D'Avanzo B, Negri E, Gramenzi A, Franceschi S, Parazzini F, Boyle P, La Vecchia C
Eur J Cancer. 1991;27(4):420-3. doi: 10.1016/0277-5379(91)90376-o.
The relationship between consumption of fat in seasoning and risk of breast cancer was considered in a case-control study conducted in northern Italy of 2663 cases of breast cancer and 2344 controls admitted in the same network of hospitals with acute, non-neoplastic and non-gynaecological conditions. Subjective scores corresponding to three levels (low, intermediate and high) of intake of butter, margarine and oil, together with a combined variable of these three items ("total fat"), were used to evaluate the personal use of fat in seasoning. Compared to low use, a slight but significant increase in risk was observed for intermediate and high intake of butter, oil and total fat with relative risks of 1.5 (95% confidence interval [CI], 1.1-1.9) for high intake of butter, 1.3 (95% CI, 1.0-1.6) for high intake of oil and 1.4 (95% CI, 1.2-1.7) for high intake of total seasoning fat. These results were not materially modified after allowance for a number of identified potentially distorting factors. The results of this study suggest that there is a positive association, although moderate, between breast cancer risk and intake of fat added in seasoning, which may represent an indirect indicator of the subject's attitude towards fat.
在意大利北部开展的一项病例对照研究中,探讨了调味料中脂肪摄入量与乳腺癌风险之间的关系。该研究纳入了2663例乳腺癌病例和2344例对照,这些对照均因急性非肿瘤性非妇科疾病入住同一医院网络。使用对应于黄油、人造黄油和油摄入量三个水平(低、中、高)的主观评分,以及这三项的综合变量(“总脂肪”)来评估个人在调味料中使用脂肪的情况。与低脂肪使用量相比,黄油、油和总脂肪的中高摄入量会使风险出现轻微但显著的增加,黄油高摄入量的相对风险为1.5(95%置信区间[CI],1.1 - 1.9),油高摄入量的相对风险为1.3(95%CI,1.0 - 1.6),调味料总脂肪高摄入量的相对风险为1.4(95%CI,1.2 - 1.7)。在考虑了一些已确定的可能造成干扰的因素后,这些结果没有实质性改变。本研究结果表明,乳腺癌风险与调味料中添加的脂肪摄入量之间存在正相关关系,尽管这种相关性为中等程度,这可能间接反映了受试者对脂肪的态度。