- •The association of three dietary patterns with breast cancer risk was evaluated in a case-control study. The dietary patterns were Western, Prudent and Mediterranean.
- •Greater adherence to the Western dietary pattern seems to increase breast cancer risk in both premenopausal and postmenopausal women.
- •While greater adherence to the Prudent pattern did not show any effect on breast cancer risk, the Mediterranean dietary pattern could be protective, but only in postmenopausal women.
- •Tumour subtype was unaffected by dietary pattern.
- •Dietary recommendations based on a departure from the Western dietary pattern in favour of the Mediterranean diet could reduce breast cancer risk in the general population.
Main outcome measures
Abbreviations:BC (breast cancer), EpiGEICAM (epidemiological study of the Spanish Group for Breast Cancer Research (Grupo Español de Investigación en Cáncer de Mama)), MCC-Spain (multicase-control study on common tumours in Spain), OR (odds ratio), 95%CI (95% Confidence Interval), FFQ (food frequency questionnaire), ER (oestrogen receptor), PR (progesterone receptor), HER2 (human epidermal growth factor receptor 2), TN (triple negative), SD (standard deviation), IQI (interquartile interval), BMI (body mass index), METs (metabolic equivalents), Kcal (kilocalories), PAF (population attributable fraction), n (number of individuals), p-int (p-value for the interaction), p-het (p-value for the heterogeneity), p-trend (p-value for trend)
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
- Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. Geneva, World Health Organization.2009 (Acces Date: 24th of May 2017)
- Recent trends in incidence of five common cancers in 26 European countries since 1988: Analysis of the European Cancer Observatory.Eur. J. Cancer (Oxf., Engl. : 1990). 2015; 51: 1164-1187
- Cancer is a preventable disease that requires major lifestyle changes.Pharm. Res. 2008; 25: 2097-2116
- Critical research gaps and translational priorities for the successful prevention and treatment of breast cancer.Breast Cancer Res. 2013; 15: R92
- Diet and breast cancer.Salud Publica Mex. 2011; 53: 430-439
WCRF/AICR, World Cancer Research Fund/American Institute for Cancer Research. Continuous Update Project Report. Diet, nutrition, physical activity, and the prevention of breast cancer. 2017. www.aicr.org/assets/docs/pdf/reports/Second_Expert_Report.pdf. Access Date: 24th of May 2017.
- Dietary pattern analysis: a new direction in nutritional epidemiology.Curr. Opin. Lipidol. 2002; 13: 3-9
- Importance of understanding food consumption patterns.J. Am. Diet. Assoc. 2007; 107: 234-236
- Spanish Mediterranean diet and other dietary patterns and breast cancer risk: case-control EpiGEICAM study.Br. J. Cancer. 2014; 111: 9
- Population-based multicase-control study in common tumors in Spain (MCC-Spain): rationale and study design.Gaceta Sanit./S.E.S.P.A.S. 2015; 29: 308-315
- Perinatal and childhood factors and risk of breast cancer subtypes in adulthood.Cancer Epidemiol. 2016; 40: 22-30
- Food, nutrient and heterocyclic amine intake and the risk of bladder cancer.Eur. J. Cancer (Oxf., Engl.: 1990. 2007; 43: 1731-1740
- Using cross-check questions to address the problem of mis-reporting of specific food groups on food frequency questionnaires. UKWCS Steering Group. United Kingdom Women's Cohort Study Steering Group.Eur. J. Clin. Nutr. 1997; 51: 708-712
- Strategies for subtypes–dealing with the diversity of breast cancer: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer.Ann. Oncol. 2011; 22: 1736-1747
- Recommendations for human epidermal growth factor receptor 2 testing in breast cancer: american Society of Clinical Oncology/College of American Pathologists clinical practice guideline update.J. Clin. Oncol. 2013; 31: 3997-4013
- Reproducibility of data-driven dietary patterns in two groups of adult Spanish women from different studies.Br. J. Nutr. 2016; : 1-9
- Evaluating the applicability of data-driven dietary patterns to independent samples with a focus on measurement tools for pattern similarity.J. Acad. Nutr. Diet. 2016;
B. Ainsworth, W. Haskell, M. Whitt, M. Irwin, A. Swartz, S. Strath, W. O'Brien, D.J. Bassett, K. Schmitz, P. Emplaincourt, D.J. Jacobs, A. Leon, The Compendium of Physical Activities Tracking Guide, 2011, https://sites.google.com/site/compendiumofphysicalactivities/.
- A heuristic approach to the formulas for population attributable fraction.J. Epidemiol. Community Health. 2001; 55: 508-514
- Dietary patterns and breast cancer: a review with focus on methodological issues.Nutr. Rev. 2009; 67: 297-314
- The role of dietary factors in prevention and progression of breast cancer.Anticancer Res. 2014; 34: 6861-6875
- 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
- Association between western and mediterranean dietary patterns and mammographic density.Obstet. Gynecol. 2016; 128: 574-581
- Mammographic density and risk of breast cancer according to tumor characteristics and mode of detection: a Spanish population-based case-control study.Breast Cancer Res. 2013; 15: R9
- Dietary patterns and breast cancer risk: a systematic review and meta-analysis.Am. J. Clin. Nutr. 2010; 91: 1294-1302
- Adherence to the mediterranean diet and risk of breast cancer in the European prospective investigation into cancer and nutrition cohort study.Int. J. Cancer. 2013; 132: 2918-2927
- Differential influence of dietary soy intake on the risk of breast cancer recurrence related to HER2 status.Nutr. Cancer. 2012; 64: 198-205
- Dietary patterns and breast cancer risk: a study in 2 cohorts.Am. J. Clin. Nutr. 2015; 101: 817-823
- Intake of energy-dense foods, fast foods, sugary drinks, and breast cancer risk in African American and European American women.Nutr. Cancer. 2014; 66: 1187-1199
- Diet and breast cancer: a systematic review.Int. J. Food Sci. Nutr. 2015; 66: 1-42
- Adherence to a healthy Nordic food index and breast cancer risk: results from a Swedish cohort study.Cancer Causes Control. 2015; 26: 893-902