Skip to main content

ω-3 PUFAs and Breast Cancer: Epidemiological Studies

  • Chapter
  • First Online:
Book cover Dietary Omega-3 Polyunsaturated Fatty Acids and Cancer

Part of the book series: Diet and Cancer ((DICA,volume 1))

  • 1270 Accesses

Abstract

ω-3 polyunsaturated fatty acids, particularly the long-chain eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have been shown to inhibit the proliferation of breast cancer cell lines in vitro and to reduce the risk and progression of this tumor in animal experiments. However, the evidence from epidemiological studies remains unclear, despite a large number of studies published to date. The majority of the studies have not supported a consistent inverse association between fish consumption or omega-3 fatty acid intake and risk of breast cancer. Nevertheless, the results of several studies do suggest potentially important beneficial effects. Future epidemiological studies likely will benefit from the assessment of specific fatty acids in the diet, including EPA and DHA, and the ratio of these to omega-6 fatty acids, the consideration of host factors such as menopausal status, tumor and prognostic factors such as tumor hormone receptor status, tumor size, stage of breast cancer at diagnosis, and factors that might modify the association between diet and breast cancer.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wu AH, Pike MC, Stram DO. Meta-analysis: Dietary fat Intake, serum estrogen levels, and the risk of breast cancer. J Natl Cancer Inst 1999; 91:529–34.

    CAS  PubMed  Google Scholar 

  2. Ballard-Barbash R, Forman MR, Kipnis V. Dietary fat, serum estrogen levels, and breast cancer risk: A multifaceted story. J Natl Cancer Inst 1999; 91:492–4.

    CAS  PubMed  Google Scholar 

  3. Holmes MD, Schisterman EF, Spiegelman D, Hunter DJ, Willett WC. Re: Meta-analysis: dietary fat intake, serum estrogen levels, and the risk of breast cancer. J Natl Cancer Inst 1999; 91:1511–2.

    CAS  PubMed  Google Scholar 

  4. Nagata C, Takatsuka N, Kawakami N, Shimizu H. Total and monounsaturated fat intake and serum estrogen concentrations in premenopausal Japanese women. Nutr Cancer 2000; 38:37–9.

    CAS  PubMed  Google Scholar 

  5. Nagata C, Takatsuka N, Kawakami N, Shimizu H. Relationships between types of fat consumed and serum estrogen and androgen concentrations in Japanese men. Nutr Cancer 2000; 38:163–7.

    CAS  PubMed  Google Scholar 

  6. Thiebaut AC, Kipnis V, Chang SC, et al. Dietary fat and postmenopausal invasive breast cancer in the national institutes of health-AARP diet and health study cohort. J Natl Cancer Inst 2007; 99:451–62.

    PubMed  Google Scholar 

  7. Hunter DJ, Spiegelman D, Adami HO, et al. Cohort studies of fat intake and the risk of breast cancer–a pooled analysis. N Engl J Med 1996; 334:356–61.

    CAS  PubMed  Google Scholar 

  8. Smith-Warner SA, Spiegelman D, Adami HO, et al. Types of dietary fat and breast cancer: A pooled analysis of cohort studies. Int J Cancer 2001; 92:767–74.

    CAS  PubMed  Google Scholar 

  9. Willett WC. Specific fatty acids and risks of breast and prostate cancer: Dietary intake. Am J Clin Nutr 1997; 66:1557S–63S.

    CAS  PubMed  Google Scholar 

  10. Terry PD, Rohan TE, Wolk A. Intakes of fish and marine fatty acids and the risks of cancers of the breast and prostate and of other hormone-related cancers: A review of the epidemiologic evidence. Am J Clin Nutr 2003; 77:532–43.

    CAS  PubMed  Google Scholar 

  11. Terry PD, Terry JB, Rohan TE. Long-chain (n-3) fatty acid intake and risk of cancers of the breast and the prostate: Recent epidemiological studies, biological mechanisms, and directions for future research. J Nutr 2004; 134: 3412S–20S.

