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Breast Cancer
Published in: Breast Cancer 1/2017

01-01-2017 | Original Article

Dietary patterns and breast cancer risk in a prospective Japanese study

Authors: Reiji Kojima, Emiko Okada, Shigekazu Ukawa, Mitsuru Mori, Kenji Wakai, Chigusa Date, Hiroyasu Iso, Akiko Tamakoshi

Published in: Breast Cancer | Issue 1/2017

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Abstract

Background

The association between dietary patterns and breast cancer has been inconsistent.

Methods

This study examined associations between dietary patterns and risk of developing breast cancer among 23,172 women from the Japan Collaborative Cohort Study, including 119 incidences of breast cancer diagnosed during a median 16.9-year follow-up period. Factor analysis was conducted to obtain dietary patterns, and Cox proportional models were used to estimate hazard ratios (HR) and 95 % confidence intervals (95 % CI) for breast cancer morbidity.

Results

Three dietary patterns were identified: ‘‘vegetable pattern’’ (vegetables, potatoes, seaweed, tofu, fruits, fresh fish, eggs, and miso soup); ‘‘animal food pattern’’ (meat, deep-fried foods, fried vegetables, fish paste and salt-preserved fish); and “dairy product pattern’’ (milk, dairy products, fruits, coffee and tea). After adjusting for potential confounders, the vegetable and dairy product patterns were not significantly associated with risk of breast cancer. However, the animal food pattern was significantly associated with a decreased risk of breast cancer morbidity among premenopausal women by HR 0.47 for the 2nd tertile (95 % CI 0.22–1.00) and HR 0.42 for the 3rd tertile (95 % CI 0.18–0.93), compared with the bottom tertile (p for trend 0.04).

