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Published in: BMC Medicine 1/2014

Open Access 01-12-2014 | Commentary

Helping women to good health: breast cancer, omega-3/omega-6 lipids, and related lifestyle factors

Authors: Michel de Lorgeril, Patricia Salen

Published in: BMC Medicine | Issue 1/2014

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Abstract

In addition to genetic predisposition and sex hormone exposure, physical activity and a healthy diet play important roles in breast cancer (BC). Increased intake of omega-3 fatty acids (n-3) associated with decreased omega-6 (n-6), resulting in a higher n-3/n-6 ratio compared with the western diet, are inversely associated with BC risk, as shown by Yang et al. in their meta-analysis in BMC Cancer. High consumption of polyphenols and organic foods increase the n-3/n-6 ratio, and in turn may decrease BC risk. Intake of high fiber foods and foods with low glycemic index decreases insulin resistance and diabetes risk, and in turn may decrease BC risk. The modernized Mediterranean diet is an effective strategy for combining these recommendations, and this dietary pattern reduces overall cancer risk and specifically BC risk. High-risk women should also eliminate environmental endocrine disruptors, including those from foods. Drugs that decrease the n-3/n-6 ratio or that are suspected of increasing BC or diabetes risk should be used with great caution by high-risk women and women wishing to decrease their BC risk.
Literature
1.
go back to reference Matsen CB, Neumayer LA: Breast cancer: a review for the general surgeon. JAMA Surg. 2013, 148: 971-979. 10.1001/jamasurg.2013.3393.CrossRefPubMed Matsen CB, Neumayer LA: Breast cancer: a review for the general surgeon. JAMA Surg. 2013, 148: 971-979. 10.1001/jamasurg.2013.3393.CrossRefPubMed
2.
go back to reference Eccles SA, Aboagye EO, Ali S, Anderson AS, Armes J, Berditchevski F, Blaydes JP, Brennan K, Brown NJ, Bryant HE, Bundred NJ, Burchell JM, Campbell AM, Carroll JS, Clarke RB, Coles CE, Cook GJ, Cox A, Curtin NJ, Dekker LV, Silva Idos S, Duffy SW, Easton DF, Eccles DM, Edwards DR, Edwards J, Evans D, Fenlon DF, Flanagan JM, Foster C, et al: Critical research gaps and translational priorities for the successful prevention and treatment of breast cancer. Breast Cancer Res. 2013, 15: R92-10.1186/bcr3493.CrossRefPubMedPubMedCentral Eccles SA, Aboagye EO, Ali S, Anderson AS, Armes J, Berditchevski F, Blaydes JP, Brennan K, Brown NJ, Bryant HE, Bundred NJ, Burchell JM, Campbell AM, Carroll JS, Clarke RB, Coles CE, Cook GJ, Cox A, Curtin NJ, Dekker LV, Silva Idos S, Duffy SW, Easton DF, Eccles DM, Edwards DR, Edwards J, Evans D, Fenlon DF, Flanagan JM, Foster C, et al: Critical research gaps and translational priorities for the successful prevention and treatment of breast cancer. Breast Cancer Res. 2013, 15: R92-10.1186/bcr3493.CrossRefPubMedPubMedCentral
5.
go back to reference 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: f3706-10.1136/bmj.f3706.CrossRefPubMed 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: f3706-10.1136/bmj.f3706.CrossRefPubMed
6.
go back to reference Cheraghi Z, Poorolajal J, Hashem T, Esmailnasab N, Doosti Irani A: Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis. PLoS One. 2012, 7: e51446-10.1371/journal.pone.0051446.CrossRefPubMedPubMedCentral Cheraghi Z, Poorolajal J, Hashem T, Esmailnasab N, Doosti Irani A: Effect of body mass index on breast cancer during premenopausal and postmenopausal periods: a meta-analysis. PLoS One. 2012, 7: e51446-10.1371/journal.pone.0051446.CrossRefPubMedPubMedCentral
7.
go back to reference de Lorgeril M, Salen P: New insights into the health effects of dietary saturated and omega-6 and omega-3 polyunsaturated fatty acids. BMC Med. 2012, 10: 50-10.1186/1741-7015-10-50.CrossRefPubMedPubMedCentral de Lorgeril M, Salen P: New insights into the health effects of dietary saturated and omega-6 and omega-3 polyunsaturated fatty acids. BMC Med. 2012, 10: 50-10.1186/1741-7015-10-50.CrossRefPubMedPubMedCentral
8.
