Department of Preventive Medicine, Hanyang University, Haengdang Dong, Sungdong Gu, Seoul, South Korea.
Br J Nutr. 2010 May;103(9):1345-53. doi: 10.1017/S0007114509993242. Epub 2009 Dec 8.
Gim (Porphyra sp.) and miyeok (Undaria pinnatifida) are the seaweeds most consumed by Koreans. We investigated the association between the intake of gim and miyeok and the risk of breast cancer in a case-control study. Cases were 362 women aged 30-65 years old, who were histologically confirmed to have breast cancer. Controls visiting the same hospital were matched to cases according to their age (sd 2 years) and menopausal status. Food intake was estimated by the quantitative FFQ with 121 items, including gim and miyeok. Conditional logistic regression analysis was used to obtain the OR and corresponding 95 % CI. The average intake and consumption frequency of gim in cases were lower than in controls. The daily intake of gim was inversely associated with the risk of breast cancer (5th v. 1st quintile, OR, 0.48; 95 % CI, 0.27, 0.86; P for trend, 0.026) after adjustment for potential confounders. After stratification analysis was performed according to menopausal status, premenopausal women (5th v. 1st quintile, OR, 0.44; 95 % CI, 0.24, 0.80; P for trend, 0.007) and postmenopausal women (5th v. 1st quintile, OR, 0.32; 95 % CI, 0.13, 0.80; P for trend, 0.06) showed similar inverse associations between gim intake and the risk of breast cancer after an adjustment for potential confounders except dietary factors. Miyeok consumption did not have any significant associations with breast cancer. These results suggest that high intake of gim may decrease the risk of breast cancer.
紫菜(Porphyra sp.)和裙带菜(Undaria pinnatifida)是韩国人最常食用的海藻。我们在一项病例对照研究中调查了紫菜和裙带菜的摄入与乳腺癌风险之间的关系。病例为 362 名年龄在 30-65 岁之间、经组织学证实患有乳腺癌的女性。对照组为同一医院就诊的年龄(标准差 2 岁)和绝经状态相匹配的病例。通过包含 121 种食物的定量 FFQ 来估计食物摄入情况,包括紫菜和裙带菜。采用条件 logistic 回归分析获得 OR 和相应的 95 % CI。病例组紫菜的平均摄入量和食用频率均低于对照组。调整潜在混杂因素后,紫菜的日摄入量与乳腺癌风险呈负相关(第 5 五分位组比第 1 五分位组,OR,0.48;95 % CI,0.27,0.86;趋势检验 P 值,0.026)。根据绝经状态进行分层分析后,在调整潜在混杂因素(除饮食因素外)后,绝经前女性(第 5 五分位组比第 1 五分位组,OR,0.44;95 % CI,0.24,0.80;趋势检验 P 值,0.007)和绝经后女性(第 5 五分位组比第 1 五分位组,OR,0.32;95 % CI,0.13,0.80;趋势检验 P 值,0.06)中,紫菜摄入量与乳腺癌风险之间也存在类似的负相关关系。裙带菜的食用与乳腺癌无显著关联。这些结果表明,高摄入量的紫菜可能降低乳腺癌风险。