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基于实证的饮食炎症潜能与乳腺癌的关联:一项基于医院的病例对照研究。

Association of Empirically Derived Food-Based Inflammatory Potential of the Diet and Breast Cancer: A Hospital-Based Case-Control Study.

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

出版信息

Clin Breast Cancer. 2022 Jun;22(4):e567-e575. doi: 10.1016/j.clbc.2021.12.010. Epub 2022 Jan 21.

Abstract

BACKGROUND

Diet may be a modifiable factor in the prevention of breast cancer (BC) by modulating inflammation. We used a food-based empirical dietary inflammatory index (FDII) to evaluate the association between FDII and odds of breast cancer in Iranian women.

METHODS

The present case-control study carried out on 150 age-matched women with newly diagnosed breast cancer and controls. Data for dietary intake and anthropometric measures were collected. FDII score was developed according to participants dietary intakes of 27 pre-defined food groups. Multivariate odds ratios (OR) with 95% confidence intervals (CI) were used to investigate the association of empirically derived food-based inflammatory potential of the diet and breast cancer.

RESULTS

The odds ratios of BC according to quartiles of FDII score by multivariate logistic regression models indicated the FDII score was significantly associated with BC risk (OR: 2.38; 95% CI: 1.23-4.59, P = .04). After controlling confounders, multivariate logistic regressions remained significant which revealed in participants at the fourth quartile of FDII score chance of breast cancer was 2.8 times higher than participants in the first quartile.

CONCLUSIONS

The results of our study suggested that more pro-inflammatory diet (higher FDII scores) was associated with increased BC risk. These findings suggest that developing an effective dietary modification based on FDII may reduce risk of BC.

摘要

背景

饮食可能通过调节炎症来影响乳腺癌(BC)的发生,是一种可改变的因素。我们使用基于食物的经验性饮食炎症指数(FDII)来评估 FDII 与伊朗女性乳腺癌发病风险之间的关系。

方法

本病例对照研究纳入了 150 名年龄匹配的新诊断为乳腺癌的患者和对照者。收集了饮食摄入和人体测量学指标的数据。FDII 评分是根据参与者对 27 种预先定义的食物组的饮食摄入量来制定的。使用多变量比值比(OR)和 95%置信区间(CI)来调查饮食中经验性获得的基于食物的炎症潜力与乳腺癌之间的关联。

结果

多变量逻辑回归模型中 FDII 评分四分位数的 BC 比值比表明,FDII 评分与 BC 风险显著相关(OR:2.38;95%CI:1.23-4.59,P=0.04)。在控制了混杂因素后,多变量逻辑回归仍然显著,表明 FDII 评分处于第四四分位的参与者发生乳腺癌的几率是处于第一四分位的参与者的 2.8 倍。

结论

我们的研究结果表明,促炎饮食(较高的 FDII 评分)与增加的 BC 风险相关。这些发现表明,基于 FDII 制定有效的饮食干预可能会降低 BC 的风险。

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