Dairy foods, calcium, and risk of breast cancer overall and for subtypes defined by estrogen receptor status: a pooled analysis of 21 cohort studies

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Dairy foods, calcium, and risk of breast cancer overall and for subtypes defined by estrogen receptor status : a pooled analysis of 21 cohort studies

Wu, You (författare): Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA.

Huang, Ruyi (författare): I Shou Univ, E DA Hosp, Sch Med, Dept Med Educ, Kaohsiung, Taiwan.;I Shou Univ, Sch Med Int Students, Sch Med, Kaohsiung, Taiwan.;Natl Taiwan Univ Hosp, Dept Family Med, Taipei, Taiwan.;Harvard TH Chan Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02115 USA.

Wang, Molin (författare): Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.;Harvard TH Chan Sch Publ Hlth, Dept Biostat, Boston, MA USA.;Brigham & Womens Hosp, Dept Med, Channing Div Network Med, Boston, MA USA.;Harvard Med Sch, Boston, MA 02115 USA.

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Bernstein, Leslie (författare): City Hope Natl Med Ctr, Dept Populat Sci, Beckman Res Inst, Duarte, CA USA.

Bethea, Traci N. (författare): Boston Univ, Slone Epidemiol Ctr, Boston, MA USA.;Boston Univ, Sch Med, Dept Med, Boston, MA 02118 USA.

Chen, Chu (författare): Karolinska Institutet

Chen, Yu (författare): NYU, Dept Populat Hlth, Div Epidemiol, Sch Med, New York, NY USA.;NYU, Dept Environm Med, Sch Med, New York, NY USA.

Eliassen, A. Heather (författare): Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.;Brigham & Womens Hosp, Dept Med, Channing Div Network Med, Boston, MA USA.;Harvard Med Sch, Boston, MA 02115 USA.

Freedman, Neal D. (författare): NCI, Div Canc Epidemiol & Genet, NIH, Bethesda, MD USA.

Gaudet, Mia M. (författare): Amer Canc Soc, Dept Populat Sci, Atlanta, GA USA.

Gierach, Gretchen L. (författare): NCI, Div Canc Epidemiol & Genet, NIH, Bethesda, MD USA.

Giles, Graham G. (författare): Canc Council Victoria, Canc Epidemiol Div, Melbourne, Vic, Australia.;Univ Melbourne, Ctr Epidemiol & Biostat, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia.;Monash Univ, Sch Clin Sci Monash Hlth, Precis Med, Clayton, Vic, Australia.

Krogh, Vittorio (författare): IRCCS Natl Canc Inst Fdn, Epidemiol & Prevent Unit, Dept Res, Milan, Italy.

Larsson, Susanna C. (författare): Uppsala universitet,Medicinsk epidemiologi,Karolinska Inst, Inst Environm Med, Unit Nutr Epidemiol, Stockholm, Sweden.

Liao, Linda M. (författare): NCI, Div Canc Epidemiol & Genet, NIH, Bethesda, MD USA.

McCullough, Marjorie L. (författare): Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, 1124 Columbia St, Seattle, WA 98104 USA.;Amer Canc Soc, Dept Populat Sci, Atlanta, GA USA.

Miller, Anthony B. (författare): Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada.

Milne, Roger L. (författare): Canc Council Victoria, Canc Epidemiol Div, Melbourne, Vic, Australia.;Univ Melbourne, Ctr Epidemiol & Biostat, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia.;Monash Univ, Sch Clin Sci Monash Hlth, Precis Med, Clayton, Vic, Australia.

Monroe, Kristine R. (författare): Univ Southern Calif, Keck Sch Med, Los Angeles, CA USA.

Neuhouser, Marian L. (författare): Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, 1124 Columbia St, Seattle, WA 98104 USA.

Palmer, Julie R. (författare): Boston Univ, Slone Epidemiol Ctr, Boston, MA USA.;Boston Univ, Sch Med, Dept Med, Boston, MA 02118 USA.

Prizment, Anna (författare): Univ Minnesota, Div Hematol Oncol & Transplantat, Med Sch, Minneapolis, MN USA.;Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA.

Reynolds, Peggy (författare): Univ Calif San Francisco, Dept Epidemiol & Biostat, Berkeley, CA USA.

Robien, Kim (författare): George Washington Univ, Milken Inst Sch Publ Hlth, Dept Exercise & Nutr Sci, Ashburn, WA USA.

Rohan, Thomas E. (författare): Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY USA.

Sandin, Sven (författare): Karolinska Institutet

Sawada, Norie (författare): Natl Canc Ctr, Ctr Publ Hlth Sci, Epidemiol & Prevent Grp, Tokyo, Japan.