go back to reference Pearce ML, Dayton S: Incidence of cancer in men on a diet high in polyunsaturated fat. Lancet. 1971, 1: 464-467.CrossRefPubMed Pearce ML, Dayton S: Incidence of cancer in men on a diet high in polyunsaturated fat. Lancet. 1971, 1: 464-467.CrossRefPubMed
9.
go back to reference de Lorgeril M, Salen P, Martin JL, Monjaud I, Boucher P, Mamelle N: Mediterranean dietary pattern in a randomized trial: prolonged survival and possible reduced cancer rate. Arch Intern Med. 1998, 158: 1181-1187. 10.1001/archinte.158.11.1181.CrossRefPubMed de Lorgeril M, Salen P, Martin JL, Monjaud I, Boucher P, Mamelle N: Mediterranean dietary pattern in a randomized trial: prolonged survival and possible reduced cancer rate. Arch Intern Med. 1998, 158: 1181-1187. 10.1001/archinte.158.11.1181.CrossRefPubMed
10.
go back to reference Yang B, Ren XL, Fu YQ, Gao JL, Duo L: Ratio of n-3/n-6 PUFAs and risk of breast cancer: a meta-analysis of 274,135 adult females from 11 independent prospective studies. BMC Cancer. 2014, 14: 105-10.1186/1471-2407-14-105.CrossRefPubMedPubMedCentral Yang B, Ren XL, Fu YQ, Gao JL, Duo L: Ratio of n-3/n-6 PUFAs and risk of breast cancer: a meta-analysis of 274,135 adult females from 11 independent prospective studies. BMC Cancer. 2014, 14: 105-10.1186/1471-2407-14-105.CrossRefPubMedPubMedCentral
11.
go back to reference Kaaks R, Tikk K, Sookthai D, Schock H, Johnson T, Tjønneland A, Olsen A, Overvad K, Clavel-Chapelon F, Dossus L, Baglietto L, Rinaldi S, Chajes V, Romieu I, Boeing H, Schütze M, Trichopoulou A, Lagiou P, Trichopoulos D, Palli D, Sieri S, Tumino R, Ricceri F, Mattiello A, Buckland G, Ramón Quirós J, Sánchez MJ, Amiano P, Chirlaque MD, et al: Premenopausal serum sex hormone levels in relation to breast cancer risk, overall and by hormone receptor status-results from the EPIC cohort. Int J Cancer. 2013 Kaaks R, Tikk K, Sookthai D, Schock H, Johnson T, Tjønneland A, Olsen A, Overvad K, Clavel-Chapelon F, Dossus L, Baglietto L, Rinaldi S, Chajes V, Romieu I, Boeing H, Schütze M, Trichopoulou A, Lagiou P, Trichopoulos D, Palli D, Sieri S, Tumino R, Ricceri F, Mattiello A, Buckland G, Ramón Quirós J, Sánchez MJ, Amiano P, Chirlaque MD, et al: Premenopausal serum sex hormone levels in relation to breast cancer risk, overall and by hormone receptor status-results from the EPIC cohort. Int J Cancer. 2013
12.
go back to reference Giltay EJ, Gooren LJ, Toorians AW, Katan MB, Zock P: Docosahexaenoic acid concentrations are higher in women than in men because of estrogenic effects. Am J Clin Nutr. 2004, 80: 1167-1174.PubMed Giltay EJ, Gooren LJ, Toorians AW, Katan MB, Zock P: Docosahexaenoic acid concentrations are higher in women than in men because of estrogenic effects. Am J Clin Nutr. 2004, 80: 1167-1174.PubMed
13.
go back to reference Toufektsian MC, Salen P, Laporte F, Tonelli C, de Lorgeril M: Dietary flavonoids increase plasma very long-chain (n-3) fatty acids in rats. J Nutr. 2011, 141: 37-41. 10.3945/jn.110.127225.CrossRefPubMed Toufektsian MC, Salen P, Laporte F, Tonelli C, de Lorgeril M: Dietary flavonoids increase plasma very long-chain (n-3) fatty acids in rats. J Nutr. 2011, 141: 37-41. 10.3945/jn.110.127225.CrossRefPubMed
14.
