Skip to main content
SpringerLink
Log in

The effect of dietary fat on breast cancer survival among Caucasian and Japanese women in Hawaii

  • Published:
Breast Cancer Research and Treatment Aims and scope Submit manuscript

Summary

182 Japanese and 161 Caucasian breast cancer patients participated in an epidemiologic case-control study from 1975–1980. They were subsequently followed until the end of 1987 to determine their survival status. Among the Japanese, patients with regional or distant disease had a relative risk (RR) of death of 13.0 (95% Confidence Interval (CI), 4.3–39.1) compared to those within situ or localized disease, and obese patients had a RR of death of 3.5 (95% CI, 1.3–10.0) compared to non-obese subjects. Among the Caucasians, patients with advanced disease had a RR of death of 4.3 (95% CI, 1.8–10.5) compared to those within situ or localized disease, and patients with a high fat intake had a RR of 3.2 (95% CI, 1.2–8.6) compared to subjects with a low fat intake. Menopausal status (pre- or postmenopausal) and replacement estrogen use were not related to survival from breast cancer in either ethnic group. When Japanese and Caucasian patients were compared with each other, there was no significant difference in survival between them.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Schatzkin A, Greenwald P, Byar DP,et al.: The dietary fat — breast cancer hypothesis is alive. JAMA 261: 3284–3287, 1989

    Article  PubMed  CAS  Google Scholar 

  2. Pryor M, Slattery ML, Robinson LM,et al.: Adolescent diet and breast cancer in Utah. Cancer Res 49: 2161–2167, 1989

    PubMed  CAS  Google Scholar 

  3. Toniolo P, Riboli E, Protta F,et al.: Calorie-providing nutrients and risk of breast cancer. J Natl Cancer Inst 81: 278–286, 1989

    Article  PubMed  CAS  Google Scholar 

  4. Rohan TE, McMichael AJ, Bachurst PA: A population-based case-control study of diet and breast cancer in Australia. Am J Epidemiol 128: 478–489, 1988

    PubMed  CAS  Google Scholar 

  5. Willett WC, Stampfer MJ, Colditz GA,et al.: Dietary fat and the risk of breast cancer. N Engl J Med 316: 22–28, 1987

    Article  PubMed  CAS  Google Scholar 

  6. Jones DY, Schatzkin A, Green SB,et al.: Dietary fat and breast cancer in the National Health and Nutrition Examination Survey. I. Epidemiologic follow-up study. J Natl Cancer Inst 79: 465–471, 1987

    PubMed  CAS  Google Scholar 

  7. Lubin F, Wax Y, Modan B: Role of fat, animal protein, and dietary fiber in breast cancer etiology: a case-control study. J Natl Cancer Inst 77: 605–612, 1986

    PubMed  CAS  Google Scholar 

  8. Hulka BS: Dietary fat and breast cancer: case-control and cohort studies. Prev Med 18: 180–193, 1989

    Article  PubMed  CAS  Google Scholar 

  9. Gregorio DI, Emrich LJ, Graham S,et al.: Dietary fat consumption and survival among women with breast cancer. J Natl Cancer Inst 75: 37–41, 1985

    PubMed  CAS  Google Scholar 

  10. Newman SC, Miller AB, Howe GR: A study of the effect of weight and dietary fat on breast cancer survival time. Am J Epidemiol 123: 767–774, 1986

    PubMed  CAS  Google Scholar 

  11. Nomura AMY, Lee J, Kolonel LN,et al.: Breast cancer in two populations with different levels of risk for the disease. Am J Epidemiol 119: 496–502, 1984

    PubMed  CAS  Google Scholar 

  12. Hirohata T, Nomura AMY, Hankin JH,et al.: An epidemiologic study on the association between diet and breast cancer. J Natl Cancer Inst 78: 595–600, 1987

    PubMed  CAS  Google Scholar 

  13. Nomura AMY, Kolonel LN, Hirohata T,et al.: The association of replacement estrogens with breast cancer. Int J Cancer 37: 49–53, 1986