    CAS  PubMed  Google Scholar 

  12. Rose DP, Connolly JM. Omega-3 fatty acids as cancer chemopreventive agents. Pharmacol Ther 1999; 83:217–44.

    CAS  PubMed  Google Scholar 

  13. Ip C. Review of the effects of trans fatty acids, oleic acid, n-3 polyunsaturated fatty acids, and conjugated linoleic acid on mammary carcinogenesis in animals. Am J Clin Nutr 1997; 66:1523S–29S.

    CAS  PubMed  Google Scholar 

  14. Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin 2005; 55:74–108.

    PubMed  Google Scholar 

  15. Ferlay J, Autier P, Boniol M, Heanue M, Colombet M, Boyle P. Estimates of the cancer incidence and mortality in Europe in 2006. Ann Oncol 2007; 18:581–92.

    CAS  PubMed  Google Scholar 

  16. Jemal A, Siegel R, Ward E, et al. Cancer statistics, 2006. CA Cancer J Clin 2006; 56:106–30.

    PubMed  Google Scholar 

  17. Smigal C, Jemal A, Ward E, et al. Trends in breast cancer by race and ethnicity: Update 2006. CA Cancer J Clin 2006; 56:168–83.

    PubMed  Google Scholar 

  18. Parkin DM, Pisani P, Ferlay J. Global cancer statistics. CA Cancer J Clin 1999; 49:33–64, 1.

    PubMed  Google Scholar 

  19. Whelan SL, Parkin DM, Masuyer E. Patterns of Cancer in Five Continents. Lyon: IARC Scientific Publications n. 102, 1990.

    Google Scholar 

  20. Horner MJ RL, Krapcho M, Neyman N, Aminou R, Howlader N, Altekruse SF, Feuer EJ, Huang L, Mariotto A, Miller BA, Lewis DR, Eisner MP, Stinchcomb DG, Edwards BK (eds.). SEER Cancer Statistics Review, 1975–2006, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2006/, based on November 2008 SEER data submission, posted to the SEER web site, 2009.

  21. Willett WC. Diet and breast cancer. J Intern Med 2001; 249:395–411.

    CAS  PubMed  Google Scholar 

  22. Key TJ, Allen NE, Spencer EA, Travis RC. The effect of diet on risk of cancer. Lancet 2002; 360:861–8.

    CAS  PubMed  Google Scholar 

  23. Lof M, Weiderpass E. Impact of diet on breast cancer risk. Curr Opin Obstet Gynecol 2009; 21:80–5.

    PubMed  Google Scholar 

  24. Michels KB, Mohllajee AP, Roset-Bahmanyar E, Beehler GP, Moysich KB. Diet and breast cancer: A review of the prospective observational studies. Cancer 2007; 109:2712–49.

    CAS  PubMed  Google Scholar 

  25. Armstrong B, Doll R. Environmental factors and cancer incidence and mortality in different countries, with special reference to dietary practices. Int J Cancer 1975; 15:617–31.

    CAS  PubMed  Google Scholar 

  26. Davis BC, Kris-Etherton PM. Achieving optimal essential fatty acid status in vegetarians: Current knowledge and practical implications. Am J Clin Nutr 2003; 78:640S–46S.

    CAS  PubMed  Google Scholar 

  27. Hebert JR, Rosen A. Nutritional, socioeconomic, and reproductive factors in relation to female breast cancer mortality: Findings from a cross-national study. Cancer Detect Prev 1996; 20:234–44.

    CAS  PubMed  Google Scholar 

  28. Kaizer L, Boyd NF, Kriukov V, Tritchler D. Fish consumption and breast cancer risk: An ecological study. Nutr Cancer 1989; 12:61–8.

    CAS  PubMed  Google Scholar 

  29. Sasaki S, Horacsek M, Kesteloot H. An ecological study of the relationship between dietary fat intake and breast cancer mortality. Prev Med 1993; 22:187–202.

