la Vecchia C, Negri E, Franceschi S, Decarli A, Giacosa A, Lipworth L
Istituto di Statistica Medica e Biometria, Universita di Milano, Italy.
Cancer Causes Control. 1995 Nov;6(6):545-50. doi: 10.1007/BF00054164.
Data from a multicenter case-control study on breast cancer conducted in Italy have been used to analyze the relationship of olive oil and other dietary fats to breast cancer risk. Cases were 2,564 women hospitalized with histologically confirmed, incident breast cancer. Controls were 2,588 women admitted to the same network of hospitals for acute, non-neoplastic, non-hormone related, non-digestive tract disorders. Cases and controls were interviewed between 1991 and 1994 using a validated food-frequency questionnaire. The data were modelled through multiple logistic regression controlling for demographic and reproductive breast-cancer risk factors, energy intake and, mutually, for types of dietary fat. For olive oil, compared with the lowest quintile, the odds ratios (OR) were 1.05, 0.99, 0.93, and 0.87 for increasing quintiles of intake; in a model postulating linear logit increase, the OR per unit (30 g) was 0.89 (95 percent confidence interval [CI] = 0.81-0.99, P = 0.03). Among other oils or fats considered, the OR for the highest level of intake was 0.72 (CI = 0.6-0.9) for a group of specific seed oils (including safflower, maize, peanut, and soya) compared with nonusers. The ORs for the highest cf lowest level of intake were 0.80 for mixed or unspecified seed oils, 0.95 for butter, and 0.96 for margarine. The study, based on a large dataset from various Italian regions, shows an inverse relationship of breast cancer risk with intake of olive oil and other vegetable oils, but not with butter or margarine.
意大利开展的一项关于乳腺癌的多中心病例对照研究数据,已被用于分析橄榄油及其他膳食脂肪与乳腺癌风险之间的关系。病例组为2564名经组织学确诊为新发乳腺癌的住院女性。对照组为2588名因急性、非肿瘤性、非激素相关、非消化道疾病入住同一医院网络的女性。1991年至1994年间,使用经过验证的食物频率问卷对病例组和对照组进行了访谈。通过多因素logistic回归对数据进行建模,控制人口统计学和生殖方面的乳腺癌风险因素、能量摄入以及膳食脂肪类型。对于橄榄油,与摄入量最低的五分位数相比,摄入量增加的五分位数的比值比(OR)分别为1.05、0.99、0.93和0.87;在假定logit呈线性增加的模型中,每单位(30克)的OR为0.89(95%置信区间[CI]=0.81-0.99,P=0.03)。在考虑的其他油类或脂肪中,与未使用者相比,一组特定种子油(包括红花油、玉米油、花生油和大豆油)摄入量最高水平的OR为0.72(CI=0.6-0.9)。混合或未指定种子油摄入量最高与最低水平的OR为0.80,黄油为0.95,人造黄油为0.96。该研究基于来自意大利不同地区的大量数据集,表明乳腺癌风险与橄榄油和其他植物油的摄入量呈负相关,但与黄油或人造黄油无关。