Abstract
Purpose
Evaluate the hypothesis that relation of breast cancer associated with dietary fiber intakes varies by type of fiber, menopausal, and the tumor’s hormone receptor status.
Methods
A case–control study of female breast cancer was conducted in Connecticut. A total of 557 incident breast cancer cases and 536 age frequency-matched controls were included in the analysis. Information on dietary intakes was collected through in-person interviews with a semi-quantitative food frequency questionnaire and was converted into nutrient intakes. Odds ratios and 95% confidence intervals were estimated by unconditional logistic regression.
Results
Among pre-menopausal women, higher intake of soluble fiber (highest versus lowest quartile of intake) was associated with a significantly reduced risk of breast cancer (OR = 0.38, 95% CI, 0.15–0.97, P trend = 0.08). When further restricted to pre-menopausal women with ER− tumors, the adjusted OR for the highest quartile of intake was 0.15 (95% CI, 0.03–0.69, P trend = 0.02) for soluble fiber intake. Among post-menopausal women, no reduced risk of breast cancer was observed for either soluble or insoluble fiber intakes or among ER+ or ER− tumor groups.
Conclusions
The results from this study show that dietary soluble fiber intake is associated with a significantly reduced risk of ER− breast cancer among pre-menopausal women. Additional studies with larger sample size are needed to confirm these results.
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Acknowledgments
This work was supported by the National Cancer Institute/National Institute of Environmental Health Science [CA-62986]. Preparation of the manuscript is partly supported by grants: 5D43TW008323 and 5D43TW007864. We also appreciate the support of personnel at Connecticut hospitals. The following Connecticut hospitals have participated in the study: Yale-New Haven Hospital, Hartford Hospital, St. Francis Hospital and Medical Center, New Britain General Hospital, Middlesex Hospital, Mt. Sinai Hospital, Manchester Memorial Hospital, UCONN Health Center/John Dempsey Hospital, Windham Community Memorial Hospital, Day Kimball Hospital, Rockville General Hospital, and Johnson Memorial Hospital.
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Li, Q., Holford, T.R., Zhang, Y. et al. Dietary fiber intake and risk of breast cancer by menopausal and estrogen receptor status. Eur J Nutr 52, 217–223 (2013). https://doi.org/10.1007/s00394-012-0305-9
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DOI: https://doi.org/10.1007/s00394-012-0305-9