Madan Atul K, Barden Catherine B, Beech Bettina, Fay Kelly, Sintich Maureen, Beech Derrick J
Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.
J Natl Med Assoc. 2002 Oct;94(10):894-900.
While the literature has no conclusive causal relationship between nutrition and breast cancer, diet is believed to play a role in the development of breast cancer. This investigation focuses on differences of dietary practice between Caucasians and African Americans in a cohort of women presenting for breast cancer screening.
Over a one-year period, 675 women presenting to the Breast Health Center at Tulane University Medical Center for an initial visit were given a self-reported health behavior questionnaire. Included in this survey were questions concerning the frequency of raw vegetable consumption and fat/oil intake.
The overall proportion of women who presented for breast cancer screening that reported daily raw vegetable consumption in the study group was 40%. There were statistically significant differences between proportions of Caucasian women's and African American women's consumption of daily raw vegetable (51% versus 29%, respectively; P < 0.0001). These differences were not seen in daily fat/oil intake. No differences were seen in socioeconomic measures.
There is a substantial difference in the consumption of potentially protective foods among major ethnic groups. These dietary differences should be taken into account when investigating the ethnic differences in women with breast cancer, as well as the relationship between breast cancer and nutrition.
虽然文献中没有明确营养与乳腺癌之间存在因果关系,但饮食被认为在乳腺癌的发生发展中起作用。本研究聚焦于前来进行乳腺癌筛查的女性队列中白种人和非裔美国人在饮食习惯上的差异。
在一年时间里,向图兰大学医学中心乳腺健康中心初诊的675名女性发放了一份自我报告的健康行为问卷。该调查包括关于生蔬菜食用频率和脂肪/油类摄入的问题。
研究组中前来进行乳腺癌筛查且报告每日食用生蔬菜的女性总体比例为40%。白种女性和非裔美国女性每日生蔬菜的食用比例存在统计学显著差异(分别为51%和29%;P < 0.0001)。在每日脂肪/油类摄入方面未发现此类差异。在社会经济指标方面也未发现差异。
主要种族群体在潜在保护性食物的消费上存在显著差异。在研究乳腺癌女性的种族差异以及乳腺癌与营养之间的关系时,应考虑这些饮食差异。