Skip to main content
Top
Published in: Breast Cancer Research and Treatment 3/2013

01-04-2013 | Epidemiology

Intake of specific fruits and vegetables in relation to risk of estrogen receptor-negative breast cancer among postmenopausal women

Authors: Teresa T. Fung, Stephanie E. Chiuve, Walter C. Willett, Susan E. Hankinson, Frank B. Hu, Michelle D. Holmes

Published in: Breast Cancer Research and Treatment | Issue 3/2013

Login to get access

Abstract

In previous studies of postmenopausal women, overall intake of fruits and vegetables groups has been inversely associated with estrogen receptor-negative (ER−) breast cancer. In this analysis, we prospectively examined the associations of specific fruits and vegetables with risk of ER− postmenopausal breast cancer among 75,929 women aged 38–63 years at baseline and followed for up to 24 years. Dietary data were collected seven times during this period. Cox proportional hazard models were used, adjusting for potential confounders, including a modified Alternate Mediterranean Diet score. We ascertained 792 incident cases of ER− postmenopausal breast cancer. The multivariate relative risk (RR) for every 2 servings/week consumption for total berries was 0.82 (95 % CI = 0.71–0.96, p = 0.01), and the RR for women who consumed at least one serving of blueberries a week was 0.69 (95 % CI = 0.50–0.95, p = 0.02) compared with non-consumers. Also, the RR for consuming at least 2 servings of peaches/nectarines per week was 0.59 (95 % CI = 0.37–0.93, p = 0.02). Risk of ER− breast cancer was not associated with intakes of other specific fruits or vegetables. In conclusion, higher intake of berries and peaches was associated with lower risk of ER− breast cancer among postmenopausal women. These results are considered exploratory and need to be confirmed in further studies.
Literature
1.
go back to reference Jung S, Spiegelman D, Baglietto L, Bernstein L, Boggs DA, van den Brandt PA et al (2013) Fruit and vegetables intake and risk of breast cancer by hormone receptor status. J Natl Cancer Inst 105:219–236PubMedCrossRef Jung S, Spiegelman D, Baglietto L, Bernstein L, Boggs DA, van den Brandt PA et al (2013) Fruit and vegetables intake and risk of breast cancer by hormone receptor status. J Natl Cancer Inst 105:219–236PubMedCrossRef
2.
go back to reference Fung TT, Hu FB, McCullough ML, Newby PK, Willett WC, Holmes MD (2006) Diet quality is associated with the risk of estrogen receptor-negative breast cancer in postmenopausal women. J Nutr 136(2):466–472. Epub 2006/01/21.eng Fung TT, Hu FB, McCullough ML, Newby PK, Willett WC, Holmes MD (2006) Diet quality is associated with the risk of estrogen receptor-negative breast cancer in postmenopausal women. J Nutr 136(2):466–472. Epub 2006/01/21.eng
3.
go back to reference Boggs DA, Palmer JR, Wise LA, Spiegelman D, Stampfer MJ, Adams-Campbell LL et al (2010) Fruit and vegetable intake in relation to risk of breast cancer in the Black Women’s Health Study. Am J Epidemiol 172:1268–1279PubMedCrossRef Boggs DA, Palmer JR, Wise LA, Spiegelman D, Stampfer MJ, Adams-Campbell LL et al (2010) Fruit and vegetable intake in relation to risk of breast cancer in the Black Women’s Health Study. Am J Epidemiol 172:1268–1279PubMedCrossRef
4.
go back to reference Zhang X, Spiegelman D, Baglietto L, Bernstein L, Boggs DA, van den Brandt PA et al (2012) Carotenoid intakes and risk of breast cancer defined by estrogen receptor and progesterone receptor status: a pooled analysis of 18 prospective cohort studies. Am J Clin Nutr 95:713–725PubMedCrossRef Zhang X, Spiegelman D, Baglietto L, Bernstein L, Boggs DA, van den Brandt PA et al (2012) Carotenoid intakes and risk of breast cancer defined by estrogen receptor and progesterone receptor status: a pooled analysis of 18 prospective cohort studies. Am J Clin Nutr 95:713–725PubMedCrossRef
