Khodarahmi Mahdieh, Azadbakht Leila
Food Security Research Center, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2014 Jan;5(1):6-15.
So far several animal and case-control studies have confirmed this hypothesis that dietary fat increases the risk of breast cancer. However, cohort studies have not shown this relationship. The aim of this study was to review the studies on the relationship between dietary fat intake and breast cancer risk among women. Electronic database PubMed and Google Scholar were searched using the key words: Breast cancer, dietary fat, serum estrogen, saturated fatty acids (SFAs), monounsaturated fatty acids (MUFAs) and polyunsaturated fatty acids (PUFAs). The evidence of the studies regarding to the association of total and subtypes of fat intake with breast cancer risk are inconsistent. Several studies have shown that, among several types of fat, SFAs and w-3 PUFA intake are associated with an increased and reduced risk of breast cancer, respectively. The relationship between MUFAs intake and breast cancer risk is conflicting. Narrow ranges of fat intake among populations, measurement errors, high correlation between specific types of dietary fat, the confounding variables like body fatness and high-energy intake and other dietary components such as fiber and antioxidants might be probable explanations for these inconsistent results. Although we are not at a stage where we can justifiably advise women to reduce their fat intake to decrease the risk of developing breast cancer, it seems the current guidelines to lower total fat consumption and recommendation to consumption of unsaturated fats such as MUFAs and w-3 fatty acids and also reduction of SFAs (meat and dairy products) intake to avoid heart disease is also useful for breast cancer risk.
到目前为止,多项动物研究和病例对照研究证实了这一假设,即膳食脂肪会增加患乳腺癌的风险。然而,队列研究并未显示出这种关系。本研究的目的是综述关于女性膳食脂肪摄入量与乳腺癌风险之间关系的研究。使用关键词“乳腺癌”“膳食脂肪”“血清雌激素”“饱和脂肪酸(SFA)”“单不饱和脂肪酸(MUFA)”和“多不饱和脂肪酸(PUFA)”检索电子数据库PubMed和谷歌学术。关于脂肪总摄入量及其亚型与乳腺癌风险关联的研究证据并不一致。多项研究表明,在几种类型的脂肪中,SFA和ω-3 PUFA的摄入分别与乳腺癌风险增加和降低有关。MUFA摄入与乳腺癌风险之间的关系存在矛盾。人群中脂肪摄入量范围狭窄、测量误差、特定类型膳食脂肪之间的高相关性、诸如体脂和高能量摄入等混杂变量以及其他膳食成分(如纤维和抗氧化剂)可能是这些不一致结果的合理解释。尽管我们还未达到可以合理建议女性减少脂肪摄入量以降低患乳腺癌风险的阶段,但目前降低总脂肪摄入量的指南以及推荐摄入不饱和脂肪(如MUFA和ω-3脂肪酸)并减少SFA(肉类和乳制品)摄入量以预防心脏病的建议,似乎对乳腺癌风险也有益。