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ABSTRACT: Consumption of Animal Foods, Cooking Methods, and Risk
of Breast Cancer
Cumulative evidence suggests a possible interaction of cooking
methods with diet in the pathogenesis of breast cancer. Studies,
however, are few and inconsistent.
We evaluated the association
of animal food intake and degree of browning by deep-frying with
breast cancer risk in a population-based case-control study conducted
during 1996-1998 among Chinese women in Shanghai, a population
with a traditionally low risk of breast cancer.
Included in the
study were 1459 cases and 1556 age-frequency-matched controls
with response rates of 91.1 and 90.3%, respectively.
A validated
food frequency questionnaire was used to obtain information on
usual intake of animal foods and cooking oils and usual cooking
methods.
Increasing intake of red meat and freshwater fish was
related to a moderately elevated risk of breast cancer risk.
Stratified analyses showed that the positive association with
red meat intake was primarily restricted to those who used deep-frying
cooking method, particularly among those who deep-fried foods
to well-done (odds ratio, 1.92; 95% confidence interval, 1.30-2.83
for the highest versus the lowest quintile; P for trend, 0.002).
On the other hand, high intake of nonhydrogenated soybean cooking
oil was related to a reduced risk of breast cancer among women
who never deep-fried animal foods (odds ratio, 0.48; 95% confidence
interval, 0.28-0.82 for the highest versus the lowest quintile;
P for trend, 0.02).
The positive association of breast cancer
risk with red meat intake, especially well-done red meat, was
more pronounced among women with a high body mass index than
those without this risk factor, and the test for multiplicative
interaction was statistically significant.
This study suggests
that high intake of deep-fried, well-done red meat may be associated
with an increased risk of breast cancer, and the positive association
may be modified by body weight.
This study also suggests that
nonhydrogenated soybean oil, if not used in high-temperature
cooking, may be associated with a reduced risk of breast cancer.
[09/11/2002; Cancer Epidemiology, Biomarkers and Prevention]
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