5.
go back to reference Eliassen AH, Hendrickson SJ, Brinton LA, Buring JE, Campos H, Dai Q et al (2012) Circulating carotenoids and risk of breast cancer: pooled analysis of eight prospective studies. J Natl Cancer Inst 104:1905–1916PubMedCrossRef Eliassen AH, Hendrickson SJ, Brinton LA, Buring JE, Campos H, Dai Q et al (2012) Circulating carotenoids and risk of breast cancer: pooled analysis of eight prospective studies. J Natl Cancer Inst 104:1905–1916PubMedCrossRef
6.
go back to reference Johnson SA, Arjmandi BH (2013) Evidence for anti-cancer properties of blueberries: a mini-review. Anticancer Agents Med Chem. Epub 24 January Johnson SA, Arjmandi BH (2013) Evidence for anti-cancer properties of blueberries: a mini-review. Anticancer Agents Med Chem. Epub 24 January
7.
go back to reference Colditz GA, Martin P, Stampfer MJ, Willett WC, Sampson L, Rosner BA et al (1986) Validation of questionnaire information on risk factors and disease outcomes in a prospective cohort of women. Am J Epidemiol 123:894–900PubMed Colditz GA, Martin P, Stampfer MJ, Willett WC, Sampson L, Rosner BA et al (1986) Validation of questionnaire information on risk factors and disease outcomes in a prospective cohort of women. Am J Epidemiol 123:894–900PubMed
8.
go back to reference Willett WC (1998) Nutritional epidemiology. Oxford University Press, New YorkCrossRef Willett WC (1998) Nutritional epidemiology. Oxford University Press, New YorkCrossRef
9.
go back to reference Salvini S, Hunter DJ, Sampson L, Stampfer MJ, Colditz GA, Rosner BA et al (1989) Food-based validation of a dietary questionnaire: the effects of week-to-week variation in food consumption. Int J Epidemiol 18:858–867PubMedCrossRef Salvini S, Hunter DJ, Sampson L, Stampfer MJ, Colditz GA, Rosner BA et al (1989) Food-based validation of a dietary questionnaire: the effects of week-to-week variation in food consumption. Int J Epidemiol 18:858–867PubMedCrossRef
10.
go back to reference Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9 Suppl):S498–S504PubMed Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9 Suppl):S498–S504PubMed
11.
go back to reference Hu FB, Stampfer MJ, Rimm E, Ascherio A, Rosner BA, Spiegelman D et al (1999) Dietary fat and coronary heart disease: a comparison of approaches for adjusting for total energy intake and modeling repeated dietary measurements. Am J Epidemiol 149:531–540PubMedCrossRef Hu FB, Stampfer MJ, Rimm E, Ascherio A, Rosner BA, Spiegelman D et al (1999) Dietary fat and coronary heart disease: a comparison of approaches for adjusting for total energy intake and modeling repeated dietary measurements. Am J Epidemiol 149:531–540PubMedCrossRef
12.
go back to reference Aune D, Chan DS, Vieira AR, Rosenblatt DA, Vieira R, Greenwood DC et al (2012) Fruits, vegetables and breast cancer risk: a systematic review and meta-analysis of prospective studies. Breast Cancer Res Treat 134:479–493PubMedCrossRef Aune D, Chan DS, Vieira AR, Rosenblatt DA, Vieira R, Greenwood DC et al (2012) Fruits, vegetables and breast cancer risk: a systematic review and meta-analysis of prospective studies. Breast Cancer Res Treat 134:479–493PubMedCrossRef
13.
go back to reference Bao PP, Shu XO, Zheng Y, Cai H, Ruan ZX, Gu K et al (2012) Fruit, vegetable, and animal food intake and breast cancer risk by hormone receptor status. Nutr Cancer 64:806–819PubMedCrossRef Bao PP, Shu XO, Zheng Y, Cai H, Ruan ZX, Gu K et al (2012) Fruit, vegetable, and animal food intake and breast cancer risk by hormone receptor status. Nutr Cancer 64:806–819PubMedCrossRef
14.
