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Dietary glycemic in...
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Romieu, Isabelle
(author)
Dietary glycemic index and glycemic load and breast cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)
- Article/chapterEnglish2012
Publisher, publication year, extent ...
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Elsevier BV,2012
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-59528
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-59528URI
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https://doi.org/10.3945/ajcn.111.026724DOI
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https://lup.lub.lu.se/record/3069672URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background: The glycemic potential of a diet is associated with chronically elevated insulin concentrations, which may augment breast cancer (BC) risk by stimulating insulin receptor or by affecting insulin-like growth factor I (IGF-I)-mediated mitogenesis. It is unclear whether this effect differs by BC phenotype.Objective: The objective was to investigate the relation between glycemic index (GI), glycemic load (GL), and total carbohydrate intake with BC by using data from the European Prospective Investigation into Cancer and Nutrition (EPIC).Design: We identified 11,576 women with invasive BC among 334,849 EPIC women aged 34-66 y (5th to 95th percentiles) at baseline over a median follow-up of 11.5 y. Dietary GI and GL were calculated from country-specific dietary questionnaires. We used multivariable Cox proportional hazards models to quantify the association between GI. GL, and carbohydrate intake and BC risk. BC tumors were classified by receptor status.Results: Overall GI, GL, and carbohydrates were not related to BC. Among postmenopausal women, GL and carbohydate intake were significantly associated with an increased risk of estrogen receptor negative (ER-) BC when extreme quintiles (Q) were compared [multivariable HRQ5-Q1 (95% CI) = 1.36 (1.02, 1.82; P-trend = 0.010) and HRQ5-Q1 = 1.41 (1.05, 1.89; P-trend = 0.009), respectively]. Further stratification by progesterone receptor (PR) status showed slightly stronger associations with ER (-)/PR- BC [HRQ5-Q1 (95% CI) = 1.48 (1.07, 2.05; P-trend = 0.010) for GL and HRQ5-Q1 = 1.62 (1.15, 2.30; P-trend = 0.005) for carbohydrates]. No significant association with ER-positive BC was observed.Conclusion: Our results indicate that a diet with a high GL and carbohydrate intake is positively associated with an increased risk of developing ER- and ER-/PR- BC among postmenopausal women. Am J Clin Nutr 2012;96:345-55.
Subject headings and genre
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Ferrari, Pietro
(author)
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Rinaldi, Sabina
(author)
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Slimani, Nadia
(author)
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Jenab, Mazda
(author)
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Olsen, Anja
(author)
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Tjonneland, Anne
(author)
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Overvad, Kim
(author)
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Boutron-Ruault, Marie-Christine
(author)
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Lajous, Martin
(author)
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Kaaks, Rudolf
(author)
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Teucher, Birgit
(author)
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Boeing, Heiner
(author)
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Trichopoulou, Antonia
(author)
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Naska, Androniki
(author)
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Vasilopoulo, Effie
(author)
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Sacerdote, Carlotta
(author)
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Tumino, Rosario
(author)
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Masala, Giovanna
(author)
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Sieri, Sabina
(author)
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Panico, Salvatore
(author)
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Bueno-de-Mesquita, H Bas
(author)
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Van-der-A, Daphne
(author)
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van Gils, Carla H
(author)
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Peeters, Petra HM
(author)
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Lund, Eiliv
(author)
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Skeie, Guri
(author)
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Asli, Lene Angell
(author)
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Rodriguez, Laudina
(author)
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Navarro, Carmen
(author)
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Amiano, Pilar
(author)
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Sanchez, Maria-Jose
(author)
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Barricarte, Aurelio
(author)
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Buckland, Genevieve
(author)
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Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso
(author)
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Wirfält, ElisabetLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-ewi
(author)
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Hallmans, GöranUmeå universitet,Näringsforskning(Swepub:umu)goha0001
(author)
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Johansson, IngegerdUmeå universitet,Kariologi(Swepub:umu)injo0003
(author)
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Key, Timothy J
(author)
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Allen, Naomi E
(author)
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Khaw, Kay-Tee
(author)
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Wareham, Nicholas J
(author)
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Norat, Teresa
(author)
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Riboli, Elio
(author)
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Clavel-Chapelon, Francoise
(author)
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NutritionsepidemiologiForskargrupper vid Lunds universitet
(creator_code:org_t)
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In:American Journal of Clinical Nutrition: Elsevier BV96:2, s. 345-3550002-91651938-3207
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Romieu, Isabelle
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Ferrari, Pietro
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Rinaldi, Sabina
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Slimani, Nadia
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Jenab, Mazda
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Olsen, Anja
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Tjonneland, Anne
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Overvad, Kim
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Boutron-Ruault, ...
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Lajous, Martin
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Kaaks, Rudolf
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Teucher, Birgit
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Boeing, Heiner
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Trichopoulou, An ...
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Naska, Androniki
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Vasilopoulo, Eff ...
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Sacerdote, Carlo ...
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Tumino, Rosario
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Masala, Giovanna
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Sieri, Sabina
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Panico, Salvator ...
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Bueno-de-Mesquit ...
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Van-der-A, Daphn ...
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van Gils, Carla ...
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Peeters, Petra H ...
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Lund, Eiliv
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Skeie, Guri
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Asli, Lene Angel ...
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Rodriguez, Laudi ...
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Navarro, Carmen
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Amiano, Pilar
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Sanchez, Maria-J ...
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Barricarte, Aure ...
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Buckland, Genevi ...
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Sonestedt, Emily
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Wirfält, Elisabe ...
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Hallmans, Göran
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Johansson, Ingeg ...
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Key, Timothy J
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Allen, Naomi E
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Khaw, Kay-Tee
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Wareham, Nichola ...
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Norat, Teresa
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Riboli, Elio
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Clavel-Chapelon, ...
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