    Article  PubMed  CAS  Google Scholar 

  14. Kolonel LN, Nomura AMY, Lee J,et al.: Anthropometric indicators of breast cancer risk in postmenopausal women in Hawaii. Nutr Cancer 8: 247–256, 1986

    Article  PubMed  CAS  Google Scholar 

  15. Benn RT: Some mathematical properties of weight-for-height indices used as measures of adiposity. Br J Prev Soc Med 25: 42–50, 1971

    PubMed  CAS  Google Scholar 

  16. Lee ET: Statistical Methods for Survival Data Analysis. Lifetime Learning Publications, Belmont CA, 1980, pp 75–87

    Google Scholar 

  17. Cox DR: Regression models and life-tables (with discussion). J Roy Stat Soc B 34: 187–220, 1972

    Google Scholar 

  18. SAS Institute Inc: Sugi Supplemental Library User's Guide (1983 edn). SAS Institute Inc, Cary NC 1983, pp 267–294

    Google Scholar 

  19. Le Marchand L, Kolonel LN, Nomura AMY: Breast cancer survival among Hawaii Japanese and Caucasian women. Am J Epidemiol 122: 571–578, 1985

    Google Scholar 

  20. Danforth E: Diet and obesity. Am J Clin Nutr 41: 1132–1145, 1985

    PubMed  Google Scholar 

  21. Le Marchand L, Kolonel LN, Earle ME, Mi MP: Body size at different periods of life and breast cancer risk. Am J Epidemiol 128: 137–152, 1988

    PubMed  Google Scholar 

  22. Tretli S: Height and weight in relation to breast cancer morbidity and mortality. A prospective study of 570,000 women in Norway. Int J Cancer 44: 23–30, 1989

    Article  PubMed  CAS  Google Scholar 

  23. Zollinger TW, Phillips RL, Kuzma JW: Breast cancer survival rates among Seventh-Day Adventists and non-Seventh-Day Adventists. Am J Epidemiol 119: 503–509, 1984

    PubMed  CAS  Google Scholar 

  24. Mohle-Boetani JC, Grosser S, Whittemore AS,et al.: Body size, reproductive factors, and breast cancer survival. Prev Med 17: 634–642, 1988

    Article  PubMed  CAS  Google Scholar 

  25. Hebert JR, Augustine A, Barone J,et al.: Weight, height, and body mass index in the prognosis of breast cancer: early results of a prospective study. Int J Cancer 42: 315–318, 1988

    Article  PubMed  CAS  Google Scholar 

  26. Boyd NF, Campbell JE, Germanson T,et al.: Body weight and prognosis in breast cancer. J Natl Cancer Inst 67: 785–789, 1981

    PubMed  CAS  Google Scholar 

  27. Tartter PI, Papatestas AE, Ioannovich J,et al.: Cholesterol and obesity as prognostic factors in breast cancer. Cancer 47: 2222–2227, 1981

    Article  PubMed  CAS  Google Scholar 

  28. William G, Howell A, Jones M: The relationship of body weight to response to endocrine therapy, steroid hormone receptors, and survival of patients with advanced cancer of the breast. Br J Cancer 58: 631–634, 1988

    Google Scholar 

  29. Sohrabi A, Sandoz J, Spratt JS,et al.: Recurrence of breast cancer. JAMA 244: 264–265, 1980

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Epidemiology Program, Cancer Research Center of Hawaii, University of Hawaii, 1236 Lauhala Street, 96813, Honolulu, HI, USA

    Abraham M. Y. Nomura, Loic Le Marchand, Laurence N. Kolonel & Jean H. Hankin

Authors
  1. Abraham M. Y. Nomura
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Loic Le Marchand
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Laurence N. Kolonel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jean H. Hankin
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nomura, A.M.Y., Le Marchand, L., Kolonel, L.N. et al. The effect of dietary fat on breast cancer survival among Caucasian and Japanese women in Hawaii. Breast Cancer Res Tr 18 (Suppl 1), S135–S141 (1991). https://doi.org/10.1007/BF02633546

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02633546

Key words

Search

Navigation