Abstract
Objective: The amount and composition of dietary carbohydrates is a major determinant of postprandial blood glucose and insulin, and risk of breast cancer has been positively associated with plasma levels of insulin and insulin-like growth factor 1. We sought to evaluate dietary glycemic load (GL) and overall glycemic index (GI) in relation to breast cancer risk in Mexican women.
Methods: We examined dietary GL and overall GI and breast cancer risk among 475 women with histologically-confirmed breast cancer and a random sample of 1391 women from Mexico City households. Diet was assessed using a food frequency questionnaire adapted to the Mexican population.
Results: The multivariate adjusted or for all women comparing the highest quartile of dietary GL with the lowest quartile was 1.62 (95% CI 1.13–2.32; p-test for trend = 0.02) with a significant trend. In postmenopausal women, the multivariate adjusted or comparing the extreme quartiles was 2.18 (95% CI 1.34–3.55; p-test for trend=0.005). Overall GI was not significantly associated with risk of breast cancer.
Conclusion: High intake of rapidly absorbed carbohydrate appears to play an important role in the risk of breast cancer in Mexican women.
Similar content being viewed by others
References
O López-Ríos E Lazcano-Ponce V Tovar M Hernández (1997) ArticleTitleLa epidemiología de cáncer de mama en México ¿Consecuencia de la transición demográfica? Salud Púb Méx 39 259–265
JA Rivera J Sepúlveda (2003) ArticleTitleConclusions from the Mexican National Nutrition Survey 1999: translating results into nutrition policy Salud Púb Méx 45 s565–s575
JM Chan EB Rimm GA Colditz MJ Stampfer WC Willett (1994) ArticleTitleObesity, fat distribution and weight gain as risk factors for clinical diabetes in men Diabetes Care 17 961–969 Occurrence Handle7988316
FB Hu JE Manson MJ Stampfer G Colditz S Liu CCG Solomon WC Willett (2001) ArticleTitleDiet lifestyle and the risk of type 2 diabetes mellitus in women N Eng J Med 345 790–797 Occurrence Handle10.1056/NEJMoa010492
J Rivera Dommarco T Shamah Levy S Villalpando Hernández T González Cossio Particlede B Hernández Prado J Sepulveda (2001) Encuesta Nacional de Nutrición 1999. Estado nutricional de niños y mujeres en México. Instituto Nacional de Salud Pública Cuernavaca, Morelos, México 138
P Muti T Quattrin BJ Grant V Krogh A Micheli HJ Schunemann M Ram JL Freudenheim S Sieri M Trevisan F Berrino (2002) ArticleTitleFasting glucose is a risk factor for breast cancer: a prospective study Cancer Epidemiol Biomarkers Prev 11 1361–1368 Occurrence Handle12433712
AG Renehan M Zwahlen C Minder ST O’Dwyer SM Shalet M Egger (2004) ArticleTitleInsulin-like growth factor (IGF)-I, IGF binding protein−3, and cancer risk: systematic review and meta-regression analysis Lancet 363 1346–1353 Occurrence Handle10.1016/S0140-6736(04)16044-3 Occurrence Handle15110491
I Romieu E Lazcano-Ponce LM Sanchez-Zamorano W Willett M Hernandez-Avila (2004) ArticleTitleCarbohydrates and the risk of breast cancer among Mexican women Cancer Epidemiol Biomarkers Prev 13 1283–1289 Occurrence Handle15298947
M Hernández-Avila I Romieu S Parra J Hernández-Avila H Madrigal W Willett (1998) ArticleTitleValidity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City Salud Púb Méx 40 133–140
InstitutionalAuthorNameDepartment of Agriculture (1992) Composition of foods: raw, processed, prepared, 1963–1991, Agricultural handbook Government Printing Office Washington, DC
Chávez N, Hernández RJ, eds. (1992) Valor nutritivo de los alimentos de mayor consumo en México. Comisión Nacional de Alimentación y Instituto Nacional de la Nutrición, México DF, México.
