Bala Dinavahi V, Patel Devendra D, Duffy Stephen W, Cherman Susan, Patel Prabudas S, Trivedi Jignasa, Pinaki Patel, Pandey Priti, Patel Ronak
Department of Community Oncology, The Gujarat Cancer & Research Institute GCRI, Ahmedabad 380 016, India.
Asian Pac J Cancer Prev. 2001;2(2):123-130.
Reproductive factors are not considered to play a significant role in the aetiology of breast cancer in low incidence regions like Gujarat, although it is well established that they exert a major influence on such tumours in the western developed world. Women in the western Indian region have a very low prevalence of smoking, alcohol consumption but a high prevalence of vegetarianism. Noting the changes in the life style practices with increasing affluence is likely to yield several interesting findings in such a population. Physical activity and dietary factors have emerged as important parameters and their lack may contribute significantly to the risk of breast cancers. The breast cancer risk significantly increased with higher consumption of total fat (>25% of total calories), frequent intake of fried foods and sweets. A significant protection was offered by frequent consumption of green yellow leafy vegetables, foods rich in b-carotene and isoflavonoids. The present study demonstrated a good protective effect of dietary intake of antioxidant vitamins. The breast cancer risk increases with elevation of circulating lipid components except HDL-cholesterol.
在古吉拉特邦这样的低发病率地区,生殖因素在乳腺癌病因学中不被认为起重要作用,尽管众所周知,它们在西方发达国家对这类肿瘤有重大影响。印度西部地区的女性吸烟、饮酒的患病率极低,但素食的患病率很高。注意到随着富裕程度提高生活方式的变化,在这样的人群中可能会产生一些有趣的发现。身体活动和饮食因素已成为重要参数,缺乏这些因素可能会显著增加患乳腺癌的风险。总脂肪摄入量较高(超过总热量的25%)、频繁食用油炸食品和甜食会使乳腺癌风险显著增加。经常食用绿黄色叶类蔬菜、富含β-胡萝卜素和异黄酮的食物能提供显著的保护作用。本研究表明饮食中摄入抗氧化维生素具有良好的保护作用。除高密度脂蛋白胆固醇外,循环脂质成分升高会增加乳腺癌风险。