Table 5. Summary of studies investigating association between apple intake and BC risk.
Author, year | Design | Cohort/Location | Menopausal status | Adjusted intake (g/d) | Estimated flavonoid contribution (mg/d)a | Outcome | OR/HR/RR (95%CI) |
Adebamowo, 2005 [129] | Cohort | NHS II | Pre | 149-223 | E3G, 0 – 0.022 | No association | RR= 1.16 (0.77-1.76) |
EGCG, 0.17 – 4.30 | |||||||
Luteolin, 0 – 0.022 | |||||||
Myricetin, 0 – 0.022 | |||||||
Quercetin, 3.5 – 8.6 | |||||||
Boggs, 2010 [133] | Cohort | Black Women’s Health Study | All | 59.6-89.2 | E3G, 0 – 0.009 | No association | RR= 1.02 (0.83-1.25) |
Pre | EGCG, 0.07 – 1.72 | No association | RR= 1.04 (0.76-1.41) | ||||
Post | Luteolin, 0 – 0.009 | No association | RR= 0.99 (0.72-1.36) | ||||
Myricetin, 0 – 0.009 | |||||||
Quercetin, 1.40 – 3.44 | |||||||
Farvid, 2016 [134] | Cohort | NHS | Pre | 39.7-59.5 | E3G, 0 – 0.006 | Adolescent intake; Decreased risk | RR= 0.93 (0.87-0.99) |
EGCG, 0.04 – 1.15 | |||||||
Luteolin, 0 – 0.006 | |||||||
Myricetin, 0 – 0.006 | Early adult intake; No association | RR= 0.99 (0.87-0.99) | |||||
Quercetin, 0.932 – 2.30 | |||||||
Jung, 2013 [135] | Pooled cohort | Pooled analysis of 20 cohort studies | All | 138 | E3G, 0 – 0.014 | ER-; Decreased risk | RR= 0.92 (0.85-0.99) |
EGCG, 0.15 – 2.66 | |||||||
Luteolin, 0 – 0.014 | ER+; No association | RR= 0.98 (0.94-1.02) | |||||
Myricetin, 0 – 0.014 | |||||||
Quercetin, 3.24 – 5.33 | |||||||
Malin, 2003 [148] | Case-control | Shanghai, China | All | 57 | E3G, 0 – 0.006 | No association | OR= 0.86 (0.66-1.11) |
EGCG, 0.63 – 1.10 | |||||||
Luteolin, 0 – 0.006 | |||||||
Myricetin, 0 – 0.006 | |||||||
Quercetin, 1.34 – 2.20 | |||||||
Gallus, 2005 [160] | Case-control | Italy | All | 149-223 | E3G, 0 – 0.022 | Decreased risk | OR= 0.82 (0.73-0.92) |
EGCG, 0.17 – 4.30 | |||||||
Luteolin, 0 – 0.022 | |||||||
Myricetin, 0 – 0.022 | |||||||
Quercetin, 3.5 – 8.6 |
aRanges b/c FFQ failed to differentiate Large (223g) vs. Medium (182g) and Small (149g) apples and due to differences in content between Fuji, Gala, Golden Delicious, Granny Smith, Red Delicious varieties; E3G, (-)-Epicatechin 3-gallate; EGCG, (-)-Epigallocatechin 3-gallate.