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膳食丙烯酰胺摄入量与乳腺癌风险:基于日本公共卫生中心的前瞻性研究。

Dietary acrylamide intake and risk of breast cancer: The Japan Public Health Center-based Prospective Study.

作者信息

Kotemori Ayaka, Ishihara Junko, Zha Ling, Liu Rong, Sawada Norie, Iwasaki Motoki, Sobue Tomotaka, Tsugane Shoichiro

机构信息

Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.

Department of Food and Life Science, Azabu University, Kanagawa, Japan.

出版信息

Cancer Sci. 2018 Mar;109(3):843-853. doi: 10.1111/cas.13496. Epub 2018 Feb 8.

Abstract

Acrylamide forms during cooking and is classified as a probable carcinogen in humans, mandating the need for epidemiological studies of dietary acrylamide and cancers. However, the risk of dietary acrylamide exposure to breast cancer in Japanese women has not been assessed. We investigated the association between dietary acrylamide intake and risk of breast cancer in the Japan Public Health Center-based Prospective Study. The present study included 48 910 women aged 45-74 years who responded to a 5-year follow-up survey questionnaire. Dietary acrylamide intake was assessed using a validated food frequency questionnaire. Cox proportional hazards regression models were used to estimate hazard ratios and 95% confidence intervals. During an average of 15.4 years of follow up, 792 breast cancers were diagnosed. Energy-adjusted dietary acrylamide intake was not associated with the risk of breast cancer (adjusted hazard ratio for highest versus lowest tertile = .95, 95% confidence intervals: 0.79-1.14, P-trend = .58). Further, no significant associations were observed when stratified analyses were conducted by smoking status, coffee consumption, alcohol consumption, body mass index, menopausal status, estrogen receptor status, and progesterone receptor status. In conclusion, dietary acrylamide intake was not associated with the risk of breast cancer in this population-based prospective cohort study of Japanese women.

摘要

丙烯酰胺在烹饪过程中形成,被归类为对人类可能的致癌物,这就需要对膳食丙烯酰胺与癌症进行流行病学研究。然而,日本女性通过膳食接触丙烯酰胺患乳腺癌的风险尚未得到评估。我们在基于日本公共卫生中心的前瞻性研究中调查了膳食丙烯酰胺摄入量与乳腺癌风险之间的关联。本研究纳入了48910名年龄在45 - 74岁之间且对一份为期5年的随访调查问卷做出回应的女性。膳食丙烯酰胺摄入量通过一份经验证有效的食物频率问卷进行评估。使用Cox比例风险回归模型来估计风险比和95%置信区间。在平均15.4年的随访期间,诊断出792例乳腺癌。能量调整后的膳食丙烯酰胺摄入量与乳腺癌风险无关(最高三分位数与最低三分位数相比的调整后风险比 = 0.95,95%置信区间:0.79 - 1.14,P趋势 = 0.58)。此外,按吸烟状况、咖啡摄入量、酒精摄入量、体重指数、绝经状态、雌激素受体状态和孕激素受体状态进行分层分析时,未观察到显著关联。总之,在这项基于人群的日本女性前瞻性队列研究中,膳食丙烯酰胺摄入量与乳腺癌风险无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51cd/5834785/34cd2ab6b6b3/CAS-109-843-g001.jpg

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