go back to reference Faria A, Pestana D, Teixeira D, de Freitas V, Mateus N, Calhau C (2010) Blueberry anthocyanins and pyruvic acid adducts: anticancer properties in breast cancer cell lines. Phytother Res 24:1862–1869PubMedCrossRef Faria A, Pestana D, Teixeira D, de Freitas V, Mateus N, Calhau C (2010) Blueberry anthocyanins and pyruvic acid adducts: anticancer properties in breast cancer cell lines. Phytother Res 24:1862–1869PubMedCrossRef
15.
go back to reference Adams LS, Phung S, Yee N, Seeram NP, Li L, Chen S (2010) Blueberry phytochemicals inhibit growth and metastatic potential of MDA-MB-231 breast cancer cells through modulation of the phosphatidylinositol 3-kinase pathway. Cancer Res 70:3594–3605PubMedCrossRef Adams LS, Phung S, Yee N, Seeram NP, Li L, Chen S (2010) Blueberry phytochemicals inhibit growth and metastatic potential of MDA-MB-231 breast cancer cells through modulation of the phosphatidylinositol 3-kinase pathway. Cancer Res 70:3594–3605PubMedCrossRef
16.
go back to reference Wedge DE, Meepagala KM, Magee JB, Smith SH, Huang G, Larcom LL (2001) Anticarcinogenic activity of strawberry, blueberry, and raspberry extracts to breast and cervical cancer cells. J Med Foods 4:49–51CrossRef Wedge DE, Meepagala KM, Magee JB, Smith SH, Huang G, Larcom LL (2001) Anticarcinogenic activity of strawberry, blueberry, and raspberry extracts to breast and cervical cancer cells. J Med Foods 4:49–51CrossRef
17.
go back to reference Somassagara RR, Hegde M, Chiruvella KK, Musini A, Choudhary B, Raghavan SC (2012) Extracts of strawberry fruits induce intrinsic pathway of apoptosis in breast cancer cells and inhibits tumor progression in mice. PLoS ONE 7:e47021CrossRef Somassagara RR, Hegde M, Chiruvella KK, Musini A, Choudhary B, Raghavan SC (2012) Extracts of strawberry fruits induce intrinsic pathway of apoptosis in breast cancer cells and inhibits tumor progression in mice. PLoS ONE 7:e47021CrossRef
18.
go back to reference Noratto G, Porter W, Byrne D, Cisneros-Zevallos L (2009) Identifying peach and plum polyphenols with chemopreventive potential against estrogen-independent breast cancer cells. J Agric Food Chem 57:5219–5226PubMedCrossRef Noratto G, Porter W, Byrne D, Cisneros-Zevallos L (2009) Identifying peach and plum polyphenols with chemopreventive potential against estrogen-independent breast cancer cells. J Agric Food Chem 57:5219–5226PubMedCrossRef
19.
go back to reference Tamini RM, Hankinson SE, Campos H, Spiegelman D, Zhang S, Colditz GA et al (2005) Plasma carotenoids, retinol, and tocopherols and risk of breast cancer. Am J Epidemiol 161:153–160CrossRef Tamini RM, Hankinson SE, Campos H, Spiegelman D, Zhang S, Colditz GA et al (2005) Plasma carotenoids, retinol, and tocopherols and risk of breast cancer. Am J Epidemiol 161:153–160CrossRef
20.
go back to reference Sato R, Helzlsouer KJ, Alberg AJ, Hoffman SC, Norkus EP, Comstock GW (2002) Prospective study of carotenoids, tocopherols, and retinoid concentrations and the risk of breast cancer. Cancer Epidemiol Biomark Prev 11:451–457 Sato R, Helzlsouer KJ, Alberg AJ, Hoffman SC, Norkus EP, Comstock GW (2002) Prospective study of carotenoids, tocopherols, and retinoid concentrations and the risk of breast cancer. Cancer Epidemiol Biomark Prev 11:451–457
Metadata
Title
Intake of specific fruits and vegetables in relation to risk of estrogen receptor-negative breast cancer among postmenopausal women
Authors
Teresa T. Fung
Stephanie E. Chiuve
Walter C. Willett
Susan E. Hankinson
Frank B. Hu
Michelle D. Holmes
Publication date
01-04-2013
Publisher
Springer US
Published in
Breast Cancer Research and Treatment / Issue 3/2013
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-013-2484-3

Other articles of this Issue 3/2013

Breast Cancer Research and Treatment 3/2013 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine