Stasiewicz Beata, Wadolowska Lidia, Biernacki Maciej, Slowinska Malgorzata Anna, Stachowska Ewa
Department of Human Nutrition, The Faculty of Food Science, University of Warmia and Mazury in Olsztyn, Sloneczna 45f, 10-718 Olsztyn, Poland.
Department of Surgery, University of Warmia and Mazury in Olsztyn, 11-041 Olsztyn, Poland.
Cancers (Basel). 2022 Mar 28;14(7):1724. doi: 10.3390/cancers14071724.
The aim of this study was to assess the associations of dietary fat intake with BC occurrence and dietary patterns. This case-control study involved 420 women aged 40−79 years from northeastern Poland, including 190 newly diagnosed BC cases. Dietary data were collected using a food frequency questionnaire (62-item FFQ-6®). The Quick Food Scan of the National Cancer Institute and the Percentage Energy from Fat Screener scoring procedures were used to estimate the percentage energy from dietary fat (Pfat). The odds of BC occurrence was three times higher in the Pfat > 32%. The Pfat > 32% was positively associated with the ‘Non-Healthy’ DP and inversely associated with the Polish-aMED® score, ‘Prudent’ DP, and ‘Margarine and Sweetened Dairy’ DP. This case-control study suggests that a higher dietary fat intake (>32%) may contribute to an increased occurrence of peri- and postmenopausal breast cancer in women. Given the obtained results, an unhealthy dietary pattern characterized by the consumption of highly processed, high in sugar foods and animal fat foods should be avoided to reduce fat intake. Instead, the frequent consumption of low-processed plant foods, fish, and moderate consumption of low-fat dairy should be recommended since this pro-healthy diet is inversely associated with dietary fat intake.
本研究的目的是评估膳食脂肪摄入量与乳腺癌发生及饮食模式之间的关联。这项病例对照研究纳入了来自波兰东北部的420名40 - 79岁女性,其中包括190例新诊断的乳腺癌病例。使用食物频率问卷(62项FFQ - 6®)收集膳食数据。采用美国国立癌症研究所的快速食物扫描法和脂肪能量百分比筛选程序来估算膳食脂肪的能量百分比(Pfat)。Pfat > 32%时,患乳腺癌的几率高出三倍。Pfat > 32%与“不健康”饮食模式呈正相关,与波兰版替代健康饮食指数(Polish - aMED®)得分、“谨慎”饮食模式以及“人造黄油和加糖乳制品”饮食模式呈负相关。这项病例对照研究表明,较高的膳食脂肪摄入量(> 32%)可能会导致绝经前后女性患乳腺癌的几率增加。鉴于所获结果,应避免以食用高加工、高糖食品和动物脂肪食品为特征的不健康饮食模式,以减少脂肪摄入。相反,建议经常食用低加工的植物性食物、鱼类,并适量食用低脂乳制品,因为这种有益健康的饮食与膳食脂肪摄入量呈负相关。