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ABSTRACT: Adolescent and adult soy intake and risk of breast cancer
in Asian-Americans
The association between soyfood intake and breast cancer risk
is controversial. Most of the epidemiologic studies published
on this topic in the 1990s were not designed to specifically
address this question.
We conducted a population-based, case-control
study of breast cancer among Chinese, Japanese and Filipino women
in Los Angeles County to further investigate the role of soy.
Our primary objective was to quantify breast cancer risks associated
with intake of soy during adolescence and adult life among Asian-American
women.
During 1995-1998, we successfully interviewed 501
breast cancer patients and 594 control subjects. Intake of soy
among Asian-Americans is still relatively high; the median intake
was 12 mg isoflavones/day, approximately one-third of that reported
in a recent study in Shanghai, China.
The risk of breast cancer
was significantly inversely associated with soy intake during
adolescence and adult life. After adjusting for age, specific
Asian ethnicity, education, migration history and menstrual and
reproductive factors, women who reported soy intake at least
once per week during adolescence showed a statistically significantly
reduced risk of breast cancer. There was also a significant trend
of decreasing risk with increasing soy intake during adult life.
When we considered soy intake during both adolescence and adult
life, subjects who were high-soy consumers during both time periods
showed the lowest risk (OR=0.53, 95% CI=0.36-0.78) compared
with those who were low consumers during both time periods.
Risk
of breast cancer was intermediate among subjects who were high-soy
consumers during adolescence and low-soy consumers during adult
life (OR=0.77, 95% CI=0.51-1.10). Based on a relatively
small number of subjects, the risk did not appear to differ between
those who were low consumers during adolescence and high consumers
during adult life.
Results remained similar after adjustment
for other potential confounders including other dietary and non-dietary
risk factors for breast cancer.
These results show that high
soy intake in childhood in Asian-Americans is associated with
reduced breast cancer risk. Risk may be further reduced by intake
as an adult.
[09/23/2002; Carcinogenesis]
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