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Association between flavonoids, flavonoid subclasses intake and breast cancer risk: a case-control study in China

Feng, Xiaoli ; Ho, Suzanne C ; Mo, Xiongfei ; Lin, Fangyu ; Zhang, Naiqi LU orcid ; Luo, Hong ; Zhang, Xin and Zhang, Caixia (2020) In European Journal of Cancer Prevention 29(6). p.493-500
Abstract
Anti-tumor effect of dietary flavonoids has been sustained by laboratory experiments, but epidemiological studies with breast cancer risk remained inconsistent and insufficient. This study aimed to investigate the associations between total and subclasses of flavonoid and breast cancer risk among Chinese population. This case-control study recruited 1522 eligible breast cancer cases and 1547 frequency-matched control subjects from June 2007 to July 2018 in Guangdong, China. Dietary intake was obtained by face-to-face interview using a validated food frequency questionnaire. Odds ratios and 95% confidence intervals were calculated by multivariable logistic regression models. After adjusting for potential confounders, inverse associations... (More)
Anti-tumor effect of dietary flavonoids has been sustained by laboratory experiments, but epidemiological studies with breast cancer risk remained inconsistent and insufficient. This study aimed to investigate the associations between total and subclasses of flavonoid and breast cancer risk among Chinese population. This case-control study recruited 1522 eligible breast cancer cases and 1547 frequency-matched control subjects from June 2007 to July 2018 in Guangdong, China. Dietary intake was obtained by face-to-face interview using a validated food frequency questionnaire. Odds ratios and 95% confidence intervals were calculated by multivariable logistic regression models. After adjusting for potential confounders, inverse associations were observed between total flavonoids, anthocyanidins, proanthocyanidins, flavanones, flavones, flavonols and isoflavones and overall breast cancer risk. Comparing the highest versus the lowest quartile, odds ratio (95% confidence interval) was 0.66 (0.54-0.82) for total flavonoids, 0.61 (0.49-0.75) for anthocyanidins, 0.67 (0.54-0.83) for proanthocyanidins, 0.71 (0.57-0.88) for flavanones, 0.48 (0.39-0.60) for flavones, 0.51 (0.41-0.63) for flavonols and 0.67 (0.54-0.83) for isoflavones, respectively. No significant association was found between flavanols, flavan-3-ol monomers, theaflavins and breast cancer risk. Stratified analysis by menopausal status and estrogen receptor/progesterone receptor status showed that the associations of total flavonoids, most flavonoid subclasses with breast cancer risk were generally not modified by menopausal or estrogen receptor/progesterone receptor status. This study indicates that total flavonoids and most flavonoid subclasses intakes were inversely associated with breast cancer risk. (Less)
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author
; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Cancer Prevention
volume
29
issue
6
pages
493 - 500
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85092680013
ISSN
1473-5709
DOI
10.1097/CEJ.0000000000000561
language
English
LU publication?
no
id
947273d5-2c03-4ff0-8b75-4785cc6fb154
date added to LUP
2025-01-22 13:39:46
date last changed
2025-04-17 13:59:40
@article{947273d5-2c03-4ff0-8b75-4785cc6fb154,
  abstract     = {{Anti-tumor effect of dietary flavonoids has been sustained by laboratory experiments, but epidemiological studies with breast cancer risk remained inconsistent and insufficient. This study aimed to investigate the associations between total and subclasses of flavonoid and breast cancer risk among Chinese population. This case-control study recruited 1522 eligible breast cancer cases and 1547 frequency-matched control subjects from June 2007 to July 2018 in Guangdong, China. Dietary intake was obtained by face-to-face interview using a validated food frequency questionnaire. Odds ratios and 95% confidence intervals were calculated by multivariable logistic regression models. After adjusting for potential confounders, inverse associations were observed between total flavonoids, anthocyanidins, proanthocyanidins, flavanones, flavones, flavonols and isoflavones and overall breast cancer risk. Comparing the highest versus the lowest quartile, odds ratio (95% confidence interval) was 0.66 (0.54-0.82) for total flavonoids, 0.61 (0.49-0.75) for anthocyanidins, 0.67 (0.54-0.83) for proanthocyanidins, 0.71 (0.57-0.88) for flavanones, 0.48 (0.39-0.60) for flavones, 0.51 (0.41-0.63) for flavonols and 0.67 (0.54-0.83) for isoflavones, respectively. No significant association was found between flavanols, flavan-3-ol monomers, theaflavins and breast cancer risk. Stratified analysis by menopausal status and estrogen receptor/progesterone receptor status showed that the associations of total flavonoids, most flavonoid subclasses with breast cancer risk were generally not modified by menopausal or estrogen receptor/progesterone receptor status. This study indicates that total flavonoids and most flavonoid subclasses intakes were inversely associated with breast cancer risk.}},
  author       = {{Feng, Xiaoli and Ho, Suzanne C and Mo, Xiongfei and Lin, Fangyu and Zhang, Naiqi and Luo, Hong and Zhang, Xin and Zhang, Caixia}},
  issn         = {{1473-5709}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{493--500}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{European Journal of Cancer Prevention}},
  title        = {{Association between flavonoids, flavonoid subclasses intake and breast cancer risk: a case-control study in China}},
  url          = {{http://dx.doi.org/10.1097/CEJ.0000000000000561}},
  doi          = {{10.1097/CEJ.0000000000000561}},
  volume       = {{29}},
  year         = {{2020}},
}