Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 14167-53955, Iran.
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 14167-53955, Iran.
Clin Nutr ESPEN. 2023 Jun;55:90-96. doi: 10.1016/j.clnesp.2023.02.009. Epub 2023 Feb 11.
To assess the association between the diabetes risk reduction diet score (DRRD) and the odds of breast cancer (BC).
During this hospital-based case-control study we included 149 newly diagnosed cases of BC and 150 controls matched by age. All cases were patients with pathologically confirmed BC, with no history of any form of other cancers. The controls were randomly selected from visitors and families of non-cancer patients in other wards of the same hospital who had no health issues including BC. The dietary intakes were evaluated by a validated 147-item semi-quantitative FFQ. DRRD score was calculated from 9 dietary components published before, with a better score resembling a higher adherence to DRRD.
A negative association was found between the chances of BC and DRRD after adjusting for potential confounders, but it was not statistically significant (OR, 0.47; 95%CI, 0.11-2.08; P = 0.531). Also, there were no significant associations between DRRD and therefore the odds of BC in the crude model and also in post-menopausal (OR, 0.45; 95%CI, 0.10-1.99; P = 0.505) and pre-menopausal women (OR, 0.52; 95%CI, 0.18-1.40; P = 0.097) in our study, after adjusting for potential confounders.
Adherence to a diet with a high DRRD score was not associated with the reduced risk of BC in Iranian adults.
评估糖尿病风险降低饮食评分(DRRD)与乳腺癌(BC)发生几率之间的相关性。
在这项基于医院的病例对照研究中,我们纳入了 149 例新诊断的 BC 病例和 150 例年龄匹配的对照。所有病例均为经病理证实的 BC 患者,无任何其他癌症形式的病史。对照者是从同一医院其他病房的非癌症患者的访客和家属中随机选择的,他们没有包括 BC 在内的任何健康问题。通过经过验证的 147 项半定量 FFQ 评估膳食摄入量。DRRD 评分是根据之前发表的 9 种饮食成分计算得出的,分数越高表明对 DRRD 的依从性越高。
在调整了潜在混杂因素后,BC 发生几率与 DRRD 之间呈负相关,但无统计学意义(OR,0.47;95%CI,0.11-2.08;P=0.531)。此外,DRRD 与 BC 发生几率之间也没有显著相关性,无论是在未调整的模型中(OR,0.45;95%CI,0.10-1.99;P=0.505)还是在绝经后(OR,0.45;95%CI,0.10-1.99;P=0.505)和绝经前妇女(OR,0.52;95%CI,0.18-1.40;P=0.097)中,均在调整了潜在混杂因素后。
在伊朗成年人中,高 DRRD 评分的饮食依从性与 BC 风险降低无关。