1. Effect of dietary soy intake on breast cancer risk according to menopause and hormone receptor status.
- Author
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Cho YA, Kim J, Park KS, Lim SY, Shin A, Sung MK, and Ro J
- Subjects
- Adult, Aged, Breast Neoplasms prevention & control, Case-Control Studies, Confidence Intervals, Diet Surveys, Dose-Response Relationship, Drug, Female, Humans, Incidence, Korea epidemiology, Logistic Models, Menopause, Middle Aged, Multivariate Analysis, Odds Ratio, Risk Factors, Surveys and Questionnaires, Breast Neoplasms chemistry, Breast Neoplasms epidemiology, Isoflavones administration & dosage, Receptors, Estrogen analysis, Receptors, Progesterone analysis, Soy Foods
- Abstract
Background: Although high soy consumption may be associated with lower breast cancer risk in Asian populations, findings from epidemiological studies have been inconsistent., Objective: We investigated the effects of soy intake on breast cancer risk among Korean women according to their menopausal and hormone receptor status., Methods: We conducted a case-control study with 358 incident breast cancer patients and 360 age-matched controls with no history of malignant neoplasm. Dietary consumption of soy products was examined using a 103-item food frequency questionnaire., Results: The estimated mean intakes of total soy and isoflavones from this study population were 76.5 g per day and 15.0 mg per day, respectively. Using a multivariate logistic regression model, we found a significant inverse association between soy intake and breast cancer risk, with a dose-response relationship (odds ratios (OR) (95% confidence interval (CI)) for the highest vs the lowest intake quartile: 0.36 (0.20-0.64)). When the data were stratified by menopausal status, the protective effect was observed only among postmenopausal women (OR (95% CI) for the highest vs the lowest intake quartile: 0.08 (0.03-0.22)). The association between soy and breast cancer risk did not differ according to estrogen receptor (ER)/progesterone receptor (PR) status, but the estimated intake of soy isoflavones showed an inverse association only among postmenopausal women with ER+/PR+ tumors., Conclusions: Our findings suggest that high consumption of soy might be related to lower risk of breast cancer and that the effect of soy intake could vary depending on several factors.
- Published
- 2010
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