Clinical Nutrition Department, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Cancer Rep (Hoboken). 2020 Apr;3(2):e1212. doi: 10.1002/cnr2.1212. Epub 2019 Aug 15.
Dietary acid load (DAL) may play a key role in certain cancers, including breast cancer (BC); however, evidence showing a causal relationship is lacking.
We examined the relationship between DAL, assessed with both the potential renal acid load (PRAL) and the net endogenous acid production (NEAP) scores, and BC risk.
We identified 150 women who had a diagnosis of BC recently and 150 age-matched apparently healthy controls. Data from dietary intake and anthropometric measures were collected from participants and eventually, PRAL and NEAP scores were obtained from nutrient intakes. Multivariate odds ratios (OR) with 95% confidence intervals (CI) were used to evaluate the relationship of BC risk with PRAL and NEAP scores.
The odds ratios (OR) of BC according to tertiles of PRAL and NEAP scores by multivariate logistic regression models revealed that both PRAL (P-trend = 0.8) and NEAP (P-trend = 0.1) scores were not significantly associated with BC risk. After controlling confounders, multiple logistic regressions still remained non-significant which indicated no significant associations between PRAL (P-trend = 0.9), NEAP (P-trend = 0.4) scores and risk of BC.
The results of our study suggested that there is no significant relationship between DAL and BC incidence among Iranian women.
饮食酸负荷(DAL)可能在某些癌症中起关键作用,包括乳腺癌(BC);然而,缺乏表明因果关系的证据。
我们研究了 DAL 与 BC 风险之间的关系,DAL 通过潜在肾酸负荷(PRAL)和净内源性酸产生(NEAP)评分来评估。
我们确定了 150 名最近被诊断为 BC 的女性和 150 名年龄匹配的貌似健康的对照者。从参与者那里收集饮食摄入和人体测量数据,并最终从营养素摄入中获得 PRAL 和 NEAP 评分。使用多变量比值比(OR)和 95%置信区间(CI)来评估 PRAL 和 NEAP 评分与 BC 风险的关系。
多变量逻辑回归模型根据 PRAL 和 NEAP 评分的三分位数得出的 BC 比值比(OR)表明,PRAL(P 趋势=0.8)和 NEAP(P 趋势=0.1)评分均与 BC 风险无显著相关性。在控制混杂因素后,多元逻辑回归仍然没有显著性,这表明 PRAL(P 趋势=0.9)、NEAP(P 趋势=0.4)评分与 BC 风险之间没有显著关联。
我们的研究结果表明,DAL 与伊朗女性 BC 发病率之间没有显著关系。