切换至 "中华医学电子期刊资源库"

中华普通外科学文献(电子版) ›› 2013, Vol. 07 ›› Issue (04) : 315 -324. doi: 10.3877/cma.j.issn.1674-0793.2013.04.017

所属专题: 专题评论 文献

循证医学

膳食结构与乳腺癌患病风险的关联——一个系统评价和Meta分析
  1. 1. 570311 海口,海南省农垦总医院
  • 收稿日期:2013-07-04 出版日期:2013-08-01
  • Received:2013-07-04 Published:2013-08-01
引用本文:

. 膳食结构与乳腺癌患病风险的关联——一个系统评价和Meta分析[J]. 中华普通外科学文献(电子版), 2013, 07(04): 315-324.

表1 纳入本系统评价和Meta分析的膳食结构与乳腺癌患病风险
研究作者,发表年 国家 研究类型 样本量 饮食评价方法 确认的饮食结构 分析中校正的因子(多变量)
Terry等,2001(45) 瑞典 队列(9.6)2 61 463(1328例) 食物频率问卷表(67;过去6个月)3 西方;健康;酒类 年龄、能量摄入、体重指数、教育程度、家族史、产次、首次生育年龄
Sieri等,2004(46) 意大利 队列(9.5)2 8984(207例) 食物频率问卷表(107;过去1年)3 蔬菜沙拉;西方;节俭;不定的 年龄、能量摄入、教育程度、产次、身高、月经初潮年龄、吸烟、月经状态
Adebamowo等,2005(47) 美国 队列(8)2 90 638(710例) 食物频率问卷表[133(1991);142(1995);过去1年]3 节俭;西方 月经初潮年龄、产次、首次生育年龄、乳腺癌家族史、良性乳腺疾病史、是否食用避孕药、酒精摄入、能量摄入、目前体重指数、身高、吸烟习惯、运动和复合维生素使用。
Fung等,2005(48) 美国 队列(16)2 71 058(3026例) 食物频率问卷表(116;过去1年)3 节俭;西方 年龄、吸烟状况、体重指数、复合维生素使用,能量摄入、运动、乳腺癌家族史、良性乳腺疾病罹患史、绝经的年龄和已绝经的时间、是否使用激素替代治疗、月经初潮年龄、产次、首次生育年龄、18岁时的体重指数、自18岁以来的体重变化、身高、饮酒
M?nnist?等, 2005(22) 荷兰(NLCS) 队列(7)2 1 598(1127例) 食物频率问卷表(150,过去1年)3 蔬菜;猪肉,处理过的肉和马铃薯 年龄、体重指数、身高、教育程度、吸烟状况、乳腺癌家族史、月经初潮年龄、停经年龄、首次生育年龄、口服避孕药史、激素替代治疗史、是否饮酒、能量摄入
? 意大利(ORDET) 队列(9)2 10 788(212例) 食物频率问卷表(107;过去1年)3 ? 年龄、体重指数、身高、受教育程度、吸烟史、乳腺癌家族史、口服避孕药史、激素替代治疗史、饮酒和能量摄入史
? 瑞典(SMC) 队列(13)2 66 651(1932例) 食物频率问卷表(67;过去6个月)3 ? 年龄、体重指数、教育程度、乳腺癌家族史、首次生育史、产次、饮酒和能量摄入史
Nkondjock和Gradirian,2005(49) 加拿大 病例-对照 414乳腺癌病例/429对照 食物频率问卷表(985;诊断前2年,相应时间的对照)3 巧克力-谷类;猪肉和处理过的肉;酒类 总能量摄入、肿瘤家族史、婚姻状况、活动状况、吸烟史、体重指数、年龄(首次足月妊娠)、良性乳腺疾病罹患史、足月妊娠数
Velie等,2005(50) 美国 队列(8)2 40 559(1868例) 食物频率问卷表(61;过去1年)3 蔬菜-鱼/禽肉-水果;牛肉酱;南方传统饮食 年龄、摄入总能量、教育程度、乳腺癌家族史、体重指数、身高、产次、首胎生育年龄、月经初潮年龄、绝经期激素使用情况、平日体力活动情况、吸烟状况、饮酒情况
Ronco等,2006(51) 乌拉圭 病例-对照 442病例/442对照 食物频率问卷表(64;正常进食)3 传统饮食;健康;西方;炖食;高脂肪;酒类 年龄、居住情况、居住在城市或农村、教育程度、一级亲属乳腺癌罹患史、绝经状态、月经初潮年龄、产次、总能量摄入
Cui等,2007(52) 上海 病例-对照 1446病例/1549对照 食物频率问卷表(76;过去5年)3 蔬菜-豆类;肉-甜食 年龄、总能量、乳腺癌家族史、纤维腺瘤罹患史、月经初潮年龄、生育情况、首次生育情况、绝经情况、过去10年中体力活动情况、腰臀比、受教育情况