    CAS  PubMed  Google Scholar 

  30. Guo WD, Chow WH, Zheng W, Li JY, Blot WJ. Diet, serum markers and breast cancer mortality in China. Jpn J Cancer Res 1994; 85:572–7.

    CAS  PubMed  Google Scholar 

  31. Caygill CP, Charlett A, Hill MJ. Fat, fish, fish oil and cancer. Br J Cancer 1996; 74:159–64.

    CAS  PubMed  Google Scholar 

  32. Karmali RA. Omega-3 fatty acids and cancer: A review. In: Lands WE, (ed.). Proceedings of the AOCS Short Course on Polyunsaturated Fatty Acids and Eicosanoids, Mississippi, May 1987:13–16. Champaign, IL: American Oil Chemists’ Society, 1987:222–32.

    Google Scholar 

  33. Bjarnason O, Day N, Snaedal G, Tulinius H. The effect of year of birth on the breast cancer age-incidence curve in Iceland. Int J Cancer 1974; 13:689–96.

    CAS  PubMed  Google Scholar 

  34. Lanier AP, Kelly JJ, Smith B, et al. Alaska native cancer update: Incidence rates 1989–1993. Cancer Epidemiol Biomarkers Prev 1996; 5:749–51.

    CAS  PubMed  Google Scholar 

  35. Nielsen NH, Hansen JP. Breast cancer in Greenland–selected epidemiological, clinical, and histological features. J Cancer Res Clin Oncol 1980; 98:287–99.

    CAS  PubMed  Google Scholar 

  36. Poole C. Ecologic analysis as outlook and method. Am J Public Health 1994; 84:715–6.

    CAS  PubMed  Google Scholar 

  37. Childs MT, King IB, Knopp RH. Divergent lipoprotein responses to fish oils with various ratios of eicosapentaenoic acid and docosahexaenoic acid. Am J Clin Nutr 1990; 52: 632–9.

    CAS  PubMed  Google Scholar 

  38. Rothman KJ, Greenland S. Modern Epidemiology, 2nd ed. Philadelphia, PA: Lipincott-Raven, 1998: p. 319.

    Google Scholar 

  39. Willett WC. Nutritional Epidemiology, 2nd ed. New York: Oxford University Press, 1998.

    Google Scholar 

  40. Hislop TG, Coldman AJ, Elwood JM, Brauer G, Kan L. Childhood and recent eating patterns and risk of breast cancer. Cancer Detect Prev 1986; 9:47–58.

    CAS  PubMed  Google Scholar 

  41. Hislop TG, Kan L, Coldman AJ, Band PR, Brauer G. Influence of estrogen receptor status on dietary risk factors for breast cancer. CMAJ 1988; 138:424–30.

    CAS  PubMed  Google Scholar 

  42. Ambrosone CB, Freudenheim JL, Sinha R, et al. Breast cancer risk, meat consumption and N-acetyltransferase (NAT2) genetic polymorphisms. Int J Cancer 1998; 75:825–30.

    CAS  PubMed  Google Scholar 

  43. Fernandez E, Chatenoud L, La Vecchia C, Negri E, Franceschi S. Fish consumption and cancer risk. Am J Clin Nutr 1999; 70:85–90.

    CAS  PubMed  Google Scholar 

  44. Levi F, La Vecchia C, Gulie C, Negri E. Dietary factors and breast cancer risk in Vaud, Switzerland. Nutr Cancer 1993; 19:327–35.

    CAS  PubMed  Google Scholar 

  45. Shannon J, Cook LS, Stanford JL. Dietary intake and risk of postmenopausal breast cancer (United States). Cancer Causes Control 2003; 14:19–27.

    PubMed  Google Scholar 

  46. Toniolo P, Riboli E, Protta F, Charrel M, Cappa AP. Calorie-providing nutrients and risk of breast cancer. J Natl Cancer Inst 1989; 81:278–86.

