Fiber intake modulates the association of alcohol intake with breast cancer

Autor: Romieu, Isabelle Ferrari, Pietro Chajes, Veronique de Batlle, Jordi Biessy, Carine Scoccianti, Chiara Dossus, Laure Boutron, Marie Christine Bastide, Nadia Overvad, Kim and Olsen, Anja Tjonneland, Anne Kaaks, Rudolf Boeing, Heiner Trichopoulou, Antonia Lagiou, Pagona Trichopoulos, Dimitrios Palli, Domenico Sieri, Sabina Tumino, Rosario and Vineis, Paolo Panico, Salvatore Bueno-de-Mesquita, H. B. (as) and Gils, Carla H. Peeters, Petra H. Lund, Eiliv Skeie, Guri and Weiderpass, Elisabete Quiros, J. Ramon Chirlaque, Maria-Dolores Ardanaz, Eva Sanchez, Maria-Jose Duell, Eric J. Etxezarreta, Pilar Amiano Borgquist, Signe Hallmans, Goran Johansson, Ingegerd Nilsson, Lena Maria Khaw, Kay-Tee and Wareham, Nick Key, Timothy J. Travis, Ruth C. Murphy, Neil Wark, Petra A. Riboli, Elio
Jazyk: angličtina
Rok vydání: 2017
Popis: Alcohol intake has been related to an increased risk of breast cancer (BC) while dietary fiber intake has been inversely associated to BC risk. A beneficial effect of fibers on ethanol carcinogenesis through their impact on estrogen levels is still controversial. We investigated the role of dietary fiber as a modifying factor of the association of alcohol and BC using data from the European Prospective Investigation into Cancer and Nutrition (EPIC). This study included 334,850 women aged 35-70 years at baseline enrolled in the ten countries of the EPIC study and followed up for 11.0 years on average. Information on fiber and alcohol intake at baseline and average lifetime alcohol intake were calculated from country-specific dietary and lifestyle questionnaires. Hazard ratios (HR) of developing invasive BC according to different levels of alcohol and fiber intake were computed. During 3,670,439 person-years, 11,576 incident BC cases were diagnosed. For subjects with low intake of fiber (24.2 g/day) the risk of BC was 1.02 (0.99-1.05) (test for interaction p = 0.011). This modulating effect was stronger for fiber from vegetables. Our results suggest that fiber intake may modulate the positive association of alcohol intake and BC. Alcohol is well known to increase the risk for BC, while a fiber-rich diet has the opposite effect. Here the authors find a significant interaction between both lifestyle factors indicating that high fiber intake can ease the adverse effects associated with alcohol consumption. Consequently, women with high alcohol intake and low fiber intake (
Databáze: OpenAIRE