Abstract
Association between breast cancer risk and the intake of vitamins C and E, retinol, beta (beta)-carotene, dietary fibre, vegetables, fruit and potatoes was examined in The Netherlands Cohort Study, for 62,573 women aged 55-69 years. After 4.3 years of follow-up, 650 incident breast cancer cases were identified. After adjusting for traditional risk factors, breast cancer risk was not influenced by the intake of beta-carotene, vitamin E, dietary fibre, supplements with vitamin C, vegetables or potatoes. Fruit consumption showed a non-significant inverse association with breast cancer risk (RR highest/lowest quintile = 0.76, 95% CI 0.54-1.08). A small reduction in risk was also observed with increasing intake of dietary vitamin C (RR highest/lowest quintile = 0.77, 95% CI 0.55-1.08). For retinol, a weak positive association was observed (RR highest/lowest quintile = 1.24, 95% CI 0.83-1.83). Among subjects with a high intake of polyunsaturated fatty acids (PUFAs), both beta-carotene and vitamin C intake showed a non-significant inverse association with breast cancer risk (P-trend = 0.15 and 0.16 respectively). Our findings do not suggest a strong role, if any, for intake of vitamins C and E, beta-carotene, retinol, dietary fibre, vegetables, fruit and potatoes in the aetiology of breast cancer.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baghurst P. A., Rohan T. E. High-fiber diets and reduced risk of breast cancer. Int J Cancer. 1994 Jan 15;56(2):173–176. doi: 10.1002/ijc.2910560204. [DOI] [PubMed] [Google Scholar]
- Ewertz M., Gill C. Dietary factors and breast-cancer risk in Denmark. Int J Cancer. 1990 Nov 15;46(5):779–784. doi: 10.1002/ijc.2910460505. [DOI] [PubMed] [Google Scholar]
- Freudenheim J. L., Marshall J. R., Vena J. E., Laughlin R., Brasure J. R., Swanson M. K., Nemoto T., Graham S. Premenopausal breast cancer risk and intake of vegetables, fruits, and related nutrients. J Natl Cancer Inst. 1996 Mar 20;88(6):340–348. doi: 10.1093/jnci/88.6.340. [DOI] [PubMed] [Google Scholar]
- Goldbohm R. A., van 't Veer P., van den Brandt P. A., van 't Hof M. A., Brants H. A., Sturmans F., Hermus R. J. Reproducibility of a food frequency questionnaire and stability of dietary habits determined from five annually repeated measurements. Eur J Clin Nutr. 1995 Jun;49(6):420–429. [PubMed] [Google Scholar]
- Goodwin P. J., Boyd N. F. Critical appraisal of the evidence that dietary fat intake is related to breast cancer risk in humans. J Natl Cancer Inst. 1987 Sep;79(3):473–485. [PubMed] [Google Scholar]
- Graham S., Hellmann R., Marshall J., Freudenheim J., Vena J., Swanson M., Zielezny M., Nemoto T., Stubbe N., Raimondo T. Nutritional epidemiology of postmenopausal breast cancer in western New York. Am J Epidemiol. 1991 Sep 15;134(6):552–566. doi: 10.1093/oxfordjournals.aje.a116129. [DOI] [PubMed] [Google Scholar]
- Graham S., Zielezny M., Marshall J., Priore R., Freudenheim J., Brasure J., Haughey B., Nasca P., Zdeb M. Diet in the epidemiology of postmenopausal breast cancer in the New York State Cohort. Am J Epidemiol. 1992 Dec 1;136(11):1327–1337. doi: 10.1093/oxfordjournals.aje.a116445. [DOI] [PubMed] [Google Scholar]
- Howe G. R., Friedenreich C. M., Jain M., Miller A. B. A cohort study of fat intake and risk of breast cancer. J Natl Cancer Inst. 1991 Mar 6;83(5):336–340. doi: 10.1093/jnci/83.5.336. [DOI] [PubMed] [Google Scholar]
- Howe G. R., Hirohata T., Hislop T. G., Iscovich J. M., Yuan J. M., Katsouyanni K., Lubin F., Marubini E., Modan B., Rohan T. Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies. J Natl Cancer Inst. 1990 Apr 4;82(7):561–569. doi: 10.1093/jnci/82.7.561. [DOI] [PubMed] [Google Scholar]
- Hunter D. J., Manson J. E., Colditz G. A., Stampfer M. J., Rosner B., Hennekens C. H., Speizer F. E., Willett W. C. A prospective study of the intake of vitamins C, E, and A and the risk of breast cancer. N Engl J Med. 1993 Jul 22;329(4):234–240. doi: 10.1056/NEJM199307223290403. [DOI] [PubMed] [Google Scholar]
