Table 2.
Intake of Fruits and Vegetables in Relation to Risk of Breast Cancer in the Black Women's Health Study, 1995–2007
All Women |
Premenopausal Women |
Postmenopausal Women |
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Cases, No. | Person-Years | IRRa | IRRb | 95% CI | Cases, No. | IRRb | 95% CI | Cases, No. | IRRb | 95% CI | |
Total fruits and vegetables, servings | |||||||||||
<1/day | 222 | 125,279 | 1.00 | 1.00 | Referent | 121 | 1.00 | Referent | 78 | 1.00 | Referent |
1/day | 365 | 164,217 | 1.01 | 1.00 | 0.85, 1.19 | 186 | 1.08 | 0.86, 1.37 | 133 | 0.80 | 0.60, 1.06 |
2–3/day | 474 | 184,590 | 0.98 | 0.97 | 0.82, 1.15 | 186 | 0.98 | 0.77, 1.25 | 244 | 0.89 | 0.68, 1.16 |
≥4/day | 207 | 80,442 | 0.87 | 0.87 | 0.71, 1.07 | 69 | 0.90 | 0.65, 1.23 | 115 | 0.76 | 0.56, 1.04 |
Ptrend | 0.14 | 0.31 | 0.24 | ||||||||
Pinteraction | 0.40 | ||||||||||
Total vegetables, servings | |||||||||||
<4/week | 261 | 140,397 | 1.00 | 1.00 | Referent | 141 | 1.00 | Referent | 95 | 1.00 | Referent |
4–6/week | 283 | 128,079 | 0.97 | 0.96 | 0.81, 1.14 | 136 | 0.97 | 0.76, 1.23 | 114 | 0.87 | 0.66, 1.15 |
1/day | 449 | 175,086 | 1.00 | 0.99 | 0.84, 1.16 | 187 | 0.97 | 0.77, 1.22 | 209 | 0.91 | 0.71, 1.17 |
≥2/day | 275 | 110,965 | 0.88 | 0.87 | 0.73, 1.05 | 98 | 0.82 | 0.62, 1.08 | 152 | 0.86 | 0.65, 1.14 |
Ptrend | 0.14 | 0.15 | 0.47 | ||||||||
Pinteraction | 0.82 | ||||||||||
Cruciferous, servings | |||||||||||
<1/week | 202 | 109,756 | 1.00 | 1.00 | Referent | 113 | 1.00 | Referent | 67 | 1.00 | Referent |
1–2/week | 526 | 233,548 | 0.94 | 0.94 | 0.80, 1.11 | 243 | 0.93 | 0.75, 1.17 | 227 | 0.93 | 0.71, 1.23 |
3–5/week | 350 | 128,914 | 1.00 | 1.01 | 0.84, 1.21 | 155 | 1.12 | 0.87, 1.44 | 156 | 0.89 | 0.66, 1.20 |
≥6/week | 190 | 82,310 | 0.80 | 0.80 | 0.65, 0.99 | 51 | 0.59 | 0.42, 0.83 | 120 | 0.94 | 0.68, 1.28 |
Ptrend | 0.06 | 0.01 | 0.86 | ||||||||
Pinteraction | 0.007 | ||||||||||
Green leafy, servings | |||||||||||
<1/week | 275 | 140,934 | 1.00 | 1.00 | Referent | 138 | 1.00 | Referent | 113 | 1.00 | Referent |
1–2/week | 402 | 179,738 | 0.97 | 0.96 | 0.82, 1.12 | 183 | 0.94 | 0.75, 1.17 | 172 | 0.92 | 0.72, 1.16 |
3–5/week | 379 | 150,169 | 0.98 | 0.96 | 0.82, 1.13 | 164 | 0.99 | 0.79, 1.26 | 168 | 0.84 | 0.66, 1.07 |
≥6/week | 212 | 83,687 | 0.91 | 0.90 | 0.75, 1.09 | 77 | 0.84 | 0.62, 1.12 | 117 | 0.92 | 0.70, 1.21 |
Ptrend | 0.32 | 0.34 | 0.65 | ||||||||
Pinteraction | 0.45 | ||||||||||
Yellow-orange, servings | |||||||||||