go back to reference di Giuseppe R, de Lorgeril M, Salen P, Laporte F, Di Castelnuovo A, Krogh V, Siani A, Arnout J, Cappuccio FP, van Dongen M, Donati MB, de Gaetano G, Iacoviello L, European Collaborative Group of the IMMIDIET Project: Alcohol consumption and n-3 polyunsaturated fatty acids in healthy men and women from 3 European populations. Am J Clin Nutr. 2009, 89: 354-362.CrossRefPubMed di Giuseppe R, de Lorgeril M, Salen P, Laporte F, Di Castelnuovo A, Krogh V, Siani A, Arnout J, Cappuccio FP, van Dongen M, Donati MB, de Gaetano G, Iacoviello L, European Collaborative Group of the IMMIDIET Project: Alcohol consumption and n-3 polyunsaturated fatty acids in healthy men and women from 3 European populations. Am J Clin Nutr. 2009, 89: 354-362.CrossRefPubMed
15.
go back to reference de Lorgeril M, Salen P, Martin JL, Boucher F, de Leiris J: Interactions of wine drinking with omega-3 fatty acids in patients with coronary heart disease: a fish-like effect of moderate wine drinking. Am Heart J. 2008, 155: 175-181. 10.1016/j.ahj.2007.08.009.CrossRefPubMed de Lorgeril M, Salen P, Martin JL, Boucher F, de Leiris J: Interactions of wine drinking with omega-3 fatty acids in patients with coronary heart disease: a fish-like effect of moderate wine drinking. Am Heart J. 2008, 155: 175-181. 10.1016/j.ahj.2007.08.009.CrossRefPubMed
16.
go back to reference Hui C, Qi X, Qianyong Z, Xiaoli P, Jundong Z, Mantian M: Flavonoids, flavonoid subclasses and breast cancer risk: a meta-analysis of epidemiologic studies. PLoS One. 2013, 8: e54318-10.1371/journal.pone.0054318.CrossRefPubMedPubMedCentral Hui C, Qi X, Qianyong Z, Xiaoli P, Jundong Z, Mantian M: Flavonoids, flavonoid subclasses and breast cancer risk: a meta-analysis of epidemiologic studies. PLoS One. 2013, 8: e54318-10.1371/journal.pone.0054318.CrossRefPubMedPubMedCentral
17.
go back to reference van Duynhoven J, Vaughan EE, Jacobs DM, Kemperman RA, van Velzen EJ, Gross G, Roger LC, Possemiers S, Smilde AK, Doré J, Westerhuis JA, Van de Wiele T: Metabolic fate of polyphenols in the human superorganism. Proc Natl Acad Sci U S A. 2011, 108: 4531-4538. 10.1073/pnas.1000098107.CrossRefPubMed van Duynhoven J, Vaughan EE, Jacobs DM, Kemperman RA, van Velzen EJ, Gross G, Roger LC, Possemiers S, Smilde AK, Doré J, Westerhuis JA, Van de Wiele T: Metabolic fate of polyphenols in the human superorganism. Proc Natl Acad Sci U S A. 2011, 108: 4531-4538. 10.1073/pnas.1000098107.CrossRefPubMed
18.
go back to reference Dong JY, Qin LQ: Soy isoflavones consumption and risk of breast cancer incidence or recurrence: a meta-analysis of prospective studies. Breast Cancer Res Treat. 2011, 125: 315-323. 10.1007/s10549-010-1270-8.CrossRefPubMed Dong JY, Qin LQ: Soy isoflavones consumption and risk of breast cancer incidence or recurrence: a meta-analysis of prospective studies. Breast Cancer Res Treat. 2011, 125: 315-323. 10.1007/s10549-010-1270-8.CrossRefPubMed
19.
go back to reference Setchell KD, Brown NM, Summer S, King EC, Heubi JE, Cole S, Guy T, Hokin B: Dietary factors influence production of the soy isoflavone metabolite s-(−)equol in healthy adults. J Nutr. 1950–1958, 2013: 143. Setchell KD, Brown NM, Summer S, King EC, Heubi JE, Cole S, Guy T, Hokin B: Dietary factors influence production of the soy isoflavone metabolite s-(−)equol in healthy adults. J Nutr. 1950–1958, 2013: 143.
