Kaneda N, Nagata C, Kabuto M, Shimizu H
Department of Public Health, Gifu University School of Medicine, Japan.
Nutr Cancer. 1997;27(3):279-83. doi: 10.1080/01635589709514538.
It has been implied that fat and fiber intakes influence breast cancer risk. The effects of these dietary factors may be mediated by hormonal changes. We evaluated the relationships between fat or fiber intake and serum concentration of estradiol (E2) or sex hormone-binding globulin in premenopausal women. In 1994 blood samples were collected from each of 50 premenopausal healthy Japanese women on Days 11 and 22 of the menstrual cycle. Nutrient intakes were assessed by food frequency questionnaire in which the subjects were asked about their diets during one year before the study. Each nutrient intake was categorized into tertile after adjustment for total energy. Linear regression models, including age and cycle length as covariates, were utilized to evaluate the association between the nutrient intakes and the hormone concentrations. A statistically significant trend was observed between increasing fat intake and increasing E2 on Day 11 of the cycle (p = 0.05). The positive trend for increasing sex hormone-binding globulin on Day 22 with fat intake was of borderline significance (p = 0.06). There was a statistically significant inverse trend for E2 on Day 11 of the cycle with fiber intake (p = 0.05). It was suggested that fat as well as fiber intake should affect the hormone status.
有人认为脂肪和纤维摄入量会影响患乳腺癌的风险。这些饮食因素的影响可能是由激素变化介导的。我们评估了绝经前女性脂肪或纤维摄入量与雌二醇(E2)血清浓度或性激素结合球蛋白之间的关系。1994年,在月经周期的第11天和第22天,从50名绝经前健康日本女性中分别采集血样。通过食物频率问卷评估营养摄入量,该问卷询问了受试者在研究前一年的饮食情况。在对总能量进行调整后,将每种营养摄入量分为三分位数。利用包括年龄和周期长度作为协变量的线性回归模型来评估营养摄入量与激素浓度之间的关联。在周期第11天,观察到脂肪摄入量增加与E2增加之间存在统计学显著趋势(p = 0.05)。在第22天,性激素结合球蛋白随脂肪摄入量增加的正向趋势具有临界显著性(p = 0.06)。在周期第11天,E2随纤维摄入量增加存在统计学显著的反向趋势(p = 0.05)。提示脂肪和纤维摄入量均应影响激素状态。