Hirose等,2007(53) 日本 病例-对照 1885病例/22 333对照 食物频率问卷表[13种饮食因素,17种食物;诊断前1年/随访(对照组)]3 节俭;脂肪;日式;含盐类 年龄、就诊年份、动机、体重指数、绝经状况、产次、首次足月妊娠年龄、绝经年龄、吸烟情况、乳腺癌家族史、锻炼情况
研究作者,发表年 国家 研究类型 样本量 饮食评价方法 确认的饮食结构 分析中校正的因子(多变量)
Edefonti等, 2008(54) 意大利 病例-对照 2569BC,1031OC/3413对照 食物频率问卷表[78;诊断前2年/住院(对照组)]3 动物制品;维生素和纤维类;不饱和脂肪酸;淀粉类 年龄、受教育情况、产次、绝经情况、地理位置、体重指数、女性癌症罹患史、消化道肿瘤罹患史、能量摄入情况
Murtaugh等, 2008(55) 美国 病例-对照 757病例/867对照(西班牙);1524病例/1598对照(非西班牙) 膳食史问卷表(电脑注册的随访者) 西方;节俭;墨西哥膳食;地中海膳食;节食 年龄、中心、受教育情况、乳腺癌家族史、吸烟情况、体力活动情况、卡路里、纤维摄入情况、钙摄入、身高、产次、近期激素暴露情况、体重指数、近期体重指数和激素暴露的交互作用
Wu等,2009(56) 美国 病例-对照 1248病例/1148对照 食物频率问卷表(174;正常摄入)3 西方-肉类/淀粉;民族饮食-肉类/淀粉;蔬菜-豆类 年龄、亚洲人种、受教育情况、出生地、居住美国年限、体力活动年限、婚姻状况、产次、月经初潮年龄、绝经种类、绝经年龄、近期体重指数
Cottet等,2009(57) 法国 队列 63 374(2381例) 膳食史问卷表 酒精/西方;健康/地中海膳食 年龄、受教育程度、所在基线位置、体重指数、身高、乳腺癌家族史、月经初潮年龄、首次足月妊娠年龄、活产数、绝经期激素治疗、良性乳腺疾病罹患史、原位小叶癌、是否使用口服避孕药、哺乳史、行巴氏试验的频率、体力活动情况、吸烟情况、除酒精之外的能量摄入情况、植物类雌激素的使用情况、维生素或微量元素的使用情况
Agurs-Collins等,2009(58) 美国 队列 50 778(1094例) 食物频率问卷表 节俭;西方 年龄、体重指数、酒精摄入、受教育程度、月经初潮年龄、产次、首次生育年龄、乳腺癌家族史、必要的体力活动情况、能量摄入、绝经情况、吸烟情况、女性激素使用情况
De Stefani等,2009(59) 乌拉圭 病例-对照 461病例/2532对照 食物频率问卷表 节俭;酒类;传统;西方 年龄、居住情况、居住于城市或农村,受教育情况、体重指数、吸烟情况、戒烟年限、现仍吸烟者每天吸烟支数、摄入总能量、个别膳食结构中主食摄入情况
图1 A, B:在西方/不健康膳食结构与乳腺癌风险关系中,摄入量最高与最低进行比较的森林图(注:A为病例-对照研究,B为队列研究)
图2 A, B:在节俭/健康膳食结构与乳腺癌风险关系中,摄入量最高与最低进行比较的森林图
图3 在酒类膳食结构与乳腺癌风险关系中,摄入量最高与最低进行比较的森林图
1
Cancer Research UK. UK breast cancer incidence statistics. 16 July 2009. Available from: cited 20 July 2009).

URL    
2
Tavani A, Gallus S, La Vecchia C, et al. Risk factors for breast cancer in women under 40 years. Eur J Cancer, 1999, 35: 1361-1367.
3
Jernström H, Lubinski J, Lynch HT, et al. Breast-feeding and the risk of breast cancer in BRCA1 and BRCA2 mutation carriers. J Natl Cancer Inst, 2004, 96: 1094-1098.
4
Li CI, Littman AJ, White E. Relationship between age maximum height is attained, age at menarche, and age at first full-term birth and breast cancer risk. Cancer Epidemiol Biomarkers Prev, 2007, 16: 2144-2149.