    CAS  PubMed  Google Scholar 

  47. Mannisto S, Pietinen P, Virtanen M, Kataja V, Uusitupa M. Diet and the risk of breast cancer in a case-control study: Does the threat of disease have an influence on recall bias? J Clin Epidemiol 1999; 52:429–39.

    CAS  PubMed  Google Scholar 

  48. Landa MC, Frago N, Tres A. Diet and the risk of breast cancer in Spain. Eur J Cancer Prev 1994; 3:313–20.

    CAS  PubMed  Google Scholar 

  49. Kato I, Miura S, Kasumi F, et al. A case-control study of breast cancer among Japanese women: With special reference to family history and reproductive and dietary factors. Breast Cancer Res Treat 1992; 24:51–9.

    CAS  PubMed  Google Scholar 

  50. Iscovich JM, Iscovich RB, Howe G, Shiboski S, Kaldor JM. A case-control study of diet and breast cancer in Argentina. Int J Cancer 1989; 44:770–6.

    CAS  PubMed  Google Scholar 

  51. Hirose K, Takezaki T, Hamajima N, Miura S, Tajima K. Dietary factors protective against breast cancer in Japanese premenopausal and postmenopausal women. Int J Cancer 2003; 107:276–82.

    CAS  PubMed  Google Scholar 

  52. Hirose K, Tajima K, Hamajima N, et al. A large-scale, hospital-based case-control study of risk factors of breast cancer according to menopausal status. Jpn J Cancer Res 1995; 86:146–54.

    CAS  PubMed  Google Scholar 

  53. De Stefani E, Ronco A, Mendilaharsu M, Guidobono M, Deneo-Pellegrini H. Meat intake, heterocyclic amines, and risk of breast cancer: A case-control study in Uruguay. Cancer Epidemiol Biomarkers Prev 1997; 6:573–81.

    PubMed  Google Scholar 

  54. Dai Q, Shu XO, Jin F, Gao YT, Ruan ZX, Zheng W. Consumption of animal foods, cooking methods, and risk of breast cancer. Cancer Epidemiol Biomarkers Prev 2002; 11:801–8.

    PubMed  Google Scholar 

  55. Lubin JH, Burns PE, Blot WJ, Ziegler RG, Lees AW, Fraumeni JF, Jr. Dietary factors and breast cancer risk. Int J Cancer 1981; 28:685–9.

    CAS  PubMed  Google Scholar 

  56. Lee HP, Gourley L, Duffy SW, Esteve J, Lee J, Day NE. Dietary effects on breast-cancer risk in Singapore. Lancet 1991; 337:1197–200.

    CAS  PubMed  Google Scholar 

  57. Lee HP, Gourley L, Duffy SW, Esteve J, Lee J, Day NE. Risk factors for breast cancer by age and menopausal status: A case-control study in Singapore. Cancer Causes Control 1992; 3:313–22.

    CAS  PubMed  Google Scholar 

  58. Shu XO, Jin F, Dai Q, et al. Soyfood intake during adolescence and subsequent risk of breast cancer among Chinese women. Cancer Epidemiol Biomarkers Prev 2001; 10:483–8.

    CAS  PubMed  Google Scholar 

  59. Hursting SD, Thornquist M, Henderson MM. Types of dietary fat and the incidence of cancer at five sites. Prev Med 1990; 19:242–53.

    CAS  PubMed  Google Scholar 

  60. Goodstine SL, Zheng T, Holford TR, et al. Dietary (n-3)/(n-6) fatty acid ratio: Possible relationship to premenopausal but not postmenopausal breast cancer risk in U.S. women. J Nutr 2003; 133:1409–14.

    CAS  PubMed  Google Scholar 

  61. Nkondjock A, Shatenstein B, Ghadirian P. A case-control study of breast cancer and dietary intake of individual fatty acids and antioxidants in Montreal, Canada. Breast 2003; 12: 128–35.

