Clinical Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Community Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), No 44, Hojjat-dost Alley, Naderi St., Keshavarz Blvd, Tehran, Iran.
Breast Cancer. 2020 Jul;27(4):652-661. doi: 10.1007/s12282-020-01059-2. Epub 2020 Feb 17.
Our purpose was to assess the association between dietary total antioxidant capacity (DTAC), as assessed by oxygen radical absorbance capacity and breast cancer (BrCa) incidence among Iranian women.
This hospital-based case-control study included 150 newly diagnosed BrCa cases and 150 age-matched apparently healthy women from the Cancer Research Center, Imam Khomeini hospital, Iran. Socio-demographic data and anthropometric measures were determined. Dietary intake was assessed using a 147-item validated food frequency questionnaire. Energy-adjusted DTAC was calculated with the USDA database.
After adjusting for potential confounders, multivariable logistic regression showed that the incidence of BrCa was not significantly different between highest tertile of DTAC and the lowest tertile (P trend = 0.91). Moreover, on the basis of menopausal status, no significant association between DTAC and BrCa risk among pre-menopausal (P trend = 0.62) and post-menopausal women (P trend = 0.77) was detected.
We did not observe any significant association of DTAC with BrCa incidence among Iranian women. Continued and expanded research on DTAC, evaluated by different methods and BrCa risk is needed to build the foundation for future progress in evidence-based public health efforts.
本研究旨在评估伊朗女性膳食总抗氧化能力(DTAC)与乳腺癌(BrCa)发病率之间的关联,DTAC 采用氧自由基吸收能力法进行评估。
本项基于医院的病例对照研究纳入了 150 例新诊断的 BrCa 患者和 150 名年龄匹配的来自伊朗伊玛目霍梅尼医院癌症研究中心的健康对照女性。研究人员确定了社会人口统计学数据和人体测量学指标。采用经过验证的 147 项食物频率问卷评估了膳食摄入量。采用美国农业部数据库计算了能量校正后的 DTAC。
在校正了潜在混杂因素后,多变量逻辑回归显示,DTAC 最高三分位组与最低三分位组之间的 BrCa 发病率无显著差异(P 趋势=0.91)。此外,基于绝经状态,在绝经前(P 趋势=0.62)和绝经后女性(P 趋势=0.77)中,DTAC 与 BrCa 风险之间也未观察到显著关联。
本研究未发现 DTAC 与伊朗女性 BrCa 发病率之间存在任何显著关联。需要继续开展并扩大采用不同方法评估 DTAC 与 BrCa 风险的研究,为基于证据的公共卫生工作的未来进展奠定基础。