5
Huo D, Adembamowo CA, Ogundirian TO, et al. Parity and breastfeeding are protective against breast cancer in Nigerian women. Br J Cancer, 2008, 98: 992-996.
6
Rohan TE, McMichael AJ, Baghurst PAA. Population-based casecontrol study of diet and breast cancer in Australia. Am J Epidemiol, 1988, 128: 478-489.
7
Howe GR, Hirohata T, Hislop TG, et al. Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies. J Natl Cancer Inst, 1990, 82: 561-569.
8
Freudenheim JL, Marshall JR, Vena JE, et al. Premenopausal breast cancer risk and intake of vegetables, fruits, and related nutrients. J Natl Cancer Inst, 1996, 88: 340-348.
9
Smith-Warner SA, Spiegelman D, Yaun SS, et al. Intake of fruits and vegetables and risk of breast cancer: a pooled analysis of cohort studies. JAMA, 2001, 285: 769-776.
10
Wakai K, Tamakoshi K, Date C, et al. Dietary intakes of fat and fatty acids and risk of breast cancer: A prospective study in Japan. Cancer Sci, 2005, 96: 590-599.
11
Toniolo P, Riboli E, Protta F, et al. Calorie-providing nutrients and risk of breast cancer. J Natl Cancer Inst, 1989, 81: 278-286.
12
Lö f M, Sandin S, Lagiou P, et al. Dietary fat and breast cancer risk in the Swedish women's lifestyle and health cohort. Br J Cancer, 2007, 97: 1570-1576.
13
Franceschi S, Favero S, Decarli A, et al. Intake of macronutrients and risk of breast cancer. Lancet, 1996, 347: 1351-1356.
14
Gandini S, Merzenich H, Robertson C, et al. Meta-analysis of studies on breast cancer risk and diet: the role of fruit and vegetable consumption and the intake of associated micronutrients. Eur J Cancer, 2000, 36: 636-646.
15
van Gils CH, Peeters PH, Bueno-de-Mesquita HB, et al. Consumption of vegetables and fruits and risk of breast cancer. JAMA, 2005, 293: 182-193.
16
World Cancer Research Fund/American Institute of Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Washington, DC: AICR, 2007.
17
Hu FB, Rimm EB, Stampfer MJ, et al. Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr, 2000, 72: 912-921.
18
Fung TT, Willett WC, Stampfer MJ, et al. Dietary patterns and the risk of coronary heart disease in women. Arch Intern Med, 2001, 161: 1857-1862.
19
Handa K, Kreiger N. Diet patterns and the risk of renal cell carcinoma. Public Health Nutr, 2002, 5: 757-767.
20
Kim MK, Sasaki S, Sasazuki S, et al. Prospective study of three major dietary patterns and risk of gastric cancer in Japan. Int J Cancer, 2004, 110: 435-442.
21
Kim MK, Sasaki S, Otani T, et al. Dietary patterns and subsequent colorectal cancer risk by subsite: a prospective cohort study. Int J Cancer, 2005, 115: 790-798.
22
Männistö S, Dixon LB, Balder HF, et al. Dietary patterns and breast cancer risk: results from three cohort studies in the DIETSCAN project. Cancer Causes Control, 2005, 16: 725-733.
23
Greenland S, Longnecker MP. Methods for trend estimation from summarized dose-response data, with applications to meta-analysis. Am J Epidemiol, 1992, 135: 1301-1309.
24
Higgins JP, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ, 2003, 327: 557-560.
25
Sterne JA, Egger M. Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. J Clin Epidemiol, 2001, 54: 1046-1055.
26
Sant M, Allemani C, Sieri S, et al. Salad vegetables dietary pattern protects against HER-2 positive breast cancer: a prospective Italian study. Int J Cancer, 2007, 121: 911-914.
27
Prentice RL, Caan B, Chlebowski RT, et al. Low-fat dietary pattern and risk of invasive breast cancer: the Women's Health Initiative Randomized Controlled Dietary Modification Trial. JAMA, 2006, 295: 629-642.
28
Williams MT, Hord NG. The role of dietary factors in cancer prevention: beyond fruits and vegetables. Nutr Clin Pract, 2005, 20: 451-459.
29
Lee MM, Shen JM. Dietary patterns using traditional Chinese medicine principles in epidemiological studies. Asia Pac J Clin Nutr, 2008, 17 (suppl 1): 79-81.
30
Ibiebele TI, van der Pols JC. Dietary pattern predicts breast cancer risk-evidence from the EPIC-Potsdam study. Br J Nutr, 2008, 100: 925-926.
31
Kroenke CH, Fung TT, Hu FB, et al. Dietary patterns after breast cancer diagnosis. J Clin Oncol, 2005, 23: 9295-9303.