    CAS  PubMed  Google Scholar 

  62. Zhu ZR, Agren J, Mannisto S, et al. Fatty acid composition of breast adipose tissue in breast cancer patients and in patients with benign breast disease. Nutr Cancer 1995; 24:151–60.

    CAS  PubMed  Google Scholar 

  63. London SJ, Sacks FM, Stampfer MJ, et al. Fatty acid composition of the subcutaneous adipose tissue and risk of proliferative benign breast disease and breast cancer. J Natl Cancer Inst 1993; 85:785–93.

    CAS  PubMed  Google Scholar 

  64. Maillard V, Bougnoux P, Ferrari P, et al. N-3 and N-6 fatty acids in breast adipose tissue and relative risk of breast cancer in a case-control study in Tours, France. Int J Cancer 2002; 98:78–83.

    CAS  PubMed  Google Scholar 

  65. Petrek JA, Hudgins LC, Levine B, Ho M, Hirsch J. Breast cancer risk and fatty acids in the breast and abdominal adipose tissues. J Natl Cancer Inst 1994; 86:53–6.

    CAS  PubMed  Google Scholar 

  66. Simonsen N, van’t Veer P, Strain JJ, et al. Adipose tissue omega-3 and omega-6 fatty acid content and breast cancer in the EURAMIC study. European community multicenter study on antioxidants, myocardial infarction, and breast cancer. Am J Epidemiol 1998; 147: 342–52.

    CAS  PubMed  Google Scholar 

  67. Kuriki K, Hirose K, Wakai K, et al. Breast cancer risk and erythrocyte compositions of n-3 highly unsaturated fatty acids in Japanese. Int J Cancer 2007; 121:377–85.

    CAS  PubMed  Google Scholar 

  68. Shannon J, King IB, Moshofsky R, et al. Erythrocyte fatty acids and breast cancer risk: A case-control study in Shanghai, China. Am J Clin Nutr 2007; 85:1090–7.

    CAS  PubMed  Google Scholar 

  69. Chajes V, Hulten K, Van Kappel AL, et al. Fatty-acid composition in serum phospholipids and risk of breast cancer: An incident case-control study in Sweden. Int J Cancer 1999; 83:585–90.

    CAS  PubMed  Google Scholar 

  70. Vatten LJ, Bjerve KS, Andersen A, Jellum E. Polyunsaturated fatty acids in serum phospholipids and risk of breast cancer: A case-control study from the Janus serum bank in Norway. Eur J Cancer 1993; 29A:532–8.

    CAS  PubMed  Google Scholar 

  71. Takata Y, King IB, Neuhouser ML, et al. Association of serum phospholipid fatty acids with breast cancer risk among postmenopausal cigarette smokers. Cancer Causes Control 2009; 20:497–504.

    PubMed  Google Scholar 

  72. Hunter D. Biochemical indicators of dietary intake. In: Willett WC, (ed.). Nutritional Epidemiology, 2nd ed. New York: Oxford University Press, 1998.

    Google Scholar 

  73. Stampfer MJ, Willett WC, Colditz GA, Speizer FE. Intake of cholesterol, fish and specific types of fat in relation to risk of breast cancer. In: Lands WE, (ed.). Proceedings of the AOCS Short Course on Polyunsaturated Fatty Acids and Eicosanoids, Mississippi, May 1987: 13–16. Champaign, IL: American Oil Chemists’ Society, 1987:248–52.

    Google Scholar 

  74. Toniolo P, Riboli E, Shore RE, Pasternack BS. Consumption of meat, animal products, protein, and fat and risk of breast cancer: a prospective cohort study in New York. Epidemiology 1994; 5:391–7.

    CAS  PubMed  Google Scholar 

  75. Vatten LJ, Solvoll K, Loken EB. Frequency of meat and fish intake and risk of breast cancer in a prospective study of 14,500 Norwegian women. Int J Cancer 1990; 46:12–5.

