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ABSTRACT: Population-based case-control study of soyfood intake
and breast cancer risk in Shanghai
[08/09/2001; British Journal of Cancer]
We evaluated the association of soyfood intake and breast cancer
risk in a population-based case-control study among Chinese women
in Shanghai. Included in the study were 1459 cases and 1556 age-matched
controls, with respective response rates of 91.1% and 90.3%.
Usual soyfood intake was assessed using a food frequency questionnaire
(FFQ).
Separate analyses were performed for all subjects and
for the subset who reported no recent change in soyfood intake.
The intake levels of soyfoods among women in Shanghai are high,
with 96.6% women reporting soyfood consumption at least once
a week. A statistically non-significant reduced risk (odds ratio
(OR) = 0.78 95% CI = 0.52-1.16) of breast cancer was observed
among those who reported eating soyfood at least once a week.
Compared to those in the lowest decile intake group, women in
the highest decile intake group had a 30% reduced risk of breast
cancer (OR = 0.66, 95% CI = 0.46-0.95), but no monotonic dose-response
relation was observed (P for trend, 0.28). Stratified analyses
showed that the inverse association was restricted primarily
among women who had a high body mass index (BMI), with an adjusted
OR of 0.30 (95% CI = 0.10-0.94) observed for the highest intake
group.
The reduction in risk was stronger for breast cancer positive
for both oestrogen receptor (ER) and progesterone receptor (PR)
(OR = 0.44, 95% CI = 0.25-0.78) than those with other ER/PR status.
More pronounced inverse associations were observed in analyses
among those who reported no recent change in soyfood intake than
those conducted in all subjects.
A dose-response relation between
soyfood intake and breast cancer risk was observed in this subset
of women (P for trend, 0.02), with an OR of 0.46 (95%CI = 0.28-0.75)
for those in the highest decile intake group.
No clear monotonic
dose-response relation was found between soyfood intake and breast
cancer risk among regular soy eaters, but nevertheless the results
suggest that regular soyfood consumption may reduce the risk
of breast cancer, particularly for those positive for ER and
PR; the effect may be modified by body mass index.
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 Cancer Epid Bio Prev, 12/02

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