51. Dietary intakes of (n-3) polyunsaturated fatty acids and their interactions with antioxidant vitamin E in relation to the risk of breast cancer: the E3N-EPIC cohort study
- Author
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Thiebaut, Anne C.M., Chajes, Veronique, Gerber, Mariette, Berrino, Franco, Riboli, Elio, Benichou, Jacques, and Clavel-Chapelon, Francoise
- Subjects
Unsaturated fatty acids -- Physiological aspects ,Linolenic acids -- Physiological aspects ,Vitamin E -- Physiological aspects ,Breast cancer -- Research ,Breast cancer -- Prevention ,Breast cancer -- Nutritional aspects ,Food/cooking/nutrition - Abstract
BACKGROUND: Experimental studies suggest beneficial effects on mammary carcinogenesis of (n-3) PUFAs, possibly in interaction with antioxidants. However, epidemiological studies have been inconsistent, and few have assessed combined effects of (n-3) PUFA and antioxidant intakes on breast cancer risk. OBJECTIVE: The objectives of this study were to examine the association between (n-3) PUFA intakes and breast cancer risk and to evaluate effect modifications by vitamin E intakes. DESIGN: The study population included 67,629 women from the French E3N-EPIC cohort, aged 41 to 71 y, who completed a diet history questionnaire in 1993. For an average follow-up of 8.0 y, 2054 incident cases of invasive breast cancer were recorded. RESULTS: Overall, breast cancer risk was not related to individual (n-3) PUFA intakes. However, breast cancer risk was decreased with increasing intakes of [alpha]-linolenic acid [18:3 (n-3)] originating from vegetable sources [highest versus lowest quintile, hazard ratio (HR) = 0.82; 95% CI: 0.71, 0.95; [P.sub.trend] = 0.009] and increased with increasing intakes of [alpha]-linolenic acid from nuts ([P.sub.trend] = 0.031). Long-chain (n-3) PUFA intakes were positively associated with breast cancer risk in the lowest quintile of dietary vitamin E intake (HR = 1.65; 95% CI: 1.18, 6.09; [P.sub.trend] = 0.036). Conversely, in the highest quintile of vitamin E intake, HRs related to increasing quintiles of long-chain (n-3) PUFA intake were all below unity but not significantly so. CONCLUSIONS: These data suggest that the effect of [alpha]-linolenic acid intake on breast cancer risk may differ according to food sources, either reflecting different food patterns or different a.linolenic acid isomers. They also suggest that supplementation with (n-3) PUFAs should be counterbalanced by appropriate dietary antioxidant intakes to avoid carcinogenic effects. However, this study provides no support that vitamin E as a supplement may reduce breast cancer risk.
- Published
- 2005