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ABSTRACT: Dietary Fat, Fat Subtypes, and Breast Cancer Risk: Lack
of an Association among Postmenopausal Women with No History
of Benign Breast Disease
A recent study among 13,707 postmenopausal women without benign
breast disease (BBD) from the Breast Cancer Detection Demonstration
Project (BCDDP) cohort found breast cancer risk associated with
greater total fat, unsaturated fat, and oleic acid intake.
We
assessed the associations between cumulative averaged dietary
intake from 1980, 1984, 1986, and 1990 with breast cancer risk
through 1994 among 44,697 postmenopausal participants without
BBD in the Nurses' Health Study (NHS).
Multivariate Cox proportional
hazard models, with age as the time variable, provided the estimated
rate ratios (RRs) with 95% confidence intervals (CIs) from the
14 years of follow-up and the 1,071 breast cancer cases.
In the
Nurses' Health Study, breast cancer rates over the time period
from 1980 to 1994 did not increase significantly with greater
total fat [quintile (Q) 5 versus Q1 RR, 0.94; 95% CI, 0.77-1.15],
saturated fat (RRQ5 to Q1, 0.88; 95% CI, 0.70-1.12), unsaturated
fat (RRQ5 to Q1, 1.16; 95% CI, 0.92-1.46), oleic acid (RRQ5
to Q1, 1.13; 95% CI, 0.81-1.57), linoleic acid (RRQ5 to
Q1, 0.93; 95% CI, 0.74-1.16), trans fatty acid (RRQ5 to
Q1, 0.9184; 95% CI, 0.73-1.13), or energy intake (RRQ5 to
Q1, 0.81; 95% CI, 0.67-0.99).
A parallel analysis restricted
to the same time period as the BCDDP study did not differ substantially.
We found no increase in the rate of breast cancer with greater
intake of dietary fat and fat subtypes among postmenopausal women
without a history of BBD.
[03/18/2002; Cancer Epidemiology, Biomarkers and Prevention]
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 Euro J Cancer Prevention, 10/02

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