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膳食丙烯酰胺摄入量与绝经前乳腺癌风险

Dietary acrylamide intake and risk of premenopausal breast cancer.

作者信息

Wilson Kathryn M, Mucci Lorelei A, Cho Eunyoung, Hunter David J, Chen Wendy Y, Willett Walter C

机构信息

Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA.

出版信息

Am J Epidemiol. 2009 Apr 15;169(8):954-61. doi: 10.1093/aje/kwn421. Epub 2009 Feb 18.

Abstract

Acrylamide, a probable human carcinogen, is formed during high-temperature cooking of many commonly consumed foods. It is widespread; approximately 30% of calories consumed in the United States are from foods containing acrylamide. In animal studies, acrylamide causes mammary tumors, but it is unknown whether the level of acrylamide in foods affects human breast cancer risk. The authors studied the association between acrylamide intake and breast cancer risk among 90,628 premenopausal women in the Nurses' Health Study II. They calculated acrylamide intake from food frequency questionnaires in 1991, 1995, 1999, and 2003. From 1991 through 2005, they documented 1,179 cases of invasive breast cancer. They used Cox proportional hazards models to assess the association between acrylamide and breast cancer risk. The multivariable-adjusted relative risk of premenopausal breast cancer was 0.92 (95% confidence interval: 0.76, 1.11) for the highest versus the lowest quintile of acrylamide intake (P(trend) = 0.61). Results were similar regardless of smoking status or estrogen and progesterone receptor status of the tumors. The authors found no associations between intakes of foods high in acrylamide, including French fries, coffee, cereal, potato chips, potatoes, and baked goods, and breast cancer risk. They found no evidence that acrylamide intake, within the range of US diets, is associated with increased risk of premenopausal breast cancer.

摘要

丙烯酰胺是一种可能的人类致癌物,在许多常见食用食品的高温烹饪过程中形成。它分布广泛;在美国,约30%的卡路里摄入来自含有丙烯酰胺的食物。在动物研究中,丙烯酰胺会导致乳腺肿瘤,但食物中丙烯酰胺的含量是否会影响人类患乳腺癌的风险尚不清楚。作者在护士健康研究II中,对90628名绝经前女性的丙烯酰胺摄入量与患乳腺癌风险之间的关联进行了研究。他们根据1991年、1995年、1999年和2003年的食物频率问卷计算了丙烯酰胺摄入量。从1991年到2005年,他们记录了1179例浸润性乳腺癌病例。他们使用Cox比例风险模型来评估丙烯酰胺与患乳腺癌风险之间的关联。对于丙烯酰胺摄入量最高与最低五分位数的绝经前乳腺癌,多变量调整后的相对风险为0.92(95%置信区间:0.76,1.11)(P趋势=0.61)。无论吸烟状况或肿瘤的雌激素和孕激素受体状态如何,结果均相似。作者发现,包括炸薯条、咖啡、谷物、薯片、土豆和烘焙食品在内的高丙烯酰胺食物的摄入量与患乳腺癌风险之间没有关联。他们没有发现证据表明,在美国饮食范围内的丙烯酰胺摄入量与绝经前乳腺癌风险增加有关。

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