    CAS  PubMed  Google Scholar 

  76. Lund E, Bonaa KH. Reduced breast cancer mortality among fishermen’s wives in Norway. Cancer Causes Control 1993; 4:283–7.

    CAS  PubMed  Google Scholar 

  77. Key TJ, Sharp GB, Appleby PN, et al. Soya foods and breast cancer risk: A prospective study in Hiroshima and Nagasaki, Japan. Br J Cancer 1999; 81:1248–56.

    CAS  PubMed  Google Scholar 

  78. Holmes MD, Colditz GA, Hunter DJ, et al. Meat, fish and egg intake and risk of breast cancer. Int J Cancer 2003; 104:221–7.

    CAS  PubMed  Google Scholar 

  79. Gertig DM, Hankinson SE, Hough H, et al. N-acetyl transferase 2 genotypes, meat intake and breast cancer risk. Int J Cancer 1999; 80:13–7.

    CAS  PubMed  Google Scholar 

  80. Folsom AR, Demissie Z. Fish intake, marine omega-3 fatty acids, and mortality in a cohort of postmenopausal women. Am J Epidemiol 2004; 160:1005–10.

    PubMed  Google Scholar 

  81. Terry P, Rohan TE, Wolk A, Maehle-Schmidt M, Magnusson C. Fish consumption and breast cancer risk. Nutr Cancer 2002; 44:1–6.

    PubMed  Google Scholar 

  82. Gago-Dominguez M, Yuan JM, Sun CL, Lee HP, Yu MC. Opposing effects of dietary n-3 and n-6 fatty acids on mammary carcinogenesis: The Singapore Chinese health study. Br J Cancer 2003; 89:1686–92.

    CAS  PubMed  Google Scholar 

  83. Wakai K, Tamakoshi K, Date C, et al. Dietary intakes of fat and fatty acids and risk of breast cancer: A prospective study in Japan. Cancer Sci 2005; 96:590–9.

    CAS  PubMed  Google Scholar 

  84. Holmes MD, Hunter DJ, Colditz GA, et al. Association of dietary intake of fat and fatty acids with risk of breast cancer. JAMA 1999; 281:914–20.

    CAS  PubMed  Google Scholar 

  85. Pala V, Krogh V, Muti P, et al. Erythrocyte membrane fatty acids and subsequent breast cancer: A prospective Italian study. J Natl Cancer Inst 2001; 93:1088–95.

    CAS  PubMed  Google Scholar 

  86. Saadatian-Elahi M, Toniolo P, Ferrari P, et al. Serum fatty acids and risk of breast cancer in a nested case-control study of the New York university women’s health study. Cancer Epidemiol Biomarkers Prev 2002; 11:1353–60.

    CAS  PubMed  Google Scholar 

  87. Wirfalt E, Vessby B, Mattisson I, Gullberg B, Olsson H, Berglund G. No relations between breast cancer risk and fatty acids of erythrocyte membranes in postmenopausal women of the Malmo Diet Cancer cohort (Sweden). Eur J Clin Nutr 2004; 58:761–70.

    CAS  PubMed  Google Scholar 

  88. Thiebaut AC, Chajes V, Gerber M, et al. Dietary intakes of omega-6 and omega-3 polyunsaturated fatty acids and the risk of breast cancer. Int J Cancer 2009; 124: 924–31.

    CAS  PubMed  Google Scholar 

  89. Voorrips LE, Brants HA, Kardinaal AF, Hiddink GJ, van den Brandt PA, Goldbohm RA. Intake of conjugated linoleic acid, fat, and other fatty acids in relation to postmenopausal breast cancer: The Netherlands cohort study on diet and cancer. Am J Clin Nutr 2002; 76:873–82.

    CAS  PubMed  Google Scholar 

  90. Tapiero H, Ba GN, Couvreur P, Tew KD. Polyunsaturated fatty acids (PUFA) and eicosanoids in human health and pathologies. Biomed Pharmacother 2002; 56:215–22.

