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. 2018 Jun 28;91(2):105–127.

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.

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