Katsouyanni K, Willett W, Trichopoulos D, Boyle P, Trichopoulou A, Vasilaros S, Papadiamantis J, MacMahon B
Department of Hygiene and Epidemiology, University of Athens Medical School, Greece.
Cancer. 1988 Jan 1;61(1):181-5. doi: 10.1002/1097-0142(19880101)61:1<181::aid-cncr2820610130>3.0.co;2-j.
A case-control study of the role of diet in the cause of breast cancer was conducted in Athens, Greece. The case series consisted of 120 consecutive patients with histologically confirmed breast cancer admitted to either of two teaching hospitals over a 12-month period. The controls were 120 patients admitted to a teaching hospital for trauma and orthopedic conditions during the same period. Dietary histories concerning the frequency of consumption of 120 foods and drinks were obtained by interview. Nutrient intakes for individuals were estimated by multiplying the nutrient content of a selected typical portion size for each specified food item by the frequency that the food was used per month and summing these estimates for all food items. Cases reported significantly less frequent consumption of vitamin A after controlling for total caloric intake, potential external confounding variables and other nutrients associated with breast cancer risk. The odds ratio estimated for consumption of vitamin A equal to the value of the 90th centile versus consumption equal to the value of the 10th centile was 0.46 with 90% confidence limits 0.26-0.82. There was no evidence that high intake of dietary fat increases the risk of breast cancer.
在希腊雅典开展了一项关于饮食在乳腺癌病因中作用的病例对照研究。病例组由连续120例经组织学确诊为乳腺癌的患者组成,这些患者在12个月期间被收治于两家教学医院中的任意一家。对照组为同期因创伤和骨科疾病入住一家教学医院的120例患者。通过访谈获取了关于120种食物和饮品食用频率的饮食史。通过将每种特定食物选定的典型份量的营养成分乘以该食物每月的食用频率,并将所有食物的这些估计值相加,来估算个体的营养摄入量。在控制了总热量摄入、潜在的外部混杂变量以及与乳腺癌风险相关的其他营养素后,病例组报告的维生素A食用频率显著较低。维生素A摄入量等于第90百分位数者与摄入量等于第10百分位数者相比,估计的优势比为0.46,90%置信区间为0.26 - 0.82。没有证据表明高膳食脂肪摄入量会增加患乳腺癌的风险。