in the Nurses' Health Study cohort. Dietary intake was assessed in 1980, 1984, 1986, and 1990 by using a self-administered food frequency questionnaire. Food data were used to calculate intake of various fats and fatty acids. For best reflection of long-term intake, an updated, cumulative, averaged measure of fat intake was used to predict incidence of ovarian cancer. Between 1980 and 1996, 301 incident cases of invasive epithelial ovarian cancer were confirmed among the 80,258 participants who completed the baseline food frequency questionnaire. There was no evidence of a positive association between intake of any type of fat and ovarian cancer risk, even after adjustment of fat subtypes for one another. Women in the highest quintile of total fat intake were not at increased risk compared with those in the lowest quintile (multivariate relative risk = 1.03, 95 percent confidence interval: 0.72, 1.45, p for trend = 0.97). Intakes of fat-rich foods were also not appreciably associated with ovarian cancer risk, although an increase in risk with frequent intake of eggs was observed. Overall, results suggest no association between intake of any type of fat and ovarian cancer.
多项研究表明,高脂肪及富含脂肪食物的高摄入量可能会增加患卵巢癌的风险。作者在护士健康研究队列中对这些关系进行了研究。通过使用一份自行填写的食物频率问卷,在1980年、1984年、1986年和1990年对饮食摄入量进行了评估。食物数据用于计算各种脂肪和脂肪酸的摄入量。为了最佳反映长期摄入量,采用了一种更新的、累积的、平均的脂肪摄入量测量方法来预测卵巢癌的发病率。在1980年至1996年期间,在完成基线食物频率问卷的80258名参与者中,确诊了301例浸润性上皮性卵巢癌病例。即使在对脂肪亚型进行相互调整之后,也没有证据表明任何类型的脂肪摄入量与卵巢癌风险之间存在正相关。总脂肪摄入量处于最高五分位数的女性与最低五分位数的女性相比,风险并未增加(多变量相对风险=1.03,95%置信区间:0.72,1.45,趋势p值=0.97)。富含脂肪食物的摄入量与卵巢癌风险也没有明显关联,不过观察到频繁食用鸡蛋会使风险增加。总体而言,结果表明任何类型的脂肪摄入量与卵巢癌之间均无关联。