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克尔曼沙希油、动物脂肪、膳食及非膳食维生素D和其他营养素在绝经前乳腺癌风险增加中的作用:伊朗克尔曼沙赫的一项病例对照研究

Roles of Kermanshahi Oil, Animal Fat, Dietary and Non- Dietary Vitamin D and other Nutrients in Increased Risk of Premenopausal Breast Cancer: A Case Control Study in Kermanshah, Iran.

作者信息

Salarabadi Asadollah, Bidgoli Sepideh Arbabi, Madani Sayed Hamid

机构信息

Pharmaceutical Sciences Research Center, Islamic Azad University, Pharmaceutical Sciences Branch (IAUPS), Tehran, Iran E-mail :

出版信息

Asian Pac J Cancer Prev. 2015;16(17):7473-8. doi: 10.7314/apjcp.2015.16.17.7473.

Abstract

BACKGROUND

Kermanshahi oil is one the most favorable oils in Iran especially in Kermanshah province. We aimed to evaluate the role of usual intake of Kermanshahi oil and other kinds of dietary fats as well as different meats, vegetables and fruits, carbohydrates, cereals, grains, sweets, candy and lifestyle habits in risk of breast cancer.

MATERIALS AND METHODS

A case-control study with 47 consecutive, newly diagnosed premenopausal breast- cancer patients and 105 age and socioeconomic matched healthy women was conducted from 2013-2014 in Imam Reza hospital of Kermanshah using a standardized, validated questionnaire assessing various anthropometric, socio-demographic, lifestyle and dietary characteristics.

RESULTS

Kermanshahi oil intake was associated with a 2.1-fold (OR= 2.123, 95% CI 1.332- 3.38) (p= 0.002) higher likelihood of having breast cancer, while daily intake of other solid animal fats also increased the likelihood by 2.8-fold (OR = 2.754, 95% CI 1.43- 5.273) (p < 0.001), after various adjustments made. Lack of fish oil, white meat, vegetables, soy products, nuts and dairy products (especially during adolescence) in daily regimens and lack of sun exposure were significantly associated with premenopausal breast cancer risk in this region.

CONCLUSIONS

This study suggested that animal fat increases the risk of premenopausal breast cancer but many other dietary and non-dietary factors including calcium and vitamin D deficiency are consistently associated with increased odds of breast cancer in this region.

摘要

背景

克尔曼沙希油是伊朗最受欢迎的油类之一,尤其是在克尔曼沙赫省。我们旨在评估日常摄入克尔曼沙希油、其他种类的膳食脂肪以及不同的肉类、蔬菜、水果、碳水化合物、谷物、甜食、糖果和生活方式习惯在乳腺癌风险中的作用。

材料与方法

2013年至2014年期间,在克尔曼沙赫的伊玛目·礼萨医院对47例连续新诊断的绝经前乳腺癌患者和105名年龄及社会经济状况相匹配的健康女性进行了一项病例对照研究,使用标准化、经过验证的问卷评估各种人体测量、社会人口统计学、生活方式和饮食特征。

结果

摄入克尔曼沙希油使患乳腺癌的可能性增加2.1倍(OR = 2.123,95% CI 1.332 - 3.38)(p = 0.002),而在进行各种调整后,每日摄入其他固体动物脂肪也使患癌可能性增加2.8倍(OR = 2.754,95% CI 1.43 - 5.273)(p < 0.001)。日常饮食中缺乏鱼油、白肉、蔬菜、豆制品、坚果和乳制品(尤其是在青春期)以及缺乏阳光照射与该地区绝经前乳腺癌风险显著相关。

结论

本研究表明,动物脂肪会增加绝经前乳腺癌的风险,但许多其他饮食和非饮食因素,包括钙和维生素D缺乏,与该地区乳腺癌患病几率增加始终相关。

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