<1/week | 359 | 169,476 | 1.00 | 1.00 | Referent | 182 | 1.00 | Referent | 132 | 1.00 | Referent |
1–2/week | 463 | 198,255 | 0.91 | 0.90 | 0.78, 1.03 | 210 | 0.91 | 0.74, 1.11 | 204 | 0.88 | 0.70, 1.10 |
3–5/week | 267 | 116,244 | 0.82 | 0.81 | 0.68, 0.95 | 103 | 0.76 | 0.59, 0.98 | 138 | 0.84 | 0.66, 1.08 |
≥6/week | 179 | 70,552 | 0.88 | 0.87 | 0.72, 1.05 | 67 | 0.83 | 0.62, 1.12 | 96 | 0.92 | 0.70, 1.22 |
Ptrend | 0.13 | 0.12 | 0.77 | ||||||||
Pinteraction | 0.88 | ||||||||||
Total fruits, servings | |||||||||||
<2/week | 239 | 129,616 | 1.00 | 1.00 | Referent | 137 | 1.00 | Referent | 77 | 1.00 | Referent |
2–6/week | 440 | 208,291 | 0.94 | 0.94 | 0.80, 1.10 | 205 | 0.87 | 0.70, 1.08 | 179 | 0.94 | 0.72, 1.23 |
1/day | 404 | 145,174 | 1.05 | 1.04 | 0.88, 1.23 | 150 | 0.97 | 0.76, 1.23 | 215 | 1.09 | 0.83, 1.43 |
≥2/day | 185 | 71,446 | 0.89 | 0.91 | 0.74, 1.11 | 70 | 1.00 | 0.74, 1.35 | 99 | 0.86 | 0.63, 1.18 |
Ptrend | 0.69 | 0.66 | 0.55 | ||||||||
Pinteraction | 0.57 | ||||||||||
Citrus, servings | |||||||||||
<1/week | 585 | 277,050 | 1.00 | 1.00 | Referent | 270 | 1.00 | Referent | 244 | 1.00 | Referent |
1–2/week | 321 | 138,685 | 1.01 | 1.00 | 0.88, 1.16 | 153 | 1.11 | 0.91, 1.35 | 141 | 0.96 | 0.78, 1.18 |
3–5/week | 250 | 89,114 | 1.10 | 1.15 | 0.99, 1.34 | 86 | 1.03 | 0.81, 1.32 | 135 | 1.19 | 0.96, 1.47 |
≥6/week | 112 | 49,678 | 0.88 | 0.90 | 0.73, 1.11 | 53 | 1.20 | 0.88, 1.62 | 50 | 0.74 | 0.54, 1.01 |
Ptrend | 0.83 | 0.30 | 0.27 | ||||||||
Pinteraction | 0.05 | ||||||||||
Other fruit, servings | |||||||||||
<2/week | 345 | 190,232 | 1.00 | 1.00 | Referent | 191 | 1.00 | Referent | 116 | 1.00 | Referent |
2–4/week | 361 | 155,521 | 1.05 | 1.04 | 0.89, 1.21 | 160 | 0.97 | 0.78, 1.20 | 159 | 1.07 | 0.84, 1.36 |
5–8/week | 308 | 120,172 | 1.00 | 1.00 | 0.85, 1.17 | 128 | 1.04 | 0.83, 1.31 | 146 | 0.93 | 0.72, 1.19 |
≥9/week | 254 | 88,603 | 1.00 | 1.01 | 0.85, 1.19 | 83 | 1.02 | 0.78, 1.33 | 149 | 1.02 | 0.79, 1.32 |
Ptrend | 0.91 | 0.75 | 0.88 | ||||||||
Pinteraction | 0.63 |
Abbreviations: CI, confidence interval; IRR, incidence rate ratio.
Adjusted for age and energy intake.
Adjusted for age, energy intake, age at menarche, body mass index at age 18 years, family history of breast cancer, education, geographic region, parity, age at first birth, oral contraceptive use, menopausal status, age at menopause, menopausal hormone use, vigorous activity, smoking status, alcohol intake, and multivitamin use.