Cancer Causes & Control

, Volume 21, Issue 11, pp 1895–1904 | Cite as

Adherence to the dietary guidelines for Americans and endometrial cancer risk

  • Urmila Chandran
  • Elisa V. Bandera
  • Melony G. Williams-King
  • Camelia Sima
  • Sharon Bayuga
  • Katherine Pulick
  • Homer Wilcox
  • Ann G. Zauber
  • Sara H. Olson
Original paper


The Healthy Eating Index (HEI) was developed by the US Department of Agriculture with the goal of quantifying adherence to the Dietary Guidelines for Americans. The purpose of this study was to evaluate the impact of the HEI-2005 score and each of its components on endometrial cancer risk in a population-based case–control study in New Jersey. A total of 424 cases and 398 controls completed a Food Frequency Questionnaire, which was used to derive the HEI-2005 score. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using unconditional logistic regression while adjusting for potential covariates, which included all major endometrial cancer risk factors. The adjusted OR for women in the highest quartile when compared to the lowest quartile was 0.83 (95% CI: 0.52–1.34). For the meat and beans component comprising meat, eggs, poultry, fish, and beans, the OR was 0.70 (95% CI: 0.45–1.11; p for trend: 0.07), with little evidence of an association with any of the individual foods. There was no indication of an association for any of the other components of the HEI or of effect modification by body mass index. This study suggested limited value for the HEI-2005 in predicting endometrial cancer risk.


Diet Endometrial cancer Food Healthy Eating Index Fruit Vegetables Grain Whole grain Dairy Meat Beans Oils Saturated fat 


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Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Urmila Chandran
    • 1
    • 2
  • Elisa V. Bandera
    • 1
    • 2
  • Melony G. Williams-King
    • 1
    • 2
  • Camelia Sima
    • 3
  • Sharon Bayuga
    • 3
  • Katherine Pulick
    • 3
  • Homer Wilcox
    • 4
  • Ann G. Zauber
    • 3
  • Sara H. Olson
    • 3
  1. 1.The Cancer Institute of New JerseyRobert Wood Johnson Medical SchoolNew BrunswickUSA
  2. 2.School of Public HealthUniversity of Medicine and Dentistry of New JerseyPiscatawayUSA
  3. 3.Department of Epidemiology and BiostatisticsMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  4. 4.New Jersey Department of Health and Senior ServicesTrentonUSA

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