20.
go back to reference Minatoya M, Kutomi G, Asakura S, Otokozawa S, Sugiyama Y, Nagata Y, Mori M, Hirata K: Equol, adiponectin, insulin levels and risk of breast cancer. Asian Pac J Cancer Prev. 2013, 14: 2191-2199. 10.7314/APJCP.2013.14.4.2191.CrossRefPubMed Minatoya M, Kutomi G, Asakura S, Otokozawa S, Sugiyama Y, Nagata Y, Mori M, Hirata K: Equol, adiponectin, insulin levels and risk of breast cancer. Asian Pac J Cancer Prev. 2013, 14: 2191-2199. 10.7314/APJCP.2013.14.4.2191.CrossRefPubMed
21.
go back to reference Touillaud MS, Thiébaut AC, Fournier A, Niravong M, Boutron-Ruault MC, Clavel-Chapelon F: Dietary lignan intake and postmenopausal breast cancer risk by estrogen and progesterone receptor status. J Natl Cancer Inst. 2007, 99: 475-486. 10.1093/jnci/djk096.CrossRefPubMedPubMedCentral Touillaud MS, Thiébaut AC, Fournier A, Niravong M, Boutron-Ruault MC, Clavel-Chapelon F: Dietary lignan intake and postmenopausal breast cancer risk by estrogen and progesterone receptor status. J Natl Cancer Inst. 2007, 99: 475-486. 10.1093/jnci/djk096.CrossRefPubMedPubMedCentral
22.
go back to reference Zaineddin AK, Vrieling A, Buck K, Becker S, Linseisen J, Flesch-Janys D, Kaaks R, Chang-Claude J: Serum enterolactone and postmenopausal breast cancer risk by estrogen, progesterone and herceptin 2 receptor status. Int J Cancer. 2012, 130: 1401-1410. 10.1002/ijc.26157.CrossRefPubMed Zaineddin AK, Vrieling A, Buck K, Becker S, Linseisen J, Flesch-Janys D, Kaaks R, Chang-Claude J: Serum enterolactone and postmenopausal breast cancer risk by estrogen, progesterone and herceptin 2 receptor status. Int J Cancer. 2012, 130: 1401-1410. 10.1002/ijc.26157.CrossRefPubMed
24.
go back to reference Benbrook C, Davis DR, Andrews PK: Methodologic flaws in selecting studies and comparing nutrient concentrations led Dangour et al. to miss the emerging forest amid the trees. Am J Clin Nutr. 2009, 90: 1700-1701. 10.3945/ajcn.2009.28605. author reply 1701CrossRefPubMed Benbrook C, Davis DR, Andrews PK: Methodologic flaws in selecting studies and comparing nutrient concentrations led Dangour et al. to miss the emerging forest amid the trees. Am J Clin Nutr. 2009, 90: 1700-1701. 10.3945/ajcn.2009.28605. author reply 1701CrossRefPubMed
26.
go back to reference Hallmann E, Lipowski J, Marszałek K, Rembiałkowska E: The seasonal variation in bioactive compounds content in juice from organic and non-organic tomatoes. Plant Foods Hum Nutr. 2013, 68: 171-176. 10.1007/s11130-013-0352-2.CrossRefPubMedPubMedCentral Hallmann E, Lipowski J, Marszałek K, Rembiałkowska E: The seasonal variation in bioactive compounds content in juice from organic and non-organic tomatoes. Plant Foods Hum Nutr. 2013, 68: 171-176. 10.1007/s11130-013-0352-2.CrossRefPubMedPubMedCentral
27.
go back to reference Benbrook CM, Butler G, Latif MA, Leifert C, Davis DR: Organic production enhances milk nutritional quality by shifting fatty acid composition: a United States-wide, 18-month study. PLoS One. 2013, 8: e82429-10.1371/journal.pone.0082429.CrossRefPubMedPubMedCentral Benbrook CM, Butler G, Latif MA, Leifert C, Davis DR: Organic production enhances milk nutritional quality by shifting fatty acid composition: a United States-wide, 18-month study. PLoS One. 2013, 8: e82429-10.1371/journal.pone.0082429.CrossRefPubMedPubMedCentral
28.
go back to reference Ellis KA, Innocent G, Grove-White D, Cripps P, McLean WG, Howard CV, Mihm M: Comparing the fatty acid composition of organic and conventional milk. J Dairy Sci. 1938–1950, 2006: 89. Ellis KA, Innocent G, Grove-White D, Cripps P, McLean WG, Howard CV, Mihm M: Comparing the fatty acid composition of organic and conventional milk. J Dairy Sci. 1938–1950, 2006: 89.