Sieri, Sabina (författare): IRCCS Natl Canc Inst Fdn, Epidemiol & Prevent Unit, Dept Res, Milan, Italy.

Sinha, Rashmi (författare): NCI, Div Canc Epidemiol & Genet, NIH, Bethesda, MD USA.

Stolzenberg-Solomon, Rachael Z. (författare): NCI, Div Canc Epidemiol & Genet, NIH, Bethesda, MD USA.

Tsugane, Shoichiro (författare): Natl Canc Ctr, Ctr Publ Hlth Sci, Epidemiol & Prevent Grp, Tokyo, Japan.

van den Brandt, Piet A. (författare): Maastricht Univ, GROW Sch Oncol & Dev Biol, Dept Epidemiol, Maastricht, Netherlands.;Maastricht Univ, Care & Publ Hlth Inst CAPHRI, Dept Epidemiol, Maastricht, Netherlands.

Visvanathan, Kala (författare): Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA.

Weiderpass, Elisabete (författare): WHO, Int Agcy Res Canc, Lyon, France.

Wilkens, Lynne R. (författare): Univ Hawaii, Canc Ctr, Honolulu, HI USA.

Willett, Walter C. (författare): Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA.;Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.;Brigham & Womens Hosp, Dept Med, Channing Div Network Med, Boston, MA USA.;Harvard Med Sch, Boston, MA 02115 USA.

Wolk, Alicja (författare): Karolinska Institutet,Uppsala universitet,Medicinsk epidemiologi,Karolinska Inst, Inst Environm Med, Unit Nutr Epidemiol, Stockholm, Sweden.

Zeleniuch-Jacquotte, Anne (författare): NYU, Dept Populat Hlth, Div Epidemiol, Sch Med, New York, NY USA.;NYU, Dept Environm Med, Sch Med, New York, NY USA.

Ziegler, Regina G. (författare): NCI, Div Canc Epidemiol & Genet, NIH, Bethesda, MD USA.

Smith-Warner, Stephanie A. (författare): Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA.;Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.

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Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA I Shou Univ, E DA Hosp, Sch Med, Dept Med Educ, Kaohsiung, Taiwan.;I Shou Univ, Sch Med Int Students, Sch Med, Kaohsiung, Taiwan.;Natl Taiwan Univ Hosp, Dept Family Med, Taipei, Taiwan.;Harvard TH Chan Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02115 USA. (creator_code:org_t)

Oxford University Press, 2021
2021
Engelska.
Ingår i: American Journal of Clinical Nutrition. - : Oxford University Press. - 0002-9165 .- 1938-3207. ; 114:2, s. 450-461

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Background: Epidemiologic studies examining the relations between dairy product and calcium intakes and breast cancer have been inconclusive, especially for tumor subtypes. Objective: To evaluate the associations between intakes of specific dairy products and calcium and risk of breast cancer overall and for subtypes defined by estrogen receptor (ER) status. Method: We pooled the individual-level data of over 1 million women who were followed for a maximum of 8-20 years across studies. Associations were evaluated for dairy product and calcium intakes and risk of incident invasive breast cancer overall (n = 37,861 cases) and by subtypes defined by ER status. Study-specific multivariable hazard ratios (HRs) were estimated and then combined using random-effects models. Results: Overall, no clear association was observed between the consumption of specific dairy foods, dietary (from foods only) calcium, and total (from foods and supplements) calcium, and risk of overall breast cancer. Although each dairy product showed a null or very weak inverse association with risk of overall breast cancer (P, test for trend >0.05 for all), differences by ER status were suggested for yogurt and cottage/ricotta cheese with associations observed for ER-negative tumors only (pooled HR = 0.90, 95% CI: 0.83, 0.98 comparing >= 60 g/d with <1 g/d of yogurt and 0.85, 95% CI: 0.76, 0.95 comparing >= 25 g/d with <1 g/d of cottage/ricotta cheese). Dietary calcium intake was only weakly associated with breast cancer risk (pooled HR = 0.98, 95% CI: 0.97, 0.99 per 350 mg/d). Conclusion: Our study shows that adult dairy or calcium consumption is unlikely to associate with a higher risk of breast cancer and that higher yogurt and cottage/ricotta cheese intakes were inversely associated with the risk of ER-negative breast cancer, a less hormonally dependent subtype with poor prognosis. Future studies on fermented dairy products, earlier life exposures, ER-negative breast cancer, and different racial/ethnic populations may further elucidate the relation.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

breast cancer
calcium
cheese
dairy products
diet
milk
pooled analysis
yogurt

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Näringslära

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Av lärosätet: Uppsala universitet; Karolinska Institutet

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