- Hunter D. J., Spiegelman D., Adami H. O., Beeson L., van den Brandt P. A., Folsom A. R., Fraser G. E., Goldbohm R. A., Graham S., Howe G. R. Cohort studies of fat intake and the risk of breast cancer--a pooled analysis. N Engl J Med. 1996 Feb 8;334(6):356–361. doi: 10.1056/NEJM199602083340603. [DOI] [PubMed] [Google Scholar]
- Hunter D. J., Willett W. C. Diet, body build, and breast cancer. Annu Rev Nutr. 1994;14:393–418. doi: 10.1146/annurev.nu.14.070194.002141. [DOI] [PubMed] [Google Scholar]
- Ingram D. M., Nottage E., Roberts T. The role of diet in the development of breast cancer: a case-control study of patients with breast cancer, benign epithelial hyperplasia and fibrocystic disease of the breast. Br J Cancer. 1991 Jul;64(1):187–191. doi: 10.1038/bjc.1991.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Iscovich J. M., Iscovich R. B., Howe G., Shiboski S., Kaldor J. M. A case-control study of diet and breast cancer in Argentina. Int J Cancer. 1989 Nov 15;44(5):770–776. doi: 10.1002/ijc.2910440504. [DOI] [PubMed] [Google Scholar]
- Katsouyanni K., Willett W., Trichopoulos D., Boyle P., Trichopoulou A., Vasilaros S., Papadiamantis J., MacMahon B. Risk of breast cancer among Greek women in relation to nutrient intake. Cancer. 1988 Jan 1;61(1):181–185. doi: 10.1002/1097-0142(19880101)61:1<181::aid-cncr2820610130>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
- Landa M. C., Frago N., Tres A. Diet and the risk of breast cancer in Spain. Eur J Cancer Prev. 1994 Jul;3(4):313–320. doi: 10.1097/00008469-199407000-00003. [DOI] [PubMed] [Google Scholar]
- Lee H. P., Gourley L., Duffy S. W., Estéve J., Lee J., Day N. E. Dietary effects on breast-cancer risk in Singapore. Lancet. 1991 May 18;337(8751):1197–1200. doi: 10.1016/0140-6736(91)92867-2. [DOI] [PubMed] [Google Scholar]
- Levi F., La Vecchia C., Gulie C., Negri E. Dietary factors and breast cancer risk in Vaud, Switzerland. Nutr Cancer. 1993;19(3):327–335. doi: 10.1080/01635589309514263. [DOI] [PubMed] [Google Scholar]
- London S. J., Stein E. A., Henderson I. C., Stampfer M. J., Wood W. C., Remine S., Dmochowski J. R., Robert N. J., Willett W. C. Carotenoids, retinol, and vitamin E and risk of proliferative benign breast disease and breast cancer. Cancer Causes Control. 1992 Nov;3(6):503–512. doi: 10.1007/BF00052746. [DOI] [PubMed] [Google Scholar]
- Paganini-Hill A., Chao A., Ross R. K., Henderson B. E. Vitamin A, beta-carotene, and the risk of cancer: a prospective study. J Natl Cancer Inst. 1987 Sep;79(3):443–448. [PubMed] [Google Scholar]
- Peto R., Doll R., Buckley J. D., Sporn M. B. Can dietary beta-carotene materially reduce human cancer rates? Nature. 1981 Mar 19;290(5803):201–208. doi: 10.1038/290201a0. [DOI] [PubMed] [Google Scholar]
- Phillips A. N., Pocock S. J. Sample size requirements for prospective studies, with examples for coronary heart disease. J Clin Epidemiol. 1989;42(7):639–648. doi: 10.1016/0895-4356(89)90007-3. [DOI] [PubMed] [Google Scholar]
- Richardson S., Gerber M., Cenée S. The role of fat, animal protein and some vitamin consumption in breast cancer: a case control study in southern France. Int J Cancer. 1991 Apr 22;48(1):1–9. doi: 10.1002/ijc.2910480102. [DOI] [PubMed] [Google Scholar]
- Rohan T. E., Howe G. R., Friedenreich C. M., Jain M., Miller A. B. Dietary fiber, vitamins A, C, and E, and risk of breast cancer: a cohort study. Cancer Causes Control. 1993 Jan;4(1):29–37. doi: 10.1007/BF00051711. [DOI] [PubMed] [Google Scholar]
- Rose D. P. Dietary fiber and breast cancer. Nutr Cancer. 1990;13(1-2):1–8. doi: 10.1080/01635589009514040. [DOI] [PubMed] [Google Scholar]
- Rose D. P. Dietary fiber, phytoestrogens, and breast cancer. Nutrition. 1992 Jan-Feb;8(1):47–51. [PubMed] [Google Scholar]