29.
go back to reference Tsiplakou E, Kotrotsios V, Hadjigeorgiou I, Zervas G: Differences in sheep and goats milk fatty acid profile between conventional and organic farming systems. J Dairy Res. 2010, 77: 343-349. 10.1017/S0022029910000270.CrossRefPubMed Tsiplakou E, Kotrotsios V, Hadjigeorgiou I, Zervas G: Differences in sheep and goats milk fatty acid profile between conventional and organic farming systems. J Dairy Res. 2010, 77: 343-349. 10.1017/S0022029910000270.CrossRefPubMed
30.
go back to reference Reynaud A, Fraisse D, Cornu A, Farruggia A, Pujos-Guillot E, Besle JM, Martin B, Lamaison JL, Paquet D, Doreau M, Graulet B: Variation in content and composition of phenolic compounds in permanent pastures according to botanical variation. J Agric Food Chem. 2010, 58: 5485-5494. 10.1021/jf1000293.CrossRefPubMed Reynaud A, Fraisse D, Cornu A, Farruggia A, Pujos-Guillot E, Besle JM, Martin B, Lamaison JL, Paquet D, Doreau M, Graulet B: Variation in content and composition of phenolic compounds in permanent pastures according to botanical variation. J Agric Food Chem. 2010, 58: 5485-5494. 10.1021/jf1000293.CrossRefPubMed
31.
go back to reference McAfee AJ, McSorley EM, Cuskelly GJ, Fearon AM, Moss BW, Beattie JA, Wallace JM, Bonham MP, Strain JJ: Red meat from animals offered a grass diet increases plasma and platelet n-3 PUFA in healthy consumers. Br J Nutr. 2011, 105: 80-89. 10.1017/S0007114510003090.CrossRefPubMed McAfee AJ, McSorley EM, Cuskelly GJ, Fearon AM, Moss BW, Beattie JA, Wallace JM, Bonham MP, Strain JJ: Red meat from animals offered a grass diet increases plasma and platelet n-3 PUFA in healthy consumers. Br J Nutr. 2011, 105: 80-89. 10.1017/S0007114510003090.CrossRefPubMed
32.
go back to reference Recio-Vega R, Velazco-Rodriguez V, Ocampo-Gómez G, Hernandez-Gonzalez S, Ruiz-Flores P, Lopez-Marquez F: Serum levels of polychlorinated biphenyls in Mexican women and breast cancer risk. J Appl Toxicol. 2011, 31: 270-278. 10.1002/jat.1672.CrossRefPubMed Recio-Vega R, Velazco-Rodriguez V, Ocampo-Gómez G, Hernandez-Gonzalez S, Ruiz-Flores P, Lopez-Marquez F: Serum levels of polychlorinated biphenyls in Mexican women and breast cancer risk. J Appl Toxicol. 2011, 31: 270-278. 10.1002/jat.1672.CrossRefPubMed
33.
go back to reference Brophy JT, Keith MM, Watterson A, Park R, Gilbertson M, Maticka-Tyndale E, Beck M, Abu-Zahra H, Schneider K, Reinhartz A, Dematteo R, Luginaah I: Breast cancer risk in relation to occupations with exposure to carcinogens and endocrine disruptors: a Canadian case–control study. Environ Health. 2012, 11: 87-10.1186/1476-069X-11-87.CrossRefPubMedPubMedCentral Brophy JT, Keith MM, Watterson A, Park R, Gilbertson M, Maticka-Tyndale E, Beck M, Abu-Zahra H, Schneider K, Reinhartz A, Dematteo R, Luginaah I: Breast cancer risk in relation to occupations with exposure to carcinogens and endocrine disruptors: a Canadian case–control study. Environ Health. 2012, 11: 87-10.1186/1476-069X-11-87.CrossRefPubMedPubMedCentral
34.
go back to reference Stahlhut RW, van Wijngaarden E, Dye TD, Cook S, Swan SH: Concentrations of urinary phthalate metabolites are associated with increased waist circumference and insulin resistance in adult U.S. males. Environ Health Perspect. 2007, 115: 876-882. 10.1289/ehp.9882.CrossRefPubMedPubMedCentral Stahlhut RW, van Wijngaarden E, Dye TD, Cook S, Swan SH: Concentrations of urinary phthalate metabolites are associated with increased waist circumference and insulin resistance in adult U.S. males. Environ Health Perspect. 2007, 115: 876-882. 10.1289/ehp.9882.CrossRefPubMedPubMedCentral
35.
go back to reference de Lorgeril M, Salen P, Defaye P, Rabaeus M: Recent findings on the health effects of omega-3 fatty acids and statins, and their interactions: do statins inhibit omega-3?. BMC Med. 2013, 11: 5-10.1186/1741-7015-11-5.CrossRefPubMedPubMedCentral de Lorgeril M, Salen P, Defaye P, Rabaeus M: Recent findings on the health effects of omega-3 fatty acids and statins, and their interactions: do statins inhibit omega-3?. BMC Med. 2013, 11: 5-10.1186/1741-7015-11-5.CrossRefPubMedPubMedCentral
36.