32
Pierce JP, Stefanick ML, Flatt SW, et al. Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol, 2007, 25: 2345-2351.
33
Tseng M, Sellers TA, Vierkant RA, et al. Mediterranean diet and breast density in the Minnesota breast cancer family study. Nutr Cancer, 2008, 60: 703-709.
34
Takata Y, Maskarinec G, Park SY, et al. Mammographic density and dietary patterns: the multiethnic cohort. Eur J Cancer Prev, 2007, 16: 409-414.
35
Favero A, Parpinel M, Franceschi S. Diet and risk of breast cancer: major findings from an Italian case-control study. Biomed Pharmacother, 1998, 52: 109-115.
36
Malin AS, Qi D, Shu XO, et al. Intake of fruits, vegetables, and selected micronutrients in relation to the risk of breast cancer. Int J Cancer, 2003, 105: 413-418.
37
McCann SE, McCann WE, Hong CC, et al. Dietary patterns related to glycemic index and load and risk of premenopausal and postmenopausal breast cancer in the Western New York Exposure and Breast Cancer Study. Am J Clin Nutr, 2007, 86: 465-471.
38
Bessaoud F, Daure's JP, Gerber M. Dietary factors and breast cancer risk: a case control study among a population in Southern France. Nutr Cancer, 2008, 60: 177-187.
39
Pierce JP, Natarajan L, Caan BJ, et al. Influence of a diet very high in vegetables, fruit and fiber and low in fat on prognosis following treatment for breast cancer: the Women's Healthy Eating and Living (WHEL) randomized trial. JAMA, 2007, 298: 289-298.
40
van't Veer P, van Leer EM, Rietdijk A, et al. Combination of dietary factors in relation to breast cancer occurrence. Int J Cancer, 1991, 47: 649-653.
41
Kant AK, Schatzkin A, Graubard BI, et al. A prospective study of diet quality and mortality in women. JAMA, 2000, 283: 2109-2115.
42
Mattisson I, Wirfält E, Johansson U, et al. Intakes of plant foods, fibre and fat and risk of breast cancer-a prospective study in the Malmö Diet and Cancer cohort. Br J Cancer, 2004, 90: 122-127.
43
Schulz M, Hoffmann K, Weikert C, et al. Identification of a dietary pattern characterized by high-fat food choices associated with increased risk of breast cancer: the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study. Br J Nutr, 2008, 100: 942-946.
44
Engeset D, Dyachenko A, Ciampi A, et al. Dietary patterns and risk of cancer of various sites in the Norwegian European Prospective Investigation into Cancer and Nutrition cohort: the NorwegianWomen and Cancer study. Eur J Cancer Prev, 2009, 18: 69-75.
45
Terry P, Suzuki R, Hu FB, et al. A prospective study of major dietary patterns and the risk of breast cancer. Cancer Epidemiol Biomarkers Prev, 2001, 10: 1281-1285.
46
Sieri S, Krogh V, Pala V, et al. Dietary patterns and risk of breast cancer in the ORDET cohort. Cancer Epidemiol Biomarkers Prev, 2004, 13: 567-572.
47
Adebamowo CA, Hu FB, Cho E, et al. Dietary patterns and the risk of breast cancer. Ann Epidemiol, 2005, 15: 789-795.
48
Fung TT, Hu FB, Holmes MD, et al. Dietary patterns and the risk of postmenopausal breast cancer. Int J Cancer, 2005, 116: 116-121.
49
Nkondjock A, Ghadirian P. Associated nutritional risk of breast and colon cancers: a population-based case-control study in Montreal, Canada. Cancer Lett, 2005, 223: 85-91.
50
Velie EM, Schairer C, Flood A, et al. Empirically derived dietary patterns and risk of postmenopausal breast cancer in a large prospective cohort study. Am J Clin Nutr, 2005, 82: 1308-1319.
51
Ronco AL, De Stefani E, Boffetta P, et al. Food Patterns and risk of breast cancer: A factor analysis study in Uruguay. Int J Cancer, 2006, 119: 1672-1678.
52
Cui X, Dai Q, Tseng M, et al. Dietary patterns and breast cancer risk in the Shanghai Breast Cancer Study. Cancer Epidemiol Biomarkers Prev, 2007, 16: 1443-1448.
53
Hirose K, Matuso K, Iwata H, et al. Dietary patterns and the risk of breast cancer in Japanese women. Cancer Sci, 2007, 98: 1431-1438.
54
Edefonti V, Decarli A, La Vecchia C, et al. Nutrient dietary patterns and the risk of breast and ovarian cancers. Int J Cancer, 2008, 122: 609-613.
