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经验性饮食炎症模式可能增加乳腺癌的发病风险:一项病例对照研究。

Empirical dietary inflammatory pattern could increase the odds of breast cancer: a case-control study.

机构信息

Department of Community Nutrition, School of Nutrition and Food Sciences, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Community Nutrition, School of Nutrition and Food Sciences, Nutrition and Food Security Research Center, Students' Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

BMC Res Notes. 2024 Oct 28;17(1):325. doi: 10.1186/s13104-024-06985-4.

Abstract

BACKGROUND

It has been shown that chronic inflammation is a significant factor in cancer development and progression. The current study aimed to investigate whether a higher score on the empirical dietary inflammatory pattern (EDIP), which indicates a more pro-inflammatory diet, is related to higher odds of breast cancer in Iranian women.

METHODS

In the present case-control study, subjects in the case (n = 133) and control (n = 265) groups were chosen from the hospitals in Tehran, Iran. The cases consisted of women with newly diagnosed breast cancer, while the controls were selected from other parts of the same hospital and had no history of cancer or hormone therapy. Individuals whose reported energy intake deviated by three standard deviations above or below the mean energy intake of the population were excluded from the study. A reliable and valid semi-quantitative food frequency questionnaire was used to determine the participants' dietary intake. Additionally, the association between breast cancer and EDIP was evaluated by logistic regression analysis in both crude and adjusted models.

RESULTS

The median scores of EDIP in the case and control groups were 0.65 and 0.61, respectively. The findings also indicated that, in the adjusted model, the odds of developing breast cancer significantly increased in the last tertile of EDIP compared to the first tertile (odds ratio (OR) = 1.859; 95% confidence interval (CI): 1.059-3.265; P = 0.031). Additionally, after adjusting for potential confounders, higher odds of breast cancer were observed in the last tertile of EDIP compared to the first tertile in postmenopausal women (OR = 2.516; 95% CI: 1.081-5.856; P = 0.033).

CONCLUSIONS

The current study indicated that individuals with a higher pro-inflammatory diet score were more likely to develop breast cancer.

摘要

背景

慢性炎症是癌症发展和进展的一个重要因素,已有研究表明。本研究旨在探讨经验性饮食炎症模式(EDIP)评分较高(提示饮食促炎程度较高)是否与伊朗女性乳腺癌发病风险升高相关。

方法

本病例对照研究中,病例组(n=133)和对照组(n=265)均来自伊朗德黑兰的医院。病例组包括新诊断为乳腺癌的女性,对照组则选自同一医院的其他科室且无癌症或激素治疗史。排除能量摄入偏离人群平均能量摄入三个标准差以上或以下的个体。采用可靠有效的半定量食物频率问卷评估参与者的饮食摄入。此外,采用 logistic 回归分析在调整和未调整模型中评估 EDIP 与乳腺癌的关系。

结果

病例组和对照组的 EDIP 中位数分别为 0.65 和 0.61。调整模型显示,EDIP 得分最高 tertile 组与最低 tertile 组相比,乳腺癌发病风险显著增加(比值比(OR)=1.859;95%置信区间(CI):1.059-3.265;P=0.031)。此外,调整潜在混杂因素后,与 EDIP 得分最低 tertile 组相比,绝经后女性 EDIP 得分最高 tertile 组乳腺癌发病风险更高(OR=2.516;95%CI:1.081-5.856;P=0.033)。

结论

本研究表明,促炎饮食评分较高的个体更易患乳腺癌。

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本文引用的文献

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Pro-vegetarian dietary pattern and risk of breast cancer: a case-control study.植物性饮食模式与乳腺癌风险:病例对照研究。
Breast Cancer Res Treat. 2024 Jun;205(2):395-402. doi: 10.1007/s10549-024-07243-8. Epub 2024 Feb 28.
10
Epidemiological characteristics of and risk factors for breast cancer in the world.全球乳腺癌的流行病学特征及危险因素
Breast Cancer (Dove Med Press). 2019 Apr 10;11:151-164. doi: 10.2147/BCTT.S176070. eCollection 2019.

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