Summary In a hospital-based case -control study of endometrial cancer undertaken in Athens (1992 -94), 145 women residents of Greater Athens with confirmed cancer of the endometrium were compared with 298 control patients with orthopaedic diseases. Personal interviews were conducted in the hospital setting, and diet was assessed using a validated semiquantitative food frequency questionnaire. Nutrient intakes for individuals were calculated by multiplying the nutrient intake of a typical portion size for each specified food item by the frequency at which the food was consumed per month and summing these estimates for all food items. Data were modelled through logistic regression, controlling for demographic, reproductive and somatometric risk factors for endometrial cancer as well as for total energy intake. No macronutrient was significantly associated with endometrial cancer risk, but increasing intake of monounsaturated fat, mostly olive oil, by about one standard deviation was associated with a 26% risk reduction (odds ratio=0.74; 95% confidence interval 0.54-1.03). Among micronutrients, only calcium intake was significantly inversely associated with endometrial cancer risk, whereas there was evidence against retinol and zinc imparting protection against the disease. With respect to food groups, there was weak and non-significant evidence that vegetables are protective, whereas consumption of pulses was positively associated with disease possibly because they contribute substantially in Greece to energy intake in excess of physical activity-dependent requirements.Keywords: endometrial cancer; diet; nutrition; olive oil; calcium; retinolThe high international variability of endometrial cancer incidence, the increasing incidence of this cancer in less developed countries, the changing disease incidence among migrants (Armstrong and Doll, 1979;Tomatis, 1990;Parkin et al., 1992) and the inability to explain adequately the observed patterns of variation on the basis of established risk factors for the disease have indicated that dietary variables may influence the occurrence of the disease. It has already been shown that obesity is a major risk factor for endometrial cancer (Kelsey et al., 1982;Pike, 1987;Koumantaki et al., 1989), but there is considerable uncertainty about the role of qualitative aspects of diet. It has been suggested that, in relation to endometrial cancer, a high intake of added fats and oils (La Vecchia et al., 1986), beans and peas (Levi et al., 1993), meat, fish and eggs (Levi et al., 1993;Shu et al., 1993;Zheng et al., 1995), carbohydrates (Armstrong, 1979), may increase the risk; that a high intake of vegetables and fruits (La Vecchia et al., 1986;Shu et al., 1993), cereals and whole grain foods (La Vecchia et al., 1986;Potischman et al., 1993) Overall, it appears that no particular dietary factor stands out as being of overwhelming importance, although methodological factors may also have contributed to the divergence of the empirical evidence. We have undertaken a case-control study of...