55
Murtaugh MA, Sweeney C, Giuliano AR, et al. Diet patterns and breast cancer risk in Hispanic and non-Hispanic white women: the Four-Corners Breast Cancer Study. Am J Clin Nutr, 2008, 87: 978-984.
56
Wu AH, Yu MC, Tseng C-C, et al. Dietary patterns and breast cancer risk in Asian AmericanWomen. Am J Clin Nutr, 2009, 89: 1145-1154.
57
Cottet V, Touvier M, Fournier A, et al. Postmenopausal breast cancer risk and dietary patterns in the E3N-EPIC prospective cohort study. Am J Epidemiol, 2009, 170: 1257-1267.
58
Agurs-Collins T, Rosenberg L, Makambi K, et al. Dietary patterns and breast cancer risk in women participating in the Black Women's Health Study. Am J Clin Nutr, 2009, 90: 621-628.
59
De Stefani E, Deneo-Pellegrini H, Boffetta P, et al. Dietary patterns and risk of cancer: a factor analysis in Uruguay. Int J Cancer, 2009, 124: 1391-1397.
60
Bingham SA, Luben R, Welch A, et al. Are imprecise methods obscuring a relation between fat and breast cancer? Lancet, 2003, 362: 212-214.
61
Freedman LS, Potischman N, Kipnis V, et al. A comparison of two dietary instruments for evaluating the fat-breast cancer relationship. Int J Epidemiol, 2006, 35: 1011-1021.
62
Schatzkin A, Kipnis V, Carroll RJ, et al. A comparison of a food frequency questionnaire with a 24-hour recall for use in an epidemiological cohort study: results from the biomarker-based Observing Protein and Energy Nutrition (OPEN) study. Int J Epidemiol, 2003, 32: 1054-1062.
63
Kroke A, Klipstein-Grobusch K, Voss S, et al. Validation of a selfadministered food-frequency questionnaire administered in the European Prospective Investigation into Cancer and Nutrition (EPIC) Study: comparison of energy, protein, and macronutrient intakes estimated with the doubly labelled water, urinary nitrogen, and repeated 24-h dietary recall methods. Am J Clin Nutr, 1999, 70: 439-447.
64
Ginsburg ES, Walsh BW, Shea BF, et al. The effects of ethanol on the clearance of estradiol in postmenopausal women. Fertil Steril, 1995, 63: 1227-1230.
65
Garro AJ, Lieber CS. Alcohol and cancer. Annu Rev Pharmacol Toxicol, 1990, 30: 219-249.
66
Moisan J, Meyer F, Gingras S. A nested case-control study of the correlates of early menarche. Am J Epidemiol, 1990, 132: 953-961.
67
Edefonti V, Randi G, La Vecchia C, et al. Dietary patterns and breast cancer: a review with focus on methodological issues. Nutr Rev, 2009, 67: 297-314.
68
Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol, 2002, 13: 3-9.
69
Jacques PF, Tucker KL. Are dietary patterns useful for understanding the role of diet in chronic disease? Am J Clin Nutr, 2001, 73: 1-2.
70
Newby PK, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev, 2004, 62: 177-203.
71
Slattery ML, Boucher KM. The senior authors' response: factor analysis as a tool for evaluating eating patterns. Am J Epidemiol, 1998, 148: 20-21.
72
Martinez ME, Marshall JR, Sechrest L. Invited commentary: factor analysis and the search for objectivity. Am J Epidemiol, 1998, 148: 17-19.
73
Mente A, de Koning L, Shannon HS, et al. A systematic review of the evidence supporting a causal link between dietary factors and coronary heart disease. Arch Intern Med, 2009, 169: 659-669.
74
Khani BR, Ye W, Terry P, et al. Reproducibility and validity of major dietary patterns among Swedish women assessed with a food-frequency questionnaire. J Nutr, 2004, 134: 1541-1545.
75
Hu FB, Rimm E, Smith-Warner SA, et al. Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J Clin Nutr, 1999, 69: 243-249.
76
Newby PK, Weismayer C, Akesson A, et al. Long-term stability of food patterns identified by use of factor analysis among Swedish women. J Nutr 2006, 136: 626-633.
77
Schulze MB, Hoffman K, Manson JE, et al. Dietary pattern, inflammation, and incidence of type 2 diabetes in women. Am J Clin Nutr, 2005, 82: 675-684.
78
Goodman M, Bostick RM, Dash C, et al. Hypothesis: oxidative stress score as a combined measure of pro-oxidant and antioxidant exposures. Ann Epidemiol, 2007, 17: 394-399.
No related articles found!
阅读次数
全文


摘要