Kotepui Manas
Medical Technology Program, School of Allied Health Sciences and Public Health, Walailak University, Thailand.
Contemp Oncol (Pozn). 2016;20(1):13-9. doi: 10.5114/wo.2014.40560. Epub 2016 Mar 16.
Diet may play a role in both promoting and inhibiting human breast cancer development. In this review, nutritional risk factors such as consumption of dietary fat, meat, fiber, and alcohol, and intake of phytoestrogen, vitamin D, iron, and folate associated with breast cancer are reviewed. These nutritional factors have a variety of associations with breast cancer risk. Type of fat consumed has different effects on risk of breast cancer: consumption of meat is associated with heterocyclic amine (HCA) exposure; different types of plant fiber have various effects on breast cancer risk; alcohol consumption may increase the risk of breast cancer by producing acetaldehyde and reactive oxygen species (ROS); intake of phytoestrogen may reduce risk of breast cancer through genomic and non-genomic action; vitamin D can reduce the risk of breast cancer by inhibiting the process of cancer invasion and metastasis; intake of dietary iron may lead to oxidative stress, DNA damage, and lipid peroxidation; and lower intake of folate may be linked to a higher risk of breast cancer.
饮食在促进和抑制人类乳腺癌发展过程中可能都发挥着作用。在本综述中,对与乳腺癌相关的营养风险因素进行了综述,例如膳食脂肪、肉类、纤维和酒精的摄入,以及植物雌激素、维生素D、铁和叶酸的摄取。这些营养因素与乳腺癌风险存在多种关联。所摄入脂肪的类型对乳腺癌风险有不同影响:肉类消费与杂环胺(HCA)暴露有关;不同类型的植物纤维对乳腺癌风险有不同作用;饮酒可能通过产生乙醛和活性氧(ROS)增加乳腺癌风险;植物雌激素的摄入可能通过基因组和非基因组作用降低乳腺癌风险;维生素D可通过抑制癌症侵袭和转移过程降低乳腺癌风险;膳食铁的摄入可能导致氧化应激、DNA损伤和脂质过氧化;而叶酸摄入量较低可能与较高的乳腺癌风险相关。