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Dietary intake of isoflavones and breast cancer risk by estrogen and progesterone receptor status
Breast Cancer Research and Treatment, 03/17/09
Zhang M et al. - In a trial to examine the association between dietary isoflavone intake and breast cancer risk by estrogen receptor (ER) and progesterone receptor (PR) status, the finding that isoflavones protect against all tumor subtypes of breast cancer have biological plausibility, being supported by evidence from experimental studies.
Methods- Incident cases were 756 female pts with histologically confirmed breast cancer.
- 1009 age-matched controls were healthy women randomly recruited from outpatient breast clinics.
- Isoflavone intake was assessed by face-to-face interview using a validated and reliable food-frequency questionnaire and tumor ER and PR status were obtained from pathologic reports.
- Compared with women in the lowest intake quartiles, those in the highest quartile of total isoflavone intake had a reduced risk of all receptor status subtypes of breast cancer with a dose-response relationship.
- Adjusted ORs were 0.39 for ER+, 0.32 for ER-, 0.43 for PR+, and 0.30 for PR-.
- These inverse associations existed in both pre- and post-menopausal women after stratification.
- Stronger evidence of a protective effect of high isoflavone intake was observed for breast cancer tumors with concordant rather than discordant receptor status; ie, those with ER+/PR+ and ER-/PR-.
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