Conclusion

We found no significant association between the vegetable and dairy product dietary patterns and breast cancer risk; however, an animal product diet may reduce risk of breast cancer among premenopausal Japanese women.
Appendix
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Literature
1.
2.
Althuis MD, Dozier JM, Anderson WF, Devesa SS, Brinton LA. Global trends in breast cancer incidence and mortality 1973–1997. Int J Epidemiol. 2005;34:405–12.CrossRefPubMed
3.
Pisani P, Bray F, Parkin DM. Estimates of the world-wide prevalence of cancer for 25 sites in the adult population. Int J Cancer. 2002;97:72–81.CrossRefPubMed
4.
Minami Y, Tsubono Y, Nishino Y, Ohuchi N, Shibuya D, Hisamichi S. The increase of female breast cancer incidence in Japan: emergence of birth cohort effect. Int J Cancer. 2004;108:901–6.CrossRefPubMed
5.
Ziegler RG, Hoover RN, Pike MC, Hildesheim A, Nomura AM, West DW, et al. Migration patterns and breast cancer risk in Asian-American women. J Natl Cancer Inst. 1993;85:1819–27.CrossRefPubMed
6.
Michels KB, Mohllajee AP, Roset-Bahmanyar E, Beehler GP, Moysich KB. Diet and breast cancer: a review of the prospective observational studies. Cancer. 2007;109:2712–49.CrossRefPubMed
7.
Albuquerque RC, Baltar VT, Marchioni DM. Breast cancer and dietary patterns: a systematic review. Nutr Rev. 2014;72:1–17.CrossRefPubMed
8.
Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13:3–9.CrossRefPubMed
9.
Newby PK, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev. 2004;62:177–203.CrossRefPubMed
10.
Brennan SF, Cantwell MM, Cardwell CR, Velentzis LS, Woodside JV. Dietary patterns and breast cancer risk: a systematic review and meta-analysis. Am J Clin Nutr. 2010;91:1294–302.CrossRefPubMed
11.
Edefonti V, Randi G, La Vecchia C, Ferraroni M, Decarli A. Dietary patterns and breast cancer: a review with focus on methodological issues. Nutr Rev. 2009;67:297–314.CrossRefPubMed
12.
Martinez ME, Marshall JR, Sechrest L. Invited commentary: factor analysis and the search for objectivity. Am J Epidemiol. 1998;148:17–9.CrossRefPubMed
13.
Daniel CR, Cross AJ, Koebnick C, Sinha R. Trends in meat consumption in the USA. Public Health Nutr. 2011;14:575–83.CrossRefPubMed
14.
National Institute of Health and Nutrition. The National Health and Nutrition Survey in Japan, 2009ed. Tokyo: Daiichi-shuppan; 2012.
15.
Adebamowo CA, Hu FB, Cho E, Spiegelman D, Holmes MD, Willett WC. Dietary patterns and the risk of breast cancer. Ann Epidemiol. 2005;15:789–95.CrossRefPubMed
16.
Agurs-Collins T, Rosenberg L, Makambi K, Palmer JR, Adams-Campbell L. Dietary patterns and breast cancer risk in women participating in the Black Women’s Health Study. Am J Clin Nutr. 2009;90:621–8.CrossRefPubMedPubMedCentral
17.
Baglietto L, Krishnan K, Severi G, Hodge A, Brinkman M, English DR, et al. Dietary patterns and risk of breast cancer. Br J Cancer. 2011;104:524–31.CrossRefPubMed
18.
Fung TT, Hu FB, Holmes MD, Rosner BA, Hunter DJ, Colditz GA, et al. Dietary patterns and the risk of postmenopausal breast cancer. Int J Cancer. 2005;116:116–21.CrossRefPubMed
19.
Mannisto S, Dixon LB, Balder HF, Virtanen MJ, Krogh V, Khani BR, et al. Dietary patterns and breast cancer risk: results from three cohort studies in the DIETSCAN project. Cancer Causes Control. 2005;16:725–33.CrossRefPubMed
20.
Sant M, Allemani C, Sieri S, Krogh V, Menard S, Tagliabue E, et al. Salad vegetables dietary pattern protects against HER-2-positive breast cancer: a prospective Italian study. Int J Cancer. 2007;121:911–4.CrossRefPubMed
21.
Sieri S, Krogh V, Pala V, Muti P, Micheli A, Evangelista A, et al. Dietary patterns and risk of breast cancer in the ORDET cohort. Cancer Epidemiol Biomarkers Prev. 2004;13:567–72.PubMed
22.
Terry P, Suzuki R, Hu FB, Wolk A. A prospective study of major dietary patterns and the risk of breast cancer. Cancer Epidemiol Biomarkers Prev. 2001;10:1281–5.PubMed
23.
Velie EM, Schairer C, Flood A, He JP, Khattree R, Schatzkin A. Empirically derived dietary patterns and risk of postmenopausal breast cancer in a large prospective cohort study. Am J Clin Nutr. 2005;82:1308–19.PubMed
24.
Butler LM, Wu AH, Wang R, Koh WP, Yuan JM, Yu MC. A vegetable-fruit-soy dietary pattern protects against breast cancer among postmenopausal Singapore Chinese women. Am J Clin Nutr. 2010;91:1013–9.CrossRefPubMedPubMedCentral
25.
Hirose K, Matsuo K, Iwata H, Tajima K. Dietary patterns and the risk of breast cancer in Japanese women. Cancer Sci. 2007;98:1431–8.CrossRefPubMed
26.
Ohno Y, Tamakoshi A, Group JS. Japan collaborative cohort study for evaluation of cancer risk sponsored by monbusho (JACC study). J Epidemiol. 2001;11:144–50.CrossRefPubMed
27.
Tamakoshi A, Ozasa K, Fujino Y, Suzuki K, Sakata K, Mori M, et al. Cohort profile of the Japan Collaborative Cohort Study at final follow-up. J Epidemiol. 2013;23:227–32.CrossRefPubMedPubMedCentral
28.
Date C, Fukui M, Yamamoto A, Wakai K, Ozeki A, Motohashi Y, et al. Reproducibility and validity of a self-administered food frequency questionnaire used in the JACC study. J Epidemiol. 2005;15(Suppl 1):S9–23.CrossRefPubMed
29.
Maruyama K, Iso H, Date C, Kikuchi S, Watanabe Y, Wada Y, et al. Dietary patterns and risk of cardiovascular deaths among middle-aged Japanese: JACC Study. Nutr Metab Cardiovasc Dis. 2013;23:519–27.CrossRefPubMed
30.
Pham TM, Fujino Y, Kikuchi S, Tamakoshi A, Matsuda S, Yoshimura T. Dietary patterns and risk of stomach cancer mortality: the Japan collaborative cohort study. Ann Epidemiol. 2010;20:356–63.CrossRefPubMed
31.
World Cancer Research Fund/American Institute for Cancer Research. Food, Nutrition, Physical Activity and the Prevention of Cancer: A Global Perspective.ed. Washington, DC: American Institute for Cancer Research, 2007.
32.
Kiyabu GY, Inoue M, Saito E, Abe SK, Sawada N, Ishihara J, et al. Fish, n-3 polyunsaturated fatty acids and n-6 polyunsaturated fatty acids intake and breast cancer risk: the Japan Public Health Center-based prospective study. Int J Cancer. 2015;137:2915–26.CrossRefPubMed
33.
Wakai K, Tamakoshi K, Date C, Fukui M, Suzuki S, Lin Y, et al. Dietary intakes of fat and fatty acids and risk of breast cancer: a prospective study in Japan. Cancer Sci. 2005;96:590–9.CrossRefPubMed
34.
Zheng JS, Hu XJ, Zhao YM, Yang J, Li D. Intake of fish and marine n-3 polyunsaturated fatty acids and risk of breast cancer: meta-analysis of data from 21 independent prospective cohort studies. BMJ. 2013;346:f3706.CrossRefPubMed
35.
Cottet V, Touvier M, Fournier A, Touillaud MS, Lafay L, Clavel-Chapelon F, et al. Postmenopausal breast cancer risk and dietary patterns in the E3N-EPIC prospective cohort study. Am J Epidemiol. 2009;170:1257–67.CrossRefPubMed
36.
Colditz GA, Frazier AL. Models of breast cancer show that risk is set by events of early life: prevention efforts must shift focus. Cancer Epidemiol Biomarkers Prev. 1995;4:567–71.PubMed
37.
38.
Suzuki R, Iwasaki M, Hara A, Inoue M, Sasazuki S, Sawada N, et al. Fruit and vegetable intake and breast cancer risk defined by estrogen and progesterone receptor status: the Japan Public Health Center-based Prospective Study. Cancer Causes Control. 2013;24:2117–28.CrossRefPubMed
39.
Dong JY, Zhang L, He K, Qin LQ. Dairy consumption and risk of breast cancer: a meta-analysis of prospective cohort studies. Breast Cancer Res Treat. 2011;127:23–31.CrossRefPubMed
Metadata
Title
Dietary patterns and breast cancer risk in a prospective Japanese study
Authors
Reiji Kojima
Emiko Okada
Shigekazu Ukawa
Mitsuru Mori
Kenji Wakai
Chigusa Date
Hiroyasu Iso
Akiko Tamakoshi
Publication date
01-01-2017
Publisher
Springer Japan
Published in
Breast Cancer / Issue 1/2017
Print ISSN: 1340-6868
Electronic ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-016-0689-0

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