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约旦女性营养摄入模式与乳腺癌风险的病例对照研究。

Nutrient intake patterns and breast cancer risk among Jordanian women: a case-control study.

机构信息

Department of Nutrition and Food Technology, Faculty of Agriculture, University of Jordan, Amman, Jordan.

Al-Basheer Hospital, Ministry of Health, Amman, Jordan.

出版信息

Epidemiol Health. 2019;41:e2019010. doi: 10.4178/epih.e2019010. Epub 2019 Mar 30.

Abstract

OBJECTIVES

Breast cancer (BC) is the most common type of cancer worldwide. Globally, BC is rapidly becoming a major common health problem among women. This study aimed to evaluate the association between nutrient intake patterns and BC risk among Jordanian women.

METHODS

A total of 400 Jordanian women 20-65 years of age were recruited in this case-control study. Two hundred women recently diagnosed with BC were matched in age, income, and marital status to 200 BC-free women. A food frequency questionnaire was used to assess nutrient intake patterns.

RESULTS

In this study, 3 nutrient intake patterns were identified: a high vitamin C and β-carotene nutrient intake pattern; a high calcium, phosphorus, and vitamin D nutrient intake pattern; and a high-fat nutrient intake pattern. A significant increase in BC risk was associated with the high vitamin C and β-carotene nutrient pattern (the highest for the fourth quartile; odds ratio [OR], 5.42; 95% confidence interval [CI], 2.11 to 13.91; ptrend=0.001). In the high calcium, phosphorus, and vitamin D nutrient pattern, a significant inverse trend was detected for the risk of BC. The high-fat nutrient pattern showed a significant direct association with BC risk in the third (OR, 3.88; 95% CI, 1.58 to 9.51) and fourth (OR, 3.87; 95% CI, 1.53 to 9.77) quartiles (ptrend=0.001).

CONCLUSIONS

A significant increase in BC risk was detected for the high vitamin C and β-carotene nutrient intake pattern and the high-fat nutrient intake pattern. However, for the high calcium, phosphorus, and vitamin D nutrient intake pattern, a significant inverse trend was observed.

摘要

目的

乳腺癌(BC)是全球最常见的癌症类型。在全球范围内,BC 迅速成为女性的一个主要常见健康问题。本研究旨在评估约旦女性营养摄入模式与 BC 风险之间的关联。

方法

在这项病例对照研究中,共招募了 400 名 20-65 岁的约旦女性。200 名最近被诊断患有 BC 的女性与 200 名 BC 阴性女性按年龄、收入和婚姻状况进行匹配。使用食物频率问卷评估营养摄入模式。

结果

本研究确定了 3 种营养摄入模式:高维生素 C 和β-胡萝卜素摄入模式;高钙、磷和维生素 D 摄入模式;高脂肪摄入模式。高维生素 C 和β-胡萝卜素摄入模式与 BC 风险显著增加相关(第 4 四分位数最高;比值比[OR],5.42;95%置信区间[CI],2.11 至 13.91;ptrend=0.001)。在高钙、磷和维生素 D 摄入模式中,BC 风险呈显著负相关趋势。高脂肪摄入模式在第三(OR,3.88;95% CI,1.58 至 9.51)和第四(OR,3.87;95% CI,1.53 至 9.77)四分位数与 BC 风险呈显著正相关(ptrend=0.001)。

结论

高维生素 C 和β-胡萝卜素营养摄入模式和高脂肪营养摄入模式与 BC 风险显著增加相关。然而,对于高钙、磷和维生素 D 摄入模式,观察到显著的负相关趋势。

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