Oliveira Sediyama Catarina Maria, Dias Manoela Maciel Dos Santos, Pessoa Milene Cristine, Queiroz Andréia Ribeiro, Suhett Lara Gomes, Freitas Renata Nascimento, De Paula Sérgio Oliveira, Peluzio Maria do Carmo Gouveia
Department of Nutrition and Health. Laboratory of Nutrition Biochemistry. Federal University of Viçosa. University Campus, Viçosa, Brazil. Department of Nursing and Medicine. Federal University of Viçosa. University Campus. Viçosa.
Nutr Hosp. 2016 Sep 20;33(5):584. doi: 10.20960/nh.584.
The prevention strategy of breast cancer is still the key factor for early diagnosis and the most effective method for tracking the disease.
This study aimed to evaluate the association vitamin D level with breast cancer in women.
This hospital case-control study was conducted with 181 women with breast cancer and 197 healthy controls. Vitamin D status, calcium, phosphorus and PTH serum dosage and data collection related to lifestyle and patient's history, besides anthropometric measurements were performed. Univariate analysis (Chi-square and raw odds ratio) and multivariate analysis were performed through multivariate logistic regression.
This study shows a higher value of vitamin D in health controls (26.9 mg/dL) than in breast cancer women (24.8 mg/dL). Higher numbers of women with sufficient vitamin D status (34.85%) were found in control group than cancer group. Using the multiple logistic regression model, the family history of breast cancer (OR 36.37, 95%CI 4.75-278.50) and menopause (OR 5.17, 95% CI 2.72-9.80) had a direct association with breast cancer, while the level of vitamin D (OR 0.95, 95%CI 0.91-0.99) and moderate physical activity (OR 0.31, 95%CI 0.10-0.93) maintained the inverse associations with the disease.
Vitamin D status and the practice of moderate physical activity were considered protective factors for breast cancer. However, menopause and family history of breast cancer were considered a risk factor for breast cancer.
乳腺癌的预防策略仍然是早期诊断的关键因素以及追踪该疾病最有效的方法。
本研究旨在评估女性维生素D水平与乳腺癌之间的关联。
本医院病例对照研究纳入了181名乳腺癌女性患者和197名健康对照者。除了人体测量外,还进行了维生素D状态、钙、磷和甲状旁腺激素血清剂量测定以及与生活方式和患者病史相关的数据收集。通过多因素逻辑回归进行单因素分析(卡方检验和原始比值比)和多因素分析。
本研究显示,健康对照组的维生素D值(26.9mg/dL)高于乳腺癌女性患者(24.8mg/dL)。对照组中维生素D状态充足的女性人数(34.85%)高于癌症组。使用多因素逻辑回归模型,乳腺癌家族史(比值比36.37,95%置信区间4.75-278.50)和绝经(比值比5.17,95%置信区间2.72-9.80)与乳腺癌有直接关联,而维生素D水平(比值比0.95,95%置信区间0.91-0.99)和适度体育活动(比值比0.31,95%置信区间0.10-0.93)与该疾病保持负相关。
维生素D状态和适度体育活动被认为是乳腺癌的保护因素。然而,绝经和乳腺癌家族史被认为是乳腺癌的危险因素。