K Foster-Powell SHA Holt JC Brand-Miller (2002) ArticleTitleInternational table of glycemic index and glycemic load values:2002 Am J Clin Nutr 76 5–56 Occurrence Handle12081815
W Willett M Stampfer (1998) Implications of total energy intake for epidemiologic analysis W. Willett (Eds) Nutritional Epidemiology EditionNumber Second Edition Oxford University Press New York 273–301
S Higginbotham ZF Zhang IM Lee NR Cook JE Buring S Liu (2004) ArticleTitleDietary glycemic load and breast cancer risk in the Women’s Health Study Cancer Epidemiol Biomarkers Prev 13 65–70 Occurrence Handle14744735
K McPherson C Steel J Dixon (2000) ArticleTitleBreast cancer epidemiology, risk factors, and genetics Br J Nutr 231 624–28
E Cho D Spiegelman DJ Hunter WY Chen GA Colditz WC Willett (2003) ArticleTitlePremenopausal dietary carbohydrate, glycemic index, glycemic load and fiber in relation to risk of breast cancer Cancer Epidemiol Biomarkers Prev 12 1153–1158 Occurrence Handle14652274
MD Holmes S Liu SE Hankinson GA Colditz DJ Hunter WC Willett (2004) ArticleTitleDietary carbohydrates, fiber and breast cancer Am J Epidemiol 159 732–739 Occurrence Handle10.1093/aje/kwh112 Occurrence Handle15051582
CR Jonas ML McCullough LR Teras KA Walker-Thurmund MJ Thun EE Calle (2003) ArticleTitleDietary glycemic index, glycemic load, and risk of incident breast cancer in postmenopausal women Cancer Epidemiol Biomarkers Prev 12 573–577 Occurrence Handle12815005
AL Frazier L Li E Cho WC Willett GA Colditz (2004) ArticleTitleAdolescent diet and risk of breast cancer Cancer Caus Cont 15 73–78 Occurrence Handle10.1023/B:CACO.0000016617.57120.df
LSA Augustin L Dal Maso C Vechia ParticleLa et al. (2001) ArticleTitleDietary glycemic index and glycemic load, and breast cancer risk: A case-control study Ann Oncol 12 1533–1538 Occurrence Handle10.1023/A:1013176129380 Occurrence Handle11822751
F Levi C Pasche F Lucchini C Bosetti C Vecchia ParticleLa (2002) ArticleTitleGlycemic index, breast and colorectal cancer Ann Oncol 13 1688–1689 Occurrence Handle10.1093/annonc/mdf261 Occurrence Handle12377662
R. Kaaks (2001) ArticleTitlePlasma insulin, IGF-I and breast cancer Gynecol Obstet Fertil 29 185–191 Occurrence Handle10.1016/S1297-9589(00)00047-3 Occurrence Handle11300043
MN Pollak ES Schernhammer SE Hankinson (2004) ArticleTitleInsulin-like growth factors and neoplasia Nature Rev 4 505–518 Occurrence Handle10.1038/nrc1387
ES Schernhammer JM Holly MN Pollak SE Hankinson (2005) ArticleTitleCirculating levels of insulin-like growth factors, their binding proteins, and breast cancer risk Cancer Epidemiol Biomarkers Prev 14 699–704 Occurrence Handle10.1158/1055-9965.EPI-04-0561 Occurrence Handle15767352
KB Michels CG Solomon FB Hu et al. (2003) ArticleTitleType 2 diabetes and subsequent incidence of breast cancer in the Nurses’ Health Study Diabetes Care 26 1752–1758 Occurrence Handle12766105
SS Coughlin EE Calle LR Teras J Petrelli MJ Thun (2004) ArticleTitleDiabetes mellitus as a predictor of cancer mortality in a large cohort of US adults Am J Epidemiol 159 1160–1167 Occurrence Handle10.1093/aje/kwh161 Occurrence Handle15191933
MF McCarty (1993) ArticleTitleInsulin resistance in Mexican-Americans – a precursor to obesity and diabetes? Med Hypotheses 41 308–315 Occurrence Handle10.1016/0306-9877(93)90072-X Occurrence Handle8289693
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lajous, M., Willett, W., Lazcano-Ponce, E. et al. Glycemic Load, Glycemic Index, and the Risk of Breast Cancer Among Mexican Women. Cancer Causes Control 16, 1165–1169 (2005). https://doi.org/10.1007/s10552-005-0355-x
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s10552-005-0355-x