go back to reference Culver AL, Ockene IS, Balasubramanian R, Olendzki BC, Sepavich DM, Wactawski-Wende J, Manson JE, Qiao Y, Liu S, Merriam PA, Rahilly-Tierny C, Thomas F, Berger JS, Ockene JK, Curb JD, Ma Y: Statin use and risk of diabetes mellitus in postmenopausal women in the Women's Health Initiative. Arch Intern Med. 2012, 172: 144-152. 10.1001/archinternmed.2011.625.CrossRefPubMed Culver AL, Ockene IS, Balasubramanian R, Olendzki BC, Sepavich DM, Wactawski-Wende J, Manson JE, Qiao Y, Liu S, Merriam PA, Rahilly-Tierny C, Thomas F, Berger JS, Ockene JK, Curb JD, Ma Y: Statin use and risk of diabetes mellitus in postmenopausal women in the Women's Health Initiative. Arch Intern Med. 2012, 172: 144-152. 10.1001/archinternmed.2011.625.CrossRefPubMed
37.
go back to reference Larsen S, Stride N, Hey-Mogensen M, Hansen CN, Bang LE, Bundgaard H, Nielsen LB, Helge JW, Dela F: Simvastatin effects on skeletal muscle: relation to decreased mitochondrial function and glucose intolerance. J Am Coll Cardiol. 2013, 61: 44-53.CrossRefPubMed Larsen S, Stride N, Hey-Mogensen M, Hansen CN, Bang LE, Bundgaard H, Nielsen LB, Helge JW, Dela F: Simvastatin effects on skeletal muscle: relation to decreased mitochondrial function and glucose intolerance. J Am Coll Cardiol. 2013, 61: 44-53.CrossRefPubMed
39.
go back to reference McTiernan A, Kooperberg C, White E, Wilcox S, Coates R, Adams-Campbell LL, Woods N, Ockene J, Women's Health Initiative Cohort Study: Women's Health Initiative Cohort Study. Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women's Health Initiative Cohort Study. JAMA. 2003, 290: 1331-1336. 10.1001/jama.290.10.1331.CrossRefPubMed McTiernan A, Kooperberg C, White E, Wilcox S, Coates R, Adams-Campbell LL, Woods N, Ockene J, Women's Health Initiative Cohort Study: Women's Health Initiative Cohort Study. Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women's Health Initiative Cohort Study. JAMA. 2003, 290: 1331-1336. 10.1001/jama.290.10.1331.CrossRefPubMed
40.
go back to reference de Lorgeril M: Mediterranean diet and cardiovascular disease: historical perspective and latest evidence. Curr Atheroscler Rep. 2013, 15: 370.CrossRefPubMed de Lorgeril M: Mediterranean diet and cardiovascular disease: historical perspective and latest evidence. Curr Atheroscler Rep. 2013, 15: 370.CrossRefPubMed
41.
go back to reference Salen P, de Lorgeril M: The Okinawan diet: a modern view of an ancestral healthy lifestyle. World Rev Nutr Diet. 2011, 102: 114-123.CrossRefPubMed Salen P, de Lorgeril M: The Okinawan diet: a modern view of an ancestral healthy lifestyle. World Rev Nutr Diet. 2011, 102: 114-123.CrossRefPubMed
42.
go back to reference Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, Gapstur S, Patel AV, Andrews K, Gansler T, American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee: American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin. 2012, 62: 30-67. 10.3322/caac.20140.CrossRefPubMed Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, Gapstur S, Patel AV, Andrews K, Gansler T, American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee: American Cancer Society 2010 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin. 2012, 62: 30-67. 10.3322/caac.20140.CrossRefPubMed
43.
go back to reference Wolin KY, Colditz GA: Cancer and beyond: healthy lifestyle choices for cancer survivors. J Natl Cancer Inst. 2013, 105: 593-594. 10.1093/jnci/djt052.CrossRefPubMed Wolin KY, Colditz GA: Cancer and beyond: healthy lifestyle choices for cancer survivors. J Natl Cancer Inst. 2013, 105: 593-594. 10.1093/jnci/djt052.CrossRefPubMed
Metadata
Title
Helping women to good health: breast cancer, omega-3/omega-6 lipids, and related lifestyle factors
Authors
Michel de Lorgeril
Patricia Salen
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2014
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/1741-7015-12-54

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