    CAS  PubMed  Google Scholar 

  91. Bagga D, Anders KH, Wang HJ, Glaspy JA. Long-chain n-3-to-n-6 polyunsaturated fatty acid ratios in breast adipose tissue from women with and without breast cancer. Nutr Cancer 2002; 42:180–5.

    CAS  PubMed  Google Scholar 

  92. Brenna JT. Efficiency of conversion of alpha-linolenic acid to long chain n-3 fatty acids in man. Curr Opin Clin Nutr Metab Care 2002; 5:127–32.

    CAS  PubMed  Google Scholar 

  93. De Stefani E, Deneo-Pellegrini H, Mendilaharsu M, Ronco A. Essential fatty acids and breast cancer: A case-control study in Uruguay. Int J Cancer 1998; 76:491–4.

    PubMed  Google Scholar 

  94. Franceschi S, Favero A, Decarli A, et al. Intake of macronutrients and risk of breast cancer. Lancet 1996; 347:1351–6.

    CAS  PubMed  Google Scholar 

  95. Saadatian-Elahi M, Norat T, Goudable J, Riboli E. Biomarkers of dietary fatty acid intake and the risk of breast cancer: A meta-analysis. Int J Cancer 2004; 111:584–91.

    CAS  PubMed  Google Scholar 

  96. Godley PA, Campbell MK, Gallagher P, Martinson FE, Mohler JL, Sandler RS. Biomarkers of essential fatty acid consumption and risk of prostatic carcinoma. Cancer Epidemiol Biomarkers Prev 1996; 5:889–95.

    CAS  PubMed  Google Scholar 

  97. Abou-el-Ela SH, Prasse KW, Farrell RL, Carroll RW, Wade AE, Bunce OR. Effects of D, L-2-difluoromethylornithine and indomethacin on mammary tumor promotion in rats fed high n-3 and/or n-6 fat diets. Cancer Res 1989; 49:1434–40.

    CAS  PubMed  Google Scholar 

  98. Bartram HP, Gostner A, Reddy BS, et al. Missing anti-proliferative effect of fish oil on rectal epithelium in healthy volunteers consuming a high-fat diet: Potential role of the n-3:n-6 fatty acid ratio. Eur J Cancer Prev 1995; 4:231–7.

    CAS  PubMed  Google Scholar 

  99. Bartram HP, Gostner A, Scheppach W, et al. Effects of fish oil on rectal cell proliferation, mucosal fatty acids, and prostaglandin E2 release in healthy subjects. Gastroenterology 1993; 105:1317–22.

    CAS  PubMed  Google Scholar 

  100. Deschner EE, Lytle JS, Wong G, Ruperto JF, Newmark HL. The effect of dietary omega-3 fatty acids (fish oil) on azoxymethanol-induced focal areas of dysplasia and colon tumor incidence. Cancer 1990; 66:2350–6.

    CAS  PubMed  Google Scholar 

  101. Noguchi M, Minami M, Yagasaki R, et al. Chemoprevention of DMBA-induced mammary carcinogenesis in rats by low-dose EPA and DHA. Br J Cancer 1997; 75:348–53.

    CAS  PubMed  Google Scholar 

  102. Bukowski JA, Schnatter AR, Korn L. Using epidemiological studies to check the consistency of the cancer risks predicted by high-dose animal experiments: A methodological review. Risk Anal 2001; 21:601–11.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgment

Dr. Terry’s and Dr. Mink’s work are funded by the Georgia Cancer Coalition.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paul D. Terry .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media B.V.

About this chapter

Cite this chapter

Terry, P.D., Mink, P.J. (2010). ω-3 PUFAs and Breast Cancer: Epidemiological Studies. In: Calviello, G., Serini, S. (eds) Dietary Omega-3 Polyunsaturated Fatty Acids and Cancer. Diet and Cancer, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3579-0_4

Download citation

  • DOI: https://doi.org/10.1007/978-90-481-3579-0_4

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-3578-3

  • Online ISBN: 978-90-481-3579-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics