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Effect of diet on micronutrient levels in breast nipple aspirate fluids
Gang Chen, Jianwei Ren, Lance K. Heilbrun, Chandice Covington, Zora Djuric.
Fred Hutchinson Cancer Research Center, Seattle, WA; Karmanos Cancer Institute, Detroit, MI; University of California, Los Angeles, CA.
Both high fruit-vegetable and low-fat diets are of interest for cancer prevention. We conducted a dietary intervention study in premenopausal women who had a family history of breast cancer.
The trial lasted 12 months and there were 4 diet arms: control, low-fat (15% of energy from fat), high fruit-vegetable (9 servings/day), and combination low-fat/high fruit-vegetable.
Reported compliance to the diets was excellent. A total of 69 women provided breast nipple aspirate fluid (NAF) at baseline, 52 at 6 months and 53 at 12 months. Mean retinol, carotenoid and tocopherol levels in NAF were slightly increased at 12 months in the control group.
In the low-fat arm, mean levels of 9 different carotenoids and retinol decreased by 20 to 60% after intervention. Levels of alpha, gamma and delta tocopherol each decreased by about 60%. In each of the two high fruit-vegetable arms, total carotenoid levels in nipple aspirate fluids increased about two-fold.
The largest increases were in alpha and beta carotene, and the increases were somewhat smaller in the combination diet arm than in the high fruit/vegetable arm. Mean levels of tocopherols and retinol remained similar to that at baseline with both high fruit/vegetable diets.
These data indicate that micronutrient levels in nipple aspirate fluid can be maintained or increased during a low-fat diet if fruit and vegetable intakes are concomitantly increased.
This may have implications for breast cancer risk since this fluid bathes the epithelial cells lining the breast ducts.
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