Department of Management, Bar-Ilan University, Ramat-Gan 5290002, Israel.
Department of Surgery, Shaare Zedek Medical Center, Jerusalem 9103102, Israel.
Int J Environ Res Public Health. 2020 Oct 21;17(20):7692. doi: 10.3390/ijerph17207692.
Risk and protective factors for breast cancer (BC) include lifestyle, diet, reproduction, and others. Increased risk for colon cancer was linked with low water intake. The link between water consumption and BC was scarcely studied. We investigated the association between water and fluid consumption and the occurrence of BC in a retrospective case-control study in the Shaare Zedek Medical Center, Jerusalem, in 206 women aged 25-65 years (106 with newly diagnosed BC, and 100 controls). A food frequency questionnaire (FFQ), consumption of water, foods, and beverages, lifestyle, and other risk and protective factors were recorded. The age of women in both groups was comparable ((M ± SD) 52.7 ± 9.8 and 50.6 ± 11.4 years, respectively ( = 0.29)). Women with BC consumed 20.2% less water (M ± SD = 5.28 ± 4.2 and 6.62 ± 4.5 cups/day, respectively, = 0.02) and 14% less total fluids than controls (M ± SD = 2095 ± 937 mL/day and 2431 ± 1087 mL/day, respectively, = 0.018). Multiple stepwise logistic regression showed that the differences remained significant both for daily water consumption ( = 0.031, CI = 0.462-0.964) and for total daily liquid intake ( = 0.029, CI = 0.938-0.997). Low water and liquids intake as a risk factor for BC may be related to the younger age of our subjects. The effect of age on the potential role of water intake in decreasing BC risk should be investigated.
乳腺癌(BC)的风险和保护因素包括生活方式、饮食、生殖等。低水摄入量与结肠癌风险增加有关。水消耗与 BC 之间的联系几乎没有研究过。我们在耶路撒冷的 Shaare Zedek 医疗中心进行了一项回顾性病例对照研究,调查了水和液体消耗与 25-65 岁 206 名女性(106 名新诊断为 BC,100 名对照组)BC 发生之间的关系。记录了食物频率问卷(FFQ)、水、食物和饮料的消耗、生活方式和其他风险和保护因素。两组女性的年龄相当((M ± SD)分别为 52.7 ± 9.8 岁和 50.6 ± 11.4 岁( = 0.29))。患有 BC 的女性水摄入量少 20.2%(M ± SD = 5.28 ± 4.2 和 6.62 ± 4.5 杯/天,分别为 = 0.02),总液体摄入量少 14%(M ± SD = 2095 ± 937 mL/天和 2431 ± 1087 mL/天,分别为 = 0.018)。多步逻辑回归显示,每天水摄入量( = 0.031,CI = 0.462-0.964)和总每日液体摄入量( = 0.029,CI = 0.938-0.997)差异均有统计学意义。低水和液体摄入作为 BC 的危险因素可能与我们研究对象的年龄较小有关。应该研究年龄对水摄入降低 BC 风险的潜在作用的影响。