a Nutrition and Endocrine Research Center and Obesity Research Center, Research Institute for Endocrine Sciences , Shahid Beheshti University of Medical Sciences , Tehran , Iran.
Nutr Cancer. 2013;65(8):1164-70. doi: 10.1080/01635581.2013.828083. Epub 2013 Sep 25.
Current epidemiologic data lack consistent evidence for an association between consumption of dairy products and breast cancer risk. In this study we assessed the relationship between consumption of dairy products and the odds of breast cancer. This case-control study was conducted on 275 women (100 cases and 175 controls). Data regarding sociodemographic factors, medical history, medications, and anthropometric measurements were collected. Dietary data were assessed using a validated food frequency questionnaire. The odds [95% confidence interval (CI)] of breast cancer were estimated across quartile categories of energy-adjusted dairy intake using multiple logistic regression models with adjustment for confounders. We observed that higher consumption of total dairy intake was accompanied with reduced breast cancer risk [odds ratio (OR) = 0.14, 95% CI = 0.04-0.38]. A similar inverse association was also observed for higher intakes of low-fat and fermented dairy products (P for trend <0.05). Lower intake of high-fat dairy was associated with reduced odds of breast cancer, and no significant association was found between nonfermented dairy and breast cancer risk. Our study demonstrates the protective effects of high intakes of total dairy, low-fat and fermented dairy, as well as low intakes of high-fat dairy products against breast cancer risk and shows no association with nonfermented dairy.
目前的流行病学数据缺乏关于乳制品消费与乳腺癌风险之间存在关联的一致证据。在这项研究中,我们评估了乳制品消费与乳腺癌发病风险之间的关系。该病例对照研究共纳入 275 名女性(100 例病例和 175 例对照)。收集了有关社会人口统计学因素、病史、药物和人体测量学的资料。采用经过验证的食物频率问卷评估饮食数据。采用多因素逻辑回归模型,在调整混杂因素后,根据能量调整后的乳制品摄入量的四分位区间,估计乳腺癌的比值比(OR)[95%置信区间(CI)]。我们发现,较高的总乳制品摄入量与乳腺癌风险降低有关[比值比(OR)=0.14,95%CI=0.04-0.38]。对于低脂肪和发酵乳制品的较高摄入量也观察到类似的负相关趋势(P<0.05)。较低的高脂肪乳制品摄入量与乳腺癌发病风险降低有关,而未发现非发酵乳制品与乳腺癌风险之间存在显著关联。我们的研究表明,高摄入量的总乳制品、低脂肪和发酵乳制品以及低摄入量的高脂肪乳制品对乳腺癌风险具有保护作用,并且与非发酵乳制品无关。