- Shibata A., Paganini-Hill A., Ross R. K., Henderson B. E. Intake of vegetables, fruits, beta-carotene, vitamin C and vitamin supplements and cancer incidence among the elderly: a prospective study. Br J Cancer. 1992 Oct;66(4):673–679. doi: 10.1038/bjc.1992.336. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shultz T. D., Howie B. J. In vitro binding of steroid hormones by natural and purified fibers. Nutr Cancer. 1986;8(2):141–147. doi: 10.1080/01635588609513887. [DOI] [PubMed] [Google Scholar]
- Steinmetz K. A., Potter J. D. Vegetables, fruit, and cancer. I. Epidemiology. Cancer Causes Control. 1991 Sep;2(5):325–357. doi: 10.1007/BF00051672. [DOI] [PubMed] [Google Scholar]
- Toniolo P., Riboli E., Protta F., Charrel M., Cappa A. P. Calorie-providing nutrients and risk of breast cancer. J Natl Cancer Inst. 1989 Feb 15;81(4):278–286. doi: 10.1093/jnci/81.4.278. [DOI] [PubMed] [Google Scholar]
- Van 't Veer P., Kolb C. M., Verhoef P., Kok F. J., Schouten E. G., Hermus R. J., Sturmans F. Dietary fiber, beta-carotene and breast cancer: results from a case-control study. Int J Cancer. 1990 May 15;45(5):825–828. doi: 10.1002/ijc.2910450506. [DOI] [PubMed] [Google Scholar]
- Van den Brandt P. A., Schouten L. J., Goldbohm R. A., Dorant E., Hunen P. M. Development of a record linkage protocol for use in the Dutch Cancer Registry for Epidemiological Research. Int J Epidemiol. 1990 Sep;19(3):553–558. doi: 10.1093/ije/19.3.553. [DOI] [PubMed] [Google Scholar]
- Welsch C. W. Enhancement of mammary tumorigenesis by dietary fat: review of potential mechanisms. Am J Clin Nutr. 1987 Jan;45(1 Suppl):192–202. doi: 10.1093/ajcn/45.1.192. [DOI] [PubMed] [Google Scholar]
- Willett W. C., Hunter D. J., Stampfer M. J., Colditz G., Manson J. E., Spiegelman D., Rosner B., Hennekens C. H., Speizer F. E. Dietary fat and fiber in relation to risk of breast cancer. An 8-year follow-up. JAMA. 1992 Oct 21;268(15):2037–2044. [PubMed] [Google Scholar]
- Willett W. C., Stampfer M. J., Colditz G. A., Rosner B. A., Hennekens C. H., Speizer F. E. Dietary fat and the risk of breast cancer. N Engl J Med. 1987 Jan 1;316(1):22–28. doi: 10.1056/NEJM198701013160105. [DOI] [PubMed] [Google Scholar]
- Willett W., Stampfer M. J. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol. 1986 Jul;124(1):17–27. doi: 10.1093/oxfordjournals.aje.a114366. [DOI] [PubMed] [Google Scholar]
- Yuan J. M., Wang Q. S., Ross R. K., Henderson B. E., Yu M. C. Diet and breast cancer in Shanghai and Tianjin, China. Br J Cancer. 1995 Jun;71(6):1353–1358. doi: 10.1038/bjc.1995.263. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zaridze D., Lifanova Y., Maximovitch D., Day N. E., Duffy S. W. Diet, alcohol consumption and reproductive factors in a case-control study of breast cancer in Moscow. Int J Cancer. 1991 Jun 19;48(4):493–501. doi: 10.1002/ijc.2910480404. [DOI] [PubMed] [Google Scholar]
- Ziegler R. G. Vegetables, fruits, and carotenoids and the risk of cancer. Am J Clin Nutr. 1991 Jan;53(1 Suppl):251S–259S. doi: 10.1093/ajcn/53.1.251S. [DOI] [PubMed] [Google Scholar]
- van den Brandt P. A., Goldbohm R. A., van 't Veer P. Alcohol and breast cancer: results from The Netherlands Cohort Study. Am J Epidemiol. 1995 May 15;141(10):907–915. doi: 10.1093/oxfordjournals.aje.a117357. [DOI] [PubMed] [Google Scholar]
- van den Brandt P. A., Goldbohm R. A., van 't Veer P., Volovics A., Hermus R. J., Sturmans F. A large-scale prospective cohort study on diet and cancer in The Netherlands. J Clin Epidemiol. 1990;43(3):285–295. doi: 10.1016/0895-4356(90)90009-e. [DOI] [PubMed] [Google Scholar]
- van den Brandt P. A., van't Veer P., Goldbohm R. A., Dorant E., Volovics A., Hermus R. J., Sturmans F. A prospective cohort study on dietary fat and the risk of postmenopausal breast cancer. Cancer Res. 1993 Jan 1;53(1):75–82. [PubMed] [Google Scholar]