Taylor Valerie H, Misra Monali, Mukherjee Som D
Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, ON, USA.
Breast Cancer Res Treat. 2009 Sep;117(1):1-8. doi: 10.1007/s10549-009-0441-y. Epub 2009 Jun 20.
Breast cancer is the second leading cause of cancer deaths in women today and is the most common cancer among women. Although a number of risk factors such as genetics, family history, parity, age at first birth, and age at menarche and menopause have been established, most are difficult to modify. Diet, however, is a potentially modifiable approach for prevention and a variety of dietary patterns have been examined with respect to their role in breast cancer. One such dietary factor is red meat consumption. Red meat intake has been hypothesized to increase breast cancer risk but while both case-control and ecologic studies have supported a positive association, prospective cohort studies have been inconsistent. One explanation for this inconsistency may be related to menopausal status. We performed a meta-analysis on the association between breast cancer risk and red meat consumption in premenopausal women. A total of ten studies were identified. The summary relative risk was 1.24 (95% CI 1.08-1.42). Case-control studies (N = 7) had a risk of 1.57 (95% CI 1.23-1.99), while cohort studies (N = 3) had a summary relative risk of 1.11 (95% CI 0.94-1.31).
乳腺癌是当今女性癌症死亡的第二大主要原因,也是女性中最常见的癌症。尽管已经确定了一些风险因素,如遗传、家族史、生育情况、初产年龄、月经初潮年龄和绝经年龄,但大多数因素难以改变。然而,饮食是一种潜在的可改变的预防方法,并且已经对各种饮食模式在乳腺癌中的作用进行了研究。红肉消费就是这样一种饮食因素。红肉摄入被认为会增加患乳腺癌的风险,但病例对照研究和生态学研究都支持这种正相关关系,而前瞻性队列研究的结果却不一致。这种不一致的一个解释可能与绝经状态有关。我们对绝经前女性患乳腺癌风险与红肉消费之间的关联进行了荟萃分析。共确定了10项研究。汇总相对风险为1.24(95%可信区间1.08 - 1.42)。病例对照研究(n = 7)的风险为1.57(95%可信区间1.23 - 1.99),而队列研究(n = 3)的汇总相对风险为1.11(95%可信区间0.94 - 1.31)。