Cancer Causes & Control

, Volume 17, Issue 2, pp 137–146 | Cite as

Dietary Risk Factors for Ovarian Cancer: The Adventist Health Study (United States)

  • Fatemeh Kiani
  • Synnove Knutsen
  • Pramil Singh
  • Giske Ursin
  • Gary FraserEmail author
Original Paper


Few prospective studies have reported dietary risk factors for ovarian cancer. A total of 71 histologically confirmed epithelial ovarian cancers occurred among 13,281 non-Hispanic white California Seventh-day Adventist women during follow-up. Participants were part of the Adventist Health Study (AHS) and had no history of cancer or hysterectomy at baseline in 1976 when they completed a detailed lifestyle questionnaire including a dietary assessment. The association of dietary variables with either all ovarian cancer cases or postmenopausal cases was tested using proportional hazards regression with adjustment for age and other covariates. The strongest hazardous risk factor associations among the food variables were found for meat intake with a risk ratio (RR) of 2.42 for intake ≥1 time/week versus no meat (p for trend = 0.006), and cheese intake with a RR of 2.02 for intake of >2 time/week versus <1 per week (p for trend = 0.10), both of these being in postmenopausal cases. We found significantly reduced risk of all ovarian cancer with higher tomato consumption (RR = 0.32) comparing intakes ≥ five times/week versus never to <1 time/week (p for trend = 0.002), and also with higher fruit consumption (p < 0.01). A weak protective association was found with low fat, but not whole milk. Little confounding was observed between these foods.


Ovarian cancer Seventh-day adventist Cohort study Meat Tomatoes Fruit  


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Fatemeh Kiani
    • 1
  • Synnove Knutsen
    • 1
  • Pramil Singh
    • 1
  • Giske Ursin
    • 2
  • Gary Fraser
    • 1
    Email author
  1. 1.Department of Epidemiology and BiostatisticsLoma Linda UniversityLoma LindaUSA
  2. 2.Department of Preventive MedicineUniversity of Sourthern CaliforniaLos AngelesUSA

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