Food patterns and risk of breast cancer: A factor analysis study in Uruguay

Ronco, Álvaro L.; Stéfani, Eduardo De; Boffetta, Paolo; Deneo‐Pellegrini, Hugo; Acosta, Gisĕle; Mendilaharsu, Marı́a

doi:10.1002/ijc.22021

Cited by 100 publications

(133 citation statements)

References 40 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…Pearson coefficients, instead of ICC, for energy-adjusted values were computed and were higher than our values. In addition, Ronco et al (9) developed a questionnaire for Uruguayan adults where Pearson coefficients were also calculated, with similar results to those tested in the present study. For studies assessing validity, correlation coefficients typically range from 0?5 to 0?7 (30) , and coefficients lower than 0?4 may produce a significant attenuation of the association between exposure and event in epidemiological studies (36) .…”

Section: Discussionsupporting

confidence: 76%

See 1 more Smart Citation

Validation of a self-administered FFQ in adults in Argentina, Chile and Uruguay

Elorriaga

Irazola²,

Defagó³

et al. 2014

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To assess the reproducibility and validity among adults in the Southern Cone of Latin America (Argentina, Chile and Uruguay) of a self-administered FFQ to be used in the CESCAS I Study, an ongoing observational prospective cohort study to detect and follow up CVD and their risk factors, as well as in other epidemiological studies. Design: Relative validity of the FFQ was evaluated by comparing nutrient and selected food group intakes with those from three 24 h recalls (24HR) administered over 6 months. The FFQ was administered at baseline (FFQ1) and again after 3 months (FFQ2). Setting: Primary-care centres in Argentina, Chile and Uruguay. Subjects: Adults (n 147) aged 21-74 years. Results: Reproducibility (FFQ1 v. FFQ2): the intra-class correlation coefficients for nutrients ranged from 0?52 (potassium) to 0?74 (fat). Validity (FFQ1 v. the average of three 24HR): the Pearson correlations for energy-adjusted nutrients ranged from 0?39 (thiamin and cholesterol) to 0?59 (carbohydrate). Joint classification: overall, 66 % of participants in the lowest 24HR quintile were in the lowest one or two FFQ1 quintiles, and 62 % of those in the highest 24HR quintile were in the highest one or two FFQ1 quintiles. On average, only 4 % were misclassified into extreme quintiles. Conclusions: The FFQ version for the Southern Cone seems to present moderate to acceptable relative validity and reliability for its use in the CESCAS I Study to measure dietary exposure.Keywords FFQ Validity Reproducibility Southern Cone of Latin America CVD are increasing throughout the world and cause 16?7 million deaths each year, 80 % of which occur in lowand middle-income countries. Most cardiovascular risk in the Southern Cone of Latin America (Argentina, Chile and Uruguay) could be explained by tobacco use, abnormal lipids, abdominal obesity and high blood pressure, as shown in the INTERHEART Latin American study that included 3125 cases and controls from different Latin American countries (1) . In Argentina, recent estimates have shown that there were more than 600 000 disabilityadjusted life years and almost 400 000 years of potential life lost due to CHD and stroke in 2005. Modifiable risk factors explained 75?0 % of fatal and non-fatal acute CHD and stroke events, 75?5 % of costs for acute events and 70?7 % of disability-adjusted life years lost (2) .Nutritional exposures are considered risk factors for CVD as well as other non-communicable and infectious diseases (3,4) . FFQ are often used in epidemiological studies to investigate the relationship between diet and disease because they are easy to administer, less expensive than other methods and can, at least theoretically, assess dietary intake over an extended period of time (5) . Usually FFQ are not considered an appropriate method of estimating actual nutrient intakes of individuals, but they can be used to rank people according to their intake. This information is useful to categorize nutritional exposures for epidemiological studies (6) .FFQ may be administered by tr...

show abstract

Section: Discussionsupporting

confidence: 76%

“…In Argentina, Chile and Uruguay, several FFQ were developed to assess dietary intakes in adult populations and some of them have been tested by assessing validity, reproducibility or both (9)(10)(11)(12) . To our knowledge, no validation study of a self-administered FFQ has been conducted on adult populations in the Southern Cone of Latin America.…”

mentioning

confidence: 99%

Validation of a self-administered FFQ in adults in Argentina, Chile and Uruguay

Elorriaga

Irazola²,

Defagó³

et al. 2014

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…In addition, a 'Western' pattern characterized by high consumption of fried, barbecued and processed meat has been positively associated with breast cancer risk (OR 5 2?16, 95 % CI 1?46, 3?29) in Uruguay (18) . A study among Italian women has found an increased breast cancer risk among women with a 'starch rich' dietary pattern (high in bread, pasta dishes, cakes and desserts; OR 5 1?34 95 % CI 1?10, 1?65) (15) .…”

Section: Discussionmentioning

confidence: 99%

Dietary patterns and breast cancer risk among women

Karimi

Jessri

Houshiarrad

et al. 2013

Public Health Nutr.

View full text Add to dashboard Cite

Objective: Breast cancer is the most common type of cancer in women worldwide. Several studies have examined the role of single nutrients and food groups in breast cancer pathogenesis but fewer investigations have addressed the role of dietary patterns. Our main objective was to identify the relationship between major dietary patterns and breast cancer risk among Iranian women. Design: Hospital-based case-control study. Setting: Shohada Teaching Hospital, Tehran, Iran. Subjects: Overall, 100 female patients aged 30-65 years with breast cancer and 174 female hospital controls were included in the present study. Dietary intake was assessed using a valid and reliable semi-quantitative FFQ consisting of 168 food items. Results: Two dietary patterns were identified explaining 24?31 % of dietary variation in the study population. The 'healthy' food pattern was characterized by the consumption of vegetables, fruits, low-fat dairy products, legumes, olive and vegetable oils, fish, condiments, organ meat, poultry, pickles, soya and whole grains; while the 'unhealthy' food pattern was characterized by the consumption of soft drinks, sugars, tea and coffee, French fries and potato chips, salt, sweets and desserts, hydrogenated fats, nuts, industrial juice, refined grains, and red and processed meat. Compared with the lowest tertile, women in the highest tertile of the 'healthy' dietary pattern score had 75 % decreased risk of breast cancer (OR 5 0?25, 95 % CI 0?08, 0?78), whereas women in the highest tertile of the 'unhealthy' dietary pattern had a significantly increased breast cancer risk (OR 5 7?78, 95 % CI 2?31, 26?22). Conclusions: A healthy dietary pattern may be negatively associated with breast cancer risk, while an unhealthy dietary pattern is likely to increase the risk among Iranian women.

show abstract

“…It is also infor mative to compare the current findings with previous studies that have examined dietary patterns and risk of breast cancer. With the exception of a case-control study conducted in Uruguay [7], they have generally found little evidence for an association of either a ''prudent'' or ''western'' pattern with breast cancer risk [1][2][3][4][5]. In the Nurses' Health Study, the prudent pattern was inversely associated only with ER-postmenopausal breast cancer [2].…”

Section: Discussionmentioning

confidence: 99%

“…Most previous studies have examined single factors or components of the diet. Only a small number of studies [1][2][3][4][5][6][7] have addressed a broader question of whether overall diet or dietary patterns, rather than individual dietary components, affect breast cancer risk.…”

Section: Introductionmentioning

confidence: 99%

Dietary patterns and breast density in the Minnesota Breast Cancer Family Study

Tseng

Vierkant

Kushi

et al. 2008

Cancer Causes Control

View full text Add to dashboard Cite

Objective Whether dietary patterns, rather than single foods or nutrients, are associated with breast density is not known. We investigated this in the Minnesota Breast Cancer Family Study. Methods Participants completed a 153-item food fre quency questionnaire and provided screening mammograms for breast density assessment using a computer-assisted method. We used multivariate linear regression to quantify dietary pattern-breast density associations. Results Among 3,147 women with dietary information, three dietary patterns emerged from principal components analysis: a fruit-vegetable-cereal pattern, a salad-sauce-pasta/ grain pattern, and a meat-starch pattern. Among 1,286 women with breast density estimates, the fruit-vegetable-cereal and salad-sauce-pasta/grain patterns were inversely

show abstract

Food patterns and risk of breast cancer: A factor analysis study in Uruguay

Cited by 100 publications

References 40 publications

Validation of a self-administered FFQ in adults in Argentina, Chile and Uruguay

Validation of a self-administered FFQ in adults in Argentina, Chile and Uruguay

Dietary patterns and breast cancer risk among women

Dietary patterns and breast density in the Minnesota Breast Cancer Family Study

Contact Info

Product

Resources

About