Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN Cohort
There is growing interest in natural antioxidants and their potential effects on breast cancer (BC). Epidemiological evidence, however, is inconsistent. We prospectively evaluated the association between dietary intake of vitamins A, C, and E, selenium, and zinc and BC among 9983 female participants...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Antioxidants |
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| Online Access: | https://www.mdpi.com/2076-3921/10/3/340 |
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| author | Cesar I. Fernandez-Lazaro Miguel Ángel Martínez-González Inmaculada Aguilera-Buenosvinos Alfredo Gea Miguel Ruiz-Canela Andrea Romanos-Nanclares Estefanía Toledo |
| author_facet | Cesar I. Fernandez-Lazaro Miguel Ángel Martínez-González Inmaculada Aguilera-Buenosvinos Alfredo Gea Miguel Ruiz-Canela Andrea Romanos-Nanclares Estefanía Toledo |
| author_sort | Cesar I. Fernandez-Lazaro |
| collection | DOAJ |
| description | There is growing interest in natural antioxidants and their potential effects on breast cancer (BC). Epidemiological evidence, however, is inconsistent. We prospectively evaluated the association between dietary intake of vitamins A, C, and E, selenium, and zinc and BC among 9983 female participants from the SUN Project, a Mediterranean cohort of university graduates. Participants completed a food frequency questionnaire at baseline, and biennial follow-up information about incident BC diagnosis was collected. Cases were ascertained through revision of medical charts and consultation of the National Death Index. Cox proportional hazards models were used to estimate multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CI). During an average follow-up of 11.3 years, 107 incident BC cases were confirmed. The multivariable HRs (95% CI) for BC comparing extreme tertiles of energy-adjusted dietary intakes were 1.07 (0.64–1.77; <i>P</i><sub>trend</sub> = 0.673) for vitamin A, 1.00 (0.58–1.71; <i>P</i><sub>trend</sub> = 0.846) for vitamin C, 0.92 (0.55–1.54; <i>P</i><sub>trend</sub> = 0.728) for vitamin E, 1.37 (0.85–2.20; <i>P</i><sub>trend</sub> = 0.135) for selenium, and 1.01 (0.61–1.69; <i>P</i><sub>trend</sub> = 0.939) for zinc. Stratified analyses showed an inverse association between vitamin E intake and postmenopausal BC (HR<sub>T3 vs. T1</sub> = 0.35; 95% CI, 0.14–0.86; <i>P</i><sub>trend</sub> = 0.027). Our results did not suggest significant protective associations between dietary vitamins A, C, and E, selenium, or zinc and BC risk. |
| first_indexed | 2024-03-09T00:34:25Z |
| format | Article |
| id | doaj.art-43dedde2655745918ad27d15cac2863c |
| institution | Directory Open Access Journal |
| issn | 2076-3921 |
| language | English |
| last_indexed | 2024-03-09T00:34:25Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antioxidants |
| spelling | doaj.art-43dedde2655745918ad27d15cac2863c2023-12-11T18:16:01ZengMDPI AGAntioxidants2076-39212021-02-0110334010.3390/antiox10030340Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN CohortCesar I. Fernandez-Lazaro0Miguel Ángel Martínez-González1Inmaculada Aguilera-Buenosvinos2Alfredo Gea3Miguel Ruiz-Canela4Andrea Romanos-Nanclares5Estefanía Toledo6Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, SpainDepartment of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, SpainThere is growing interest in natural antioxidants and their potential effects on breast cancer (BC). Epidemiological evidence, however, is inconsistent. We prospectively evaluated the association between dietary intake of vitamins A, C, and E, selenium, and zinc and BC among 9983 female participants from the SUN Project, a Mediterranean cohort of university graduates. Participants completed a food frequency questionnaire at baseline, and biennial follow-up information about incident BC diagnosis was collected. Cases were ascertained through revision of medical charts and consultation of the National Death Index. Cox proportional hazards models were used to estimate multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CI). During an average follow-up of 11.3 years, 107 incident BC cases were confirmed. The multivariable HRs (95% CI) for BC comparing extreme tertiles of energy-adjusted dietary intakes were 1.07 (0.64–1.77; <i>P</i><sub>trend</sub> = 0.673) for vitamin A, 1.00 (0.58–1.71; <i>P</i><sub>trend</sub> = 0.846) for vitamin C, 0.92 (0.55–1.54; <i>P</i><sub>trend</sub> = 0.728) for vitamin E, 1.37 (0.85–2.20; <i>P</i><sub>trend</sub> = 0.135) for selenium, and 1.01 (0.61–1.69; <i>P</i><sub>trend</sub> = 0.939) for zinc. Stratified analyses showed an inverse association between vitamin E intake and postmenopausal BC (HR<sub>T3 vs. T1</sub> = 0.35; 95% CI, 0.14–0.86; <i>P</i><sub>trend</sub> = 0.027). Our results did not suggest significant protective associations between dietary vitamins A, C, and E, selenium, or zinc and BC risk.https://www.mdpi.com/2076-3921/10/3/340breast cancerantioxidantsvitamin Avitamin Cvitamin Eselenium |
| spellingShingle | Cesar I. Fernandez-Lazaro Miguel Ángel Martínez-González Inmaculada Aguilera-Buenosvinos Alfredo Gea Miguel Ruiz-Canela Andrea Romanos-Nanclares Estefanía Toledo Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN Cohort Antioxidants breast cancer antioxidants vitamin A vitamin C vitamin E selenium |
| title | Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN Cohort |
| title_full | Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN Cohort |
| title_fullStr | Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN Cohort |
| title_full_unstemmed | Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN Cohort |
| title_short | Dietary Antioxidant Vitamins and Minerals and Breast Cancer Risk: Prospective Results from the SUN Cohort |
| title_sort | dietary antioxidant vitamins and minerals and breast cancer risk prospective results from the sun cohort |
| topic | breast cancer antioxidants vitamin A vitamin C vitamin E selenium |
| url | https://www.mdpi.com/2076-3921/10/3/340 |
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