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饮食炎症指数与乳腺癌:一项大规模病例对照研究报告。

Dietary Inflammatory Index and Breast Cancer: report from a Large-Scale Case-Control Study.

机构信息

Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Nutr Cancer. 2022;74(5):1692-1700. doi: 10.1080/01635581.2021.1957489. Epub 2021 Aug 5.

Abstract

OBJECTIVE

The relationship between diet, including its inflammatory potential, and breast cancer has led to inconsistent results. We investigated the association between a dietary inflammatory index (DII) and the odds of breast cancer in a large case-control study among women.

METHODS

This case-control study was carried out on 412 women with pathologically confirmed breast cancer and 456 apparently healthy controls. DII scores were calculated from dietary intake data. Multi-variable adjusted logistic regression was used to obtain odds ratios for breast cancer across quartiles of DII.

RESULTS

A total participants aged 45 ± 10.8 years were included in the present study. After adjustment for potential confounders, individuals in the highest quartile of DII scores had 1.5 times higher odds of breast cancer than those with the lowest (OR= 1.56; 95%CI: 1.04-2.35, P=0.02). Premenopausal women with the greatest DII had higher odds for breast cancer, compared with those with the lowest DII (OR= 1.92; 95% CI: 1.14-3.25, P=0.01). No significant association was seen between DII and odds of breast cancer in postmenopausal women.

CONCLUSION

Dietary inflammatory index might be directly associated with odds of breast cancer particularly in premenopausal women. Prospective cohort studies are needed to confirm these findings.

摘要

目的

饮食(包括其炎症潜力)与乳腺癌之间的关系导致了结果不一致。我们在一项针对女性的大型病例对照研究中调查了饮食炎症指数(DII)与乳腺癌发病几率之间的关系。

方法

这项病例对照研究纳入了 412 名经病理证实患有乳腺癌的女性和 456 名貌似健康的对照者。通过饮食摄入数据计算 DII 评分。多变量调整逻辑回归用于获得 DII 四分位区间的乳腺癌比值比。

结果

本研究共纳入了年龄为 45±10.8 岁的参与者。在调整了潜在混杂因素后,DII 评分最高四分位数的个体患乳腺癌的几率是最低四分位数的个体的 1.5 倍(OR=1.56;95%CI:1.04-2.35,P=0.02)。与 DII 评分最低的女性相比,DII 评分最高的绝经前女性患乳腺癌的几率更高(OR=1.92;95%CI:1.14-3.25,P=0.01)。在绝经后女性中,DII 与乳腺癌发病几率之间没有显著关联。

结论

饮食炎症指数可能与乳腺癌的发病几率直接相关,尤其是在绝经前女性中。需要前瞻性队列研究来证实这些发现。

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