Dietary β-carotene, vitamin C and E intake and breast cancer risk in the European Prospective Investigation into Cancer and Nutrition ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-06-30

AUTHORS

G. Nagel, J. Linseisen, C. H. van Gils, P. H. Peeters, M. C. Boutron-Ruault, F. Clavel-Chapelon, I. Romieu, A. Tjønneland, A. Olsen, N. Roswall, P. M. Witt, K. Overvad, S. Rohrmann, R. Kaaks, D. Drogan, H. Boeing, A. Trichopoulou, V. Stratigakou, D. Zylis, D. Engeset, E. Lund, G. Skeie, F. Berrino, S. Grioni, A. Mattiello, G. Masala, R. Tumino, R. Zanetti, M. M. Ros, H. B. Bueno-de-Mesquita, E. Ardanaz, M. J. Sánchez, J. M. Huerta, P. Amiano, L. Rodríguez, J. Manjer, E. Wirfält, P. Lenner, G. Hallmans, E. A. Spencer, T. J. Key, S. Bingham, K. T. Khaw, S. Rinaldi, N. Slimani, P. Boffetta, V. Gallo, T. Norat, E. Riboli

ABSTRACT

So far, studies on dietary antioxidant intake, including β-carotene, vitamin C and vitamin E, and breast cancer risk are inconclusive. Thus, we addressed this question in the European Prospective Investigation into Cancer and Nutrition. During a median follow-up time of 8.8 years, 7,502 primary invasive breast cancer cases were identified. Cox proportional hazard models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI). All analyses were run stratified by menopausal status at recruitment and, additionally, by smoking status, alcohol intake, use of exogenous hormones and use of dietary supplements. In the multivariate analyses, dietary intake of β-carotene, vitamin C and E was not associated with breast cancer risk in premenopausal [highest vs. lowest quintile: HR, 1.04 (95% CI, 0.85–1.27), 1.12 (0.92–1.36) and 1.11 (0.84–1.46), respectively] and postmenopausal women [0.93 (0.82–1.04), 0.98 (0.87–1.11) and 0.92 (0.77–1.11), respectively]. However, in postmenopausal women using exogenous hormones, high intake of β-carotene [highest vs. lowest quintile; HR 0.79 (95% CI, 0.66–0.96), Ptrend 0.06] and vitamin C [0.88 (0.72–1.07), Ptrend 0.05] was associated with reduced breast cancer risk. In addition, dietary β-carotene was associated with a decreased risk in postmenopausal women with high alcohol intake. Overall, dietary intake of β-carotene, vitamin C and E was not related to breast cancer risk in neither pre- nor postmenopausal women. However, in subgroups of postmenopausal women, a weak protective effect between β-carotene and vitamin E from food and breast cancer risk cannot be excluded. More... »

PAGES

753-765

Journal

TITLE

Breast Cancer Research and Treatment

ISSUE

3

VOLUME

119

Author Affiliations

  • Institute of Epidemiology, Ulm University, Helmholtzstr.22, 89081, Ulm, Germany
  • Department Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany
  • Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
  • Institut National de la Santé et de la Recherche Médicale (INSERM), IGR, Villejuif, France
  • Diet, Cancer and Health, Danish Cancer Society, Copenhagen, Denmark
  • Department of Oncology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark
  • Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark
  • Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany
  • Department of Hygiene and Epidemiology, University of Athens Medical School, Athens, Greece
  • Institute of Community Medicine, University of Tromsø, Tromsø, Norway
  • Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
  • Department of Clinical and Experimental Medicine Federico II University, Naples, Italy
  • Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute, Florence, Italy
  • Cancer Registry, Azienda Ospedaliera “Civile- M.P. Arezzo”, Ragusa, Italy
  • Piedmont Cancer Registry-CPO, Turin, Italy
  • Department of Epidemiology, Biostatistics and HTA, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
  • National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
  • Public Health Institute of Navarra, Pamplona, Spain, and CIBER Epidemiología y Salud Pública (CIBERESP), Pamplona, Spain
  • Andalusian School of Public Health and CIBER de Epidemiología y Salud Pública (CIBERESP), Granada, Spain
  • CIBER Epidemiología y Salud Pública and Servicio de Epidemiología (CIBERESP), Murcia, Spain
  • Public Health Division of Gipuzkoa, Basque Government, CIBER en Salud Pública, CIBERSP, Donostia-San Sebastian, Spain
  • Public Health and Participation Directorate, Health and Health Care Services Council, Asturias, Spain
  • Department of Surgery, Malmö University Hospital, Malmö, Sweden
  • Department of Clinical Sciences, Malmö and Nutrition Epidemiology, Lund University, Lund, Sweden
  • Department of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden
  • Department of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden
  • Epidemiology Unit, Cancer Research UK, University of Oxford, Oxford, UK
  • MRC Dunn Human Nutrition Unit and Department of Public Health and Primary Care, University of Cambridge, School of Clinical Medicine, Cambridge, UK
  • Clinical Gerontology Unit, University of Cambridge, Cambridge, UK
  • International Agency for Research on Cancer, Lyon, France
  • Division of Epidemiology, Public Health and Primary Care, Imperial College London, London, UK
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10549-009-0444-8

    DOI

    http://dx.doi.org/10.1007/s10549-009-0444-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1043362102

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19565333


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    31 schema:description So far, studies on dietary antioxidant intake, including β-carotene, vitamin C and vitamin E, and breast cancer risk are inconclusive. Thus, we addressed this question in the European Prospective Investigation into Cancer and Nutrition. During a median follow-up time of 8.8 years, 7,502 primary invasive breast cancer cases were identified. Cox proportional hazard models were used to estimate hazard ratios (HR) and 95% confidence intervals (CI). All analyses were run stratified by menopausal status at recruitment and, additionally, by smoking status, alcohol intake, use of exogenous hormones and use of dietary supplements. In the multivariate analyses, dietary intake of β-carotene, vitamin C and E was not associated with breast cancer risk in premenopausal [highest vs. lowest quintile: HR, 1.04 (95% CI, 0.85–1.27), 1.12 (0.92–1.36) and 1.11 (0.84–1.46), respectively] and postmenopausal women [0.93 (0.82–1.04), 0.98 (0.87–1.11) and 0.92 (0.77–1.11), respectively]. However, in postmenopausal women using exogenous hormones, high intake of β-carotene [highest vs. lowest quintile; HR 0.79 (95% CI, 0.66–0.96), Ptrend 0.06] and vitamin C [0.88 (0.72–1.07), Ptrend 0.05] was associated with reduced breast cancer risk. In addition, dietary β-carotene was associated with a decreased risk in postmenopausal women with high alcohol intake. Overall, dietary intake of β-carotene, vitamin C and E was not related to breast cancer risk in neither pre- nor postmenopausal women. However, in subgroups of postmenopausal women, a weak protective effect between β-carotene and vitamin E from food and breast